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3621. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. | PSNet
      psnet.ahrq.gov/issue/incidence-and-outcomes-non-ventilator-associated-hospital-acquired-pneumonia-284-us-hospitals
      October 09, 2024 - Study Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. Citation Text: Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US h…

3622. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. | PSNet
      psnet.ahrq.gov/issue/safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices
      July 02, 2019 - Study Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Citation Text: Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Jt Comm J Qual Patient Saf…

3623. From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment. | PSNet
      psnet.ahrq.gov/issue/fable-reality-parkland-hospital-impact-evidence-based-design-strategies-patient-safety
      September 09, 2020 - Commentary From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment. Citation Text: Rich RK, Jimenez FE, Puumala SE, et al. From Fable to Reality at Parkland Hospital: The Im…

3624. Caring for our own: deploying a systemwide second victim rapid response team. | PSNet
      psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
      September 19, 2016 - Study Classic Caring for our own: deploying a systemwide second victim rapid response team. Citation Text: Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…

3625. Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. | PSNet
      psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial
      September 15, 2011 - Study Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. Citation Text: Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. Copy…

3626. Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. | PSNet
      psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice
      April 21, 2021 - Study Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. Citation Text: Schlichtig K, Dürr P, Dörje F, et al. Medication errors during treatment with new oral anticancer agents: consequences for clinical pract…

3627. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-psychological-safety-primary-care-teams-qualitative-study
      August 25, 2021 - Study Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. Citation Text: Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. BMC Health S…

3628. Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. | PSNet
      psnet.ahrq.gov/issue/three-scans-are-better-two-follow-automatic-method-finding-missed-and-misidentified-lesions
      August 17, 2022 - Study Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. Citation Text: Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic…

3629. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet
      psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
      March 18, 2020 - Study Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Citation Text: Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…

3630. Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. | PSNet
      psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve
      March 14, 2022 - Study Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. Citation Text: Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…

3631. Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet
      psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
      July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …

3632. Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. | PSNet
      psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
      September 02, 2015 - Review Emerging Classic Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. Citation Text: Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…

3633. Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. | PSNet
      psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
      October 18, 2023 - Study Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. Citation Text: Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…

3634. Barriers and facilitators of adverse event reporting by adolescent patients and their families. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their-families
      February 15, 2023 - Study Barriers and facilitators of adverse event reporting by adolescent patients and their families. Citation Text: Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237…

3635. Engaging hospital patients in the medication reconciliation process using tablet computers. | PSNet
      psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers
      January 07, 2015 - Study Engaging hospital patients in the medication reconciliation process using tablet computers. Citation Text: Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…

3636. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
      psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
      January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022  Also Read the Essay Citation Text: In Conversation With.…

3637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49676/psn-pdf
      February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …

3638. MRSA Infections. | PSNet
      psnet.ahrq.gov/issue/mrsa-infections
      September 26, 2018 - Commentary MRSA Infections. Citation Text: Zeller JL, Burke AE, Glass RM. JAMA patient page. MRSA infections. JAMA. 2007;298(15):1826. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

3639. Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. | PSNet
      psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic
      January 20, 2016 - Book/Report Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. Citation Text: Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. Cambridge, MA: New England He…

3640. Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases. | PSNet
      psnet.ahrq.gov/issue/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
      July 24, 2018 - Commentary Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases. Citation Text: Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases…