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  1. Examining medication ordering errors using AHRQ Network of Patient Safety Databases. | PSNet

    psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
    November 30, 2022 - Study Examining medication ordering errors using AHRQ Network of Patient Safety Databases. Citation Text: Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/ja…

  2. Implementing high-reliability organization principles into practice: a rapid evidence review. | PSNet

    psnet.ahrq.gov/issue/implementing-high-reliability-organization-principles-practice-rapid-evidence-review
    October 21, 2020 - Review Implementing high-reliability organization principles into practice: a rapid evidence review. Citation Text: Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. do…

  3. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
    March 02, 2011 - Study Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Citation Text: Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4…

  4. Complexity and challenges of the clinical diagnosis and management of Long COVID. | PSNet

    psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid
    January 12, 2022 - Study Complexity and challenges of the clinical diagnosis and management of Long COVID. Citation Text: O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen…

  5. High-reliability health care: getting there from here. | PSNet

    psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
    January 23, 2012 - Study Classic High-reliability health care: getting there from here. Citation Text: Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023. Copy Citation Format: DOI Go…

  6. Information exchange among physicians caring for the same patient in the community. | PSNet

    psnet.ahrq.gov/issue/information-exchange-among-physicians-caring-same-patient-community
    March 28, 2011 - Study Classic Information exchange among physicians caring for the same patient in the community. Citation Text: van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):…

  7. Ambulatory prescribing errors among community-based providers in two states. | PSNet

    psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states
    July 10, 2008 - Study Ambulatory prescribing errors among community-based providers in two states. Citation Text: Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…

  8. Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/advance-care-planning-documentation-practices-and-accessibility-electronic-health-record
    December 05, 2012 - Study Emerging Classic Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. Citation Text: Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Access…

  9. Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. | PSNet

    psnet.ahrq.gov/issue/physician-ehr-adoption-and-potentially-preventable-hospital-admissions-among-medicare
    February 14, 2024 - Study Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. Citation Text: Lammers EJ, McLaughlin CG, Barna M. Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiarie…

  10. Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing. | PSNet

    psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
    November 16, 2022 - Study Emerging Classic Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing. Citation Text: Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…

  11. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. | PSNet

    psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation
    January 03, 2017 - Study "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Citation Text: Shaikh U, Natale JAE, Till DA, et al. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Pediatr Emerg Care. 2…

  12. Deaths among opioid users: impact of potential inappropriate prescribing practices. | PSNet

    psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
    October 19, 2011 - Study Deaths among opioid users: impact of potential inappropriate prescribing practices. Citation Text: Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. Copy Citation Form…

  13. Prevention of failure to rescue in obstetric patients: a realist review. | PSNet

    psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review
    April 20, 2022 - Review Prevention of failure to rescue in obstetric patients: a realist review. Citation Text: Bernstein SL, Kelechi TJ, Catchpole K, et al. Prevention of failure to rescue in obstetric patients: a realist review. Worldviews Evid Based Nurs. 2021;18(6):352-360. doi:10.1111/wvn.12531. C…

  14. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet

    psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
    September 09, 2015 - Review A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Citation Text: Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…

  15. We are not there yet: a qualitative system probing study of a hospital rapid response system. | PSNet

    psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system
    March 15, 2023 - Study We are not there yet: a qualitative system probing study of a hospital rapid response system. Citation Text: Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…

  16. Persistent opioid use among pediatric patients after surgery. | PSNet

    psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
    January 29, 2020 - Study Classic Persistent opioid use among pediatric patients after surgery. Citation Text: Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439. Copy Cita…

  17. Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet

    psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
    June 27, 2011 - Study Classic Perceptions of safety culture vary across the intensive care units of a single institution. Citation Text: Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Car…

  18. Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
    November 20, 2015 - Study Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. Citation Text: Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…

  19. Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. | PSNet

    psnet.ahrq.gov/issue/using-targeted-solutions-tool-improve-hand-hygiene-compliance-associated-decreased-health
    August 18, 2021 - Study Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. Citation Text: Shabot M, Chassin MR, France A-C, et al. Using the Targeted Solutions Tool® to Improve Hand Hygiene Compliance Is Associated with Decr…

  20. Accountability measures—using measurement to promote quality improvement. | PSNet

    psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
    January 23, 2012 - Commentary Classic Accountability measures—using measurement to promote quality improvement. Citation Text: Chassin MR, Loeb JM, Schmaltz SP, et al. Accountability measures--using measurement to promote quality improvement. N Engl J Med. 2010;363(7):683-8. doi…
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