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  1. Root causes of errors in a simulated prehospital pediatric emergency. | PSNet

    psnet.ahrq.gov/issue/root-causes-errors-simulated-prehospital-pediatric-emergency
    June 11, 2014 - Study Root causes of errors in a simulated prehospital pediatric emergency. Citation Text: Lammers RL, Byrwa M, Fales W. Root causes of errors in a simulated prehospital pediatric emergency. Acad Emerg Med. 2012;19(1):37-47. doi:10.1111/j.1553-2712.2011.01252.x. Copy Citation For…

  2. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. | PSNet

    psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation
    January 09, 2018 - Commentary The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. Citation Text: Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities f…

  3. An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. | PSNet

    psnet.ahrq.gov/issue/anesthesia-preinduction-checklist-improve-information-exchange-knowledge-critical-information
    July 10, 2013 - Study An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. Citation Text: Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improv…

  4. Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. | PSNet

    psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
    June 30, 2021 - Study Classic Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. Citation Text: Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…

  5. Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/designing-and-evaluating-automated-system-real-time-medication-administration-error-detection
    November 04, 2020 - Study Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. Citation Text: Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication administration error detecti…

  6. Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. | PSNet

    psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization
    September 23, 2020 - Study Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. Citation Text: Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …

  7. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. | PSNet

    psnet.ahrq.gov/issue/narrative-review-safety-concerns-deprescribing-older-adults-and-strategies-mitigate-potential
    December 19, 2018 - Review A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. Citation Text: Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potentia…

  8. Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. | PSNet

    psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
    July 03, 2016 - Study Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. Citation Text: Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: e…

  9. Medication reconciliation in ambulatory care: attempts at improvement. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-care-attempts-improvement
    March 28, 2011 - Study Medication reconciliation in ambulatory care: attempts at improvement. Citation Text: Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. Copy Ci…

  10. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
    November 21, 2012 - Study Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Citation Text: Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:1…

  11. Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. | PSNet

    psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1
    September 26, 2016 - Study Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. Citation Text: Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for emergency …

  12. The safety of warfarin therapy in the nursing home setting. | PSNet

    psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
    March 11, 2011 - Study The safety of warfarin therapy in the nursing home setting. Citation Text: Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  13. Recognition of adverse drug events in older hospitalized medical patients. | PSNet

    psnet.ahrq.gov/issue/recognition-adverse-drug-events-older-hospitalized-medical-patients
    August 10, 2022 - Study Recognition of adverse drug events in older hospitalized medical patients. Citation Text: Klopotowska JE, Wierenga PC, Smorenburg SM, et al. Recognition of adverse drug events in older hospitalized medical patients. Eur J Clin Pharmacol. 2013;69(1):75-85. doi:10.1007/s00228-012-1…

  14. Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. | PSNet

    psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain
    August 08, 2018 - Study Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. Citation Text: Ray WA, Chung CP, Murray KT, et al. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-23. doi:10.1001/jama.2016…

  15. Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis. | PSNet

    psnet.ahrq.gov/issue/effects-individual-nurse-and-hospital-characteristics-patient-adverse-events-and-quality-care
    February 08, 2019 - Study Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis. Citation Text: Lee SE, Vincent C, Dahinten S, et al. Effects of Individual Nurse and Hospital Characteristics on Patient Adverse Events and Quality of Care…

  16. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. | PSNet

    psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
    February 24, 2021 - Study Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. Citation Text: Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nur…

  17. A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. | PSNet

    psnet.ahrq.gov/issue/reduced-duty-hours-model-senior-internal-medicine-residents-qualitative-analysis-residents
    June 25, 2014 - Study A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. Citation Text: Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residen…

  18. Remedies sought and obtained in healthcare complaints. | PSNet

    psnet.ahrq.gov/issue/remedies-sought-and-obtained-healthcare-complaints
    April 13, 2011 - Study Remedies sought and obtained in healthcare complaints. Citation Text: Bismark M, Spittal MJ, Gogos AJ, et al. Remedies sought and obtained in healthcare complaints. BMJ Qual Saf. 2011;20(9):806-810. doi:10.1136/bmjqs-2011-000109. Copy Citation Format: DOI Google Sch…

  19. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. | PSNet

    psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
    June 16, 2011 - Study Classic The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. Citation Text: Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomiz…

  20. The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. | PSNet

    psnet.ahrq.gov/issue/impact-nursing-skill-mix-adverse-events-intensive-care-single-centre-cohort-study
    November 21, 2021 - Study The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. Citation Text: Ross P, Hodgson CL, Ilic D, et al. The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. Contemp Nurse. 2023;59(1):3-15. do…
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