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Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. | PSNet

psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention

March 23, 2022 - Study Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. Citation Text: Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…

Development of a preliminary patient safety classification system for generative AI. | PSNet

psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai

December 21, 2022 - Study Development of a preliminary patient safety classification system for generative AI. Citation Text: Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017…

Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. | PSNet

psnet.ahrq.gov/issue/value-improving-patient-safety-health-economic-considerations-rapid-response-systems-rapid

January 07, 2015 - Review Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. Citation Text: Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…

Opioid prescribing decreases after learning of a patient's fatal overdose. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-decreases-after-learning-patients-fatal-overdose

January 18, 2023 - Study Emerging Classic Opioid prescribing decreases after learning of a patient's fatal overdose. Citation Text: Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose. Science. 2018;361(6402):588-590. doi:10…

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. | PSNet

psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists

August 28, 2017 - Study Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Citation Text: Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. d…

Wide variation and overprescription of opioids after elective surgery. | PSNet

psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery

April 24, 2018 - Study Classic Wide variation and overprescription of opioids after elective surgery. Citation Text: Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…

Prevention of failure to rescue in obstetric patients: a realist review. | PSNet

psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review

April 20, 2022 - Review Prevention of failure to rescue in obstetric patients: a realist review. Citation Text: Bernstein SL, Kelechi TJ, Catchpole K, et al. Prevention of failure to rescue in obstetric patients: a realist review. Worldviews Evid Based Nurs. 2021;18(6):352-360. doi:10.1111/wvn.12531. C…

Rapid response teams as a patient safety practice for failure to rescue. | PSNet

psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue

January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue. Citation Text: Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. Copy Citation For…

The effect of health care professional disruptive behavior on patient care: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-health-care-professional-disruptive-behavior-patient-care-systematic-review

February 16, 2022 - Review The effect of health care professional disruptive behavior on patient care: a systematic review. Citation Text: Hicks S, Stavropoulou C. The effect of health care professional disruptive behavior on patient care: a systematic review. J Patient Saf. 2022;18(2):138-143. doi:10.1097/…

Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. | PSNet

psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve

March 20, 2013 - Review Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. Citation Text: Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication…

Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. | PSNet

psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation

April 15, 2020 - Study Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. Citation Text: Bos K, van der Laan MJ, Groeneweg J, et al. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation impro…

Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational

March 04, 2020 - Study Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. Citation Text: Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…

A systematic review on pediatric medication errors by parents or caregivers at home. | PSNet

psnet.ahrq.gov/issue/systematic-review-pediatric-medication-errors-parents-or-caregivers-home

July 07, 2021 - Review A systematic review on pediatric medication errors by parents or caregivers at home. Citation Text: Lopez-Pineda A, Gonzalez de Dios J, Guilabert Mora M, et al. A systematic review on pediatric medication errors by parents or caregivers at home. Expert Opin Drug Saf. 2021:1-11. do…

Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. | PSNet

psnet.ahrq.gov/issue/fatigue-amongst-anaesthesiology-and-intensive-care-trainees-europe-matter-concern

June 28, 2023 - Study Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Citation Text: Abramovich I, Matias B, Norte G, et al. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Eur J Anaesthesiol. 2023;40(8):587-595. doi…

The care transitions intervention: results of a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial

July 10, 2008 - Study Classic The care transitions intervention: results of a randomized controlled trial. Citation Text: Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8.…

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…

Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. | PSNet

psnet.ahrq.gov/issue/communication-and-transparency-means-strengthening-workplace-culture-during-covid-19

January 16, 2019 - Book/Report Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. Citation Text: Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicin…

Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study

September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

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…

Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. | PSNet

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…

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