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Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes

July 29, 2020 - Study Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. Citation Text: Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…

Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. | PSNet

psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis

December 18, 2013 - Study Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Citation Text: Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…

Medication errors in community pharmacies: evaluation of a standardized safety program. | PSNet

psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program

June 29, 2022 - Study Medication errors in community pharmacies: evaluation of a standardized safety program. Citation Text: Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…

Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. | PSNet

psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine

August 15, 2012 - Study Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. Citation Text: Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals. Am J …

Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. | PSNet

psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population

February 16, 2011 - Study Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. Citation Text: Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two pop…

Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. | PSNet

psnet.ahrq.gov/issue/did-hospital-readmissions-reduction-program-reduce-readmissions-assessment-prior-evidence-and

August 25, 2021 - Study Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Citation Text: Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval …

Identification of common themes from never events data published by NHS England. | PSNet

psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england

April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. | PSNet

psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter

December 16, 2020 - Study The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. Citation Text: Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…

Risk factors for wrong-patient medication orders in the emergency department. | PSNet

psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department

June 08, 2022 - Study Risk factors for wrong-patient medication orders in the emergency department. Citation Text: Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. Copy Ci…

Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center

February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet

psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using

November 16, 2022 - Study Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. Citation Text: Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infe…

Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. | PSNet

psnet.ahrq.gov/issue/beyond-burnout-physician-wellness-hierarchy-designed-prioritize-interventions-systems-level

July 19, 2023 - Review Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. Citation Text: Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 20…

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet

psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and

June 24, 2020 - Study Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Citation Text: Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…

Crew resource management improved perception of patient safety in the operating room. | PSNet

psnet.ahrq.gov/issue/crew-resource-management-improved-perception-patient-safety-operating-room

April 27, 2010 - Study Crew resource management improved perception of patient safety in the operating room. Citation Text: Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual. 2010;25(1):60-3. doi:10.1177/1062860609351…

Medical large language models are vulnerable to data-poisoning attacks. | PSNet

psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks

November 16, 2022 - Study Medical large language models are vulnerable to data-poisoning attacks. Citation Text: Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. Copy Citation Format…

6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial

December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…

The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet

psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error

March 30, 2022 - Study The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Citation Text: Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …

The impact of the use of employee functional flexibility on patient safety. | PSNet

psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety

January 12, 2022 - Study The impact of the use of employee functional flexibility on patient safety. Citation Text: Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562. Copy Citatio…

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. | PSNet

psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care

December 09, 2020 - Study Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Citation Text: Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…

COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet

psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions

November 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed COVID-19 Pandemic Impact on Healthcare Associated Conditions Download Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Sam W…

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