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Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record

March 04, 2011 - Commentary Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. Citation Text: Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…

How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. | PSNet

psnet.ahrq.gov/issue/how-often-do-prescribers-include-indications-drug-orders-analysis-4-million-outpatient

May 01, 2019 - Study How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Citation Text: Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Am J H…

RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals. | PSNet

psnet.ahrq.gov/issue/rn-assessments-excellent-quality-care-and-patient-safety-are-associated-significantly-lower

August 20, 2018 - Study RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals. Citation Text: Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of ex…

Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. | PSNet

psnet.ahrq.gov/issue/outcomes-associated-nationwide-introduction-rapid-response-systems-netherlands

January 18, 2013 - Study Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. Citation Text: Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care …

Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet

psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care

July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …

The incidence and nature of in-hospital adverse events: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review

March 24, 2011 - Review The incidence and nature of in-hospital adverse events: a systematic review. Citation Text: de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.20…

Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet

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May 25, 2016 - Government Resource Promoting Patient Safety Through Effective Health Information Technology Risk Management. Citation Text: Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…

Differences in medication reconciliation interventions between six hospitals: a mixed method study. | PSNet

psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study

September 08, 2021 - Study Differences in medication reconciliation interventions between six hospitals: a mixed method study. Citation Text: Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv R…

Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet

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September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. | PSNet

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February 14, 2017 - Study Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. Citation Text: Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialt…

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet

psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient

December 21, 2014 - Study How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. …

Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic

March 02, 2011 - Review Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. Citation Text: Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A S…

Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? | PSNet

psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter

February 18, 2011 - Study Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Citation Text: Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…

A review of medication errors and the second victim in pediatric pharmacy. | PSNet

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January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? | PSNet

psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare-research-and

January 13, 2010 - Study Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? Citation Text: Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare…

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic

July 29, 2020 - Study Classic Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. Citation Text: Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …

Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious

August 09, 2017 - Study Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…

Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence

August 18, 2021 - Study Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. Citation Text: George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Ev…

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses

December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. | PSNet

psnet.ahrq.gov/issue/understanding-multidimensional-effects-resident-duty-hours-restrictions-thematic-analysis

July 03, 2016 - Review Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. Citation Text: Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours Restrictions: A Thematic Anal…

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