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  1. psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting
    March 11, 2011 - Study Classic Incidence and preventability of adverse drug events among older persons in the ambulatory setting. Citation Text: Gurwitz JH, Field T, Harrold LR, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Se…
  2. psnet.ahrq.gov/issue/patient-safety-implications-wearing-face-mask-prevention-era-covid-19-pandemic-systematic
    September 16, 2020 - Review Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations. Citation Text: Balestracci B, La Regina M, Di Sessa D, et al. Patient safety implications of wearing a face mask for prevention in …
  3. psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
    December 21, 2022 - Study Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. Citation Text: Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…
  4. psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
    January 02, 2017 - Study Classic Incidence and characteristics of potential and actual retained foreign object events in surgical patients. Citation Text: Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…
  5. psnet.ahrq.gov/issue/reduction-cardiac-arrests-and-duration-clinical-instability-after-implementation-paediatric
    January 03, 2017 - Study A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. Citation Text: Hanson CC, Randolph GD, Erickson JA, et al. A reduction in cardiac arrests and duration of clinical instability after implementation of a…
  6. psnet.ahrq.gov/issue/prevalence-and-impact-potentially-inappropriate-prescribing-among-older-persons-primary-care
    July 24, 2019 - Review Emerging Classic The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. Citation Text: Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropri…
  7. psnet.ahrq.gov/issue/concordance-hospital-ranks-and-category-ratings-using-current-technical-specification-us
    September 29, 2018 - Study Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications. Citation Text: Barclay ME, Dixon-Woods M, Lyratzopoulos G. Concordance of hospital ranks and category ratings using th…
  8. psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
    March 02, 2022 - Study Classic Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. Citation Text: Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…
  9. psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-leaving-hospital
    December 16, 2020 - Review A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? Citation Text: Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: …
  10. psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
    October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…
  11. psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems
    August 25, 2021 - Study An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. Citation Text: Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-w…
  12. psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
    May 17, 2023 - Study Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. Citation Text: Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …
  13. psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and
    June 28, 2013 - Study One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. Citation Text: Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…
  14. psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission
    January 12, 2022 - Study Potentially inappropriate medications and their effect on falls during hospital admission. Citation Text: Damoiseaux-Volman BA, Raven K, Sent D, et al. Potentially inappropriate medications and their effect on falls during hospital admission. Age Ageing. 2022;51(1):afab205. doi:10.…
  15. psnet.ahrq.gov/issue/activating-pharmacists-reduce-frequency-medication-related-problems-actmed-stepped-wedge
    January 08, 2025 - Study Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial. Citation Text: Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication‐related problems (ACTMed): a stepped…
  16. psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record
    May 20, 2019 - Study Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. Citation Text: Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…
  17. psnet.ahrq.gov/issue/tipping-balance-systematic-review-and-meta-ethnography-unfold-complexity-surgical
    August 04, 2021 - Review Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings. Citation Text: Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold the c…
  18. psnet.ahrq.gov/issue/effect-real-time-pediatric-icu-safety-bundle-dashboard-quality-improvement-measures
    June 21, 2015 - Study Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. Citation Text: Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):41…
  19. psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes
    June 08, 2022 - Study Emerging Classic Association of overlapping surgery with perioperative outcomes. Citation Text: Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711. Copy…
  20. psnet.ahrq.gov/issue/linking-transformational-leadership-patient-safety-culture-and-work-engagement-home-care
    October 09, 2024 - Study Emerging Classic Linking transformational leadership, patient safety culture and work engagement in home care services. Citation Text: Ree E, Wiig S. Linking transformational leadership, patient safety culture and work engagement in home care services. Nu…

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