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Drug-related problems among older people with dementia: a systematic review. | PSNet

psnet.ahrq.gov/issue/drug-related-problems-among-older-people-dementia-systematic-review

January 12, 2022 - Review Drug-related problems among older people with dementia: a systematic review. Citation Text: Xue Qin QN, Ming LC, Abd Wahab MS, et al. Drug-related problems among older people with dementia: a systematic review. Res Social Adm Pharm. 2023;19(6):873-881. doi:10.1016/j.sapharm.2023.0…

Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. | PSNet

psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality-improvement

November 16, 2022 - Commentary Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. Citation Text: Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. | PSNet

psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care

December 09, 2020 - Study Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Citation Text: Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…

Does one size fit all? Assessing the need for organizational second victim support programs. | PSNet

psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support-programs

January 14, 2011 - Study Emerging Classic Does one size fit all? Assessing the need for organizational second victim support programs. Citation Text: Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;…

Nurse leader perspectives and experiences on caregiver support following a serious medical error. | PSNet

psnet.ahrq.gov/issue/nurse-leader-perspectives-and-experiences-caregiver-support-following-serious-medical-error

March 06, 2024 - Study Nurse leader perspectives and experiences on caregiver support following a serious medical error. Citation Text: Prothero MM, Sorhus M, Huefner K. Nurse leader perspectives and experiences on caregiver support following a serious medical error. J Nurs Adm. 2024;54(12):664-669. doi:…

The association between nurse staffing and omissions in nursing care: a systematic review. | PSNet

psnet.ahrq.gov/issue/association-between-nurse-staffing-and-omissions-nursing-care-systematic-review

July 19, 2019 - Review Classic The association between nurse staffing and omissions in nursing care: a systematic review. Citation Text: Griffiths P, Recio-Saucedo A, Dall'Ora C, et al. The association between nurse staffing and omissions in nursing care: A systematic review. J…

Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19

October 29, 2017 - Study Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. Citation Text: Edmonds JK, George EK, Iobst SE, et al. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. J Obstet Gynecol Neon…

Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net

September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

Nurse staffing and inpatient hospital mortality. | PSNet

psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality

June 22, 2022 - Study Classic Nurse staffing and inpatient hospital mortality. Citation Text: Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025. Copy Citation Fo…

Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet

psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical

November 29, 2023 - Book/Report Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. Citation Text: Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, …

Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room

December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…

Incidence, patterns, and prevention of wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery

September 30, 2010 - Study Classic Incidence, patterns, and prevention of wrong-site surgery. Citation Text: Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. Copy Citation Format: Goog…

Common general surgical never events: analysis of NHS England never event data. | PSNet

psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data

April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. | PSNet

psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety

October 06, 2021 - Study Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. Citation Text: Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety i…

A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster

May 12, 2021 - Study A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. Citation Text: Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized c…

Adverse events involving telehealth in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/adverse-events-involving-telehealth-veterans-health-administration

October 26, 2022 - Review Adverse events involving telehealth in the Veterans Health Administration. Citation Text: Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. Copy …

Trust and medical AI: the challenges we face and the expertise needed to overcome them. | PSNet

psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them

July 22, 2020 - Commentary Emerging Classic Trust and medical AI: the challenges we face and the expertise needed to overcome them. Citation Text: Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J A…

A review of patient safety measures based on routinely collected hospital data. | PSNet

psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data

February 10, 2012 - Review A review of patient safety measures based on routinely collected hospital data. Citation Text: Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697. C…

Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. | PSNet

psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems

November 11, 2020 - Study Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. Citation Text: Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. J Am Med Inform Assoc. 2…

To expand the evidence base about harms from tests and treatments. | PSNet

psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments

May 19, 2021 - Commentary To expand the evidence base about harms from tests and treatments. Citation Text: Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. Copy Citat…

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