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9441. Medication administration errors in nursing homes using an automated medication dispensing system. | PSNet
      psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
      January 23, 2019 - Study Medication administration errors in nursing homes using an automated medication dispensing system. Citation Text: van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…

9442. An exploratory analysis of the association between hospital quality measures and financial performance. | PSNet
      psnet.ahrq.gov/issue/exploratory-analysis-association-between-hospital-quality-measures-and-financial-performance
      September 11, 2024 - Study An exploratory analysis of the association between hospital quality measures and financial performance. Citation Text: Beauvais B, Dolezel D, Ramamonjiarivelo Z. An exploratory analysis of the association between hospital quality measures and financial performance. Healthcare (Base…

9443. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. | PSNet
      psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
      September 23, 2020 - Study Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Citation Text: Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. d…

9444. Not just "getting by": factors influencing providers' choice of interpreters. | PSNet
      psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
      August 23, 2023 - Study Not just "getting by": factors influencing providers' choice of interpreters. Citation Text: Hsieh E. Not just "getting by": factors influencing providers' choice of interpreters. J Gen Intern Med. 2015;30(1):75-82. doi:10.1007/s11606-014-3066-8. Copy Citation Format: …

9445. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. | PSNet
      psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
      October 19, 2022 - Study Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Citation Text: Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…

9446. The patient perspective on errors in cancer care: results of a cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/patient-perspective-errors-cancer-care-results-cross-sectional-survey
      August 18, 2021 - Study The patient perspective on errors in cancer care: results of a cross-sectional survey. Citation Text: Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross-sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.000000…

9447. How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. | PSNet
      psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
      September 23, 2020 - Study Classic How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Citation Text: Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…

9448. 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 …

9449. Improving resident morning sign-out by use of daily events reports. | PSNet
      psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
      March 04, 2020 - Study Improving resident morning sign-out by use of daily events reports. Citation Text: Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. Copy Citation Format: …

9450. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet
      psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
      August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

9451. Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members. | PSNet
      psnet.ahrq.gov/issue/sustainable-effective-implementation-surgical-preprocedural-checklist-attestation-format-all
      July 31, 2013 - Study Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members. Citation Text: Porter AJ, Narimasu JY, Mulroy MF, et al. Sustainable, effective implementation of a surgical preprocedural checklist: an "attestati…

9452. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
      April 29, 2020 - Review Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Citation Text: Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-1…

9453. Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. | PSNet
      psnet.ahrq.gov/issue/laboratory-session-improve-first-year-pharmacy-students-knowledge-and-confidence-concerning
      September 08, 2021 - Study Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. Citation Text: Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence conce…

9454. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
      November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …

9455. 6 Tk1 T1-Talking With Residents Checklist Version Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
      October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 1. Talking With Residents—short checklist version  What are antibiotics? • Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targ…

9456. 6 Tk1 T1-Talking With Residents Checklist Version Final (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.docx
      October 01, 2016 - Tool 1. Talking With Residents—short checklist version · What are antibiotics? Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria. · How do people get bacterial infections? Normally, your immune system helps control the bacteria you have. But, …

9457. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. | PSNet
      psnet.ahrq.gov/issue/anaesthesia-and-patient-safety-socio-technical-operating-theatre-narrative-review-spanning
      April 10, 2024 - Review Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Citation Text: Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Ana…

9458. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. | PSNet
      psnet.ahrq.gov/issue/predicting-potential-postdischarge-adverse-drug-events-and-30-day-unplanned-hospital
      December 09, 2009 - Study Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. Citation Text: Schoonover H, Corbett CF, Weeks DL, et al. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readm…

9459. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. | PSNet
      psnet.ahrq.gov/issue/enculturation-unsafe-attitudes-and-behaviors-student-perceptions-safety-culture
      October 31, 2012 - Study Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Citation Text: Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f…

9460. Analysis of overridden alerts in a drug–drug interaction detection system. | PSNet
      psnet.ahrq.gov/issue/analysis-overridden-alerts-drug-drug-interaction-detection-system
      June 30, 2011 - Study Analysis of overridden alerts in a drug–drug interaction detection system. Citation Text: Mille F, Schwartz C, Brion F, et al. Analysis of overridden alerts in a drug-drug interaction detection system. Int J Qual Health Care. 2008;20(6):400-5. doi:10.1093/intqhc/mzn038. Copy Ci…