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  1. psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
    January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…
  2. psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-mortality-english-national-health-service-retrospective
    December 12, 2014 - Study Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. Citation Text: Zaranko B, Sanford NJ, Kelly E, et al. Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study…
  3. digital.ahrq.gov/ahrq-funded-projects/text-messaging-improve-hypertension-medication-adherence-african-americans/annual-summary/2011
    January 01, 2011 - Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2011 Project Name Text Messaging to Improve Hypertension Medication Adherence in African Americans Principal Investigator Buis, Lorraine Organization Wayne State University Funding Mech…
  4. psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
    July 10, 2008 - Study Lost opportunities: how physicians communicate about medical errors. Citation Text: Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246. Copy Citati…
  5. www.ahrq.gov/teamstepps-program/evidence-base/emergency.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Emergency Care Alsabri M, Boudi Z, Lauque D, Dias RD, Whelan JS, Ostlundh L, Alinier G, Onyeji C, Michel P, Liu SW, Jr Camargo CA, Lindner T, Slagman A, Bates DW, Tazarourte K, Singer SJ, Toussi A, Grossman S, Bellou A. Impact of teamwork and communication training interventio…
  6. psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
    May 01, 2019 - Study The effect of cognitive load and task complexity on automation bias in electronic prescribing. Citation Text: Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…
  7. psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
    May 29, 2019 - Study Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. Citation Text: Gillette C, Perry CJ, Ferreri SP, et al. Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. J Physician Assist Educ. 2023;34…
  8. psnet.ahrq.gov/issue/body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-outcomes
    August 19, 2020 - Study Body of evidence: do autopsy findings impact medical malpractice claim outcomes? Citation Text: Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.000000000…
  9. psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
    March 04, 2015 - Study Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. Citation Text: Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…
  10. psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
    August 25, 2021 - Review Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. Citation Text: Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-…
  11. psnet.ahrq.gov/issue/partners-our-care-patient-safety-patient-perspective
    December 04, 2016 - Study Partners in our care: patient safety from a patient perspective. Citation Text: Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/economic-impact-medication-error-systematic-review
    November 04, 2020 - Review Economic impact of medication error: a systematic review. Citation Text: Walsh EK, Hansen CR, Sahm LJ, et al. Economic impact of medication error: a systematic review. Pharmacoepidemiol Drug Saf. 2017;26(5):481-497. doi:10.1002/pds.4188. Copy Citation Format: DOI Goo…
  13. psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
    August 19, 2020 - Study An analysis of electronic health record–related patient safety incidents. Citation Text: Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. Copy…
  14. psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
    December 15, 2021 - Study The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. Citation Text: Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching…
  15. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…
  16. psnet.ahrq.gov/issue/systematic-review-interventions-improve-safety-and-quality-anticoagulant-prescribing
    January 12, 2022 - Review Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients Citation Text: Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indication…
  17. psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review
    April 28, 2021 - Review Anesthesiology patient handoff education interventions: a systematic review. Citation Text: Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…
  18. psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
    January 03, 2017 - Study Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. Citation Text: Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…
  19. psnet.ahrq.gov/issue/low-perfusion-and-missed-diagnosis-hypoxemia-pulse-oximetry-darkly-pigmented-skin-prospective
    March 14, 2022 - Study Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. Citation Text: Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective s…
  20. psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
    December 21, 2014 - Study Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. Citation Text: Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…