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  1. psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention
    December 02, 2020 - Study Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. Citation Text: Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…
  2. psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations
    January 19, 2022 - Study Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Citation Text: Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Drugs …
  3. psnet.ahrq.gov/issue/turning-frequently-overridden-drug-alerts-limited-opportunities-doing-it-safely
    March 04, 2011 - Study Turning off frequently overridden drug alerts: limited opportunities for doing it safely. Citation Text: van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-4…
  4. psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
    July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…
  5. psnet.ahrq.gov/issue/accuracy-pediatric-trauma-field-triage-systematic-review
    November 04, 2020 - Review Accuracy of pediatric trauma field triage: a systematic review. Citation Text: van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050. Copy Citation Fo…
  6. psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes
    April 29, 2020 - Study Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). Citation Text: Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…
  7. psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
    August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …
  8. psnet.ahrq.gov/issue/relationship-between-organizational-culture-and-family-satisfaction-critical-care
    April 25, 2012 - Study The relationship between organizational culture and family satisfaction in critical care. Citation Text: Dodek P, Wong H, Heyland DK, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med. 2012;40(5):1506-12. doi:10.1097/CCM.…
  9. psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
    December 07, 2016 - Review Complication rates of central venous catheters: a systematic review and meta-analysis. Citation Text: Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainter…
  10. psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3
    January 12, 2022 - Commentary STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. Citation Text: O’Mahony D, Cherubini A, Guiteras AR, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. Eur Geriatr Med. 2023;14(4):625-632…
  11. psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
    June 25, 2014 - Study Classic Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. Citation Text: Network WG for the CHECKLIST-ICUI and the BR in IC, Cavalcanti AB, Bozza FA, et …
  12. psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
    September 23, 2020 - Study Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. Citation Text: Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal…
  13. psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological
    July 20, 2022 - Study Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Citation Text: Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…
  14. psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-team-service-teaching-hospital
    November 16, 2022 - Study Nurses' attitudes to a medical emergency team service in a teaching hospital. Citation Text: Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching hospital. Qual Saf Health Care. 2006;15(6):427-32. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
    October 18, 2018 - Study Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. Citation Text: Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of Pr…
  16. psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study
    March 18, 2013 - January 16, 2019 Prescription opioid use, misuse, and use disorders in U.S. adults: 2015
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
    December 01, 2013 - American Society of Interventional Pain Physicians (ASIPP) guidelines for responsible opioid prescribing
  18. psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
    June 01, 2017 - Transitions of Care: Challenges and Safety Practices March 27, 2024 Guidelines for opioid … June 5, 2024 Prescription opioid dose reductions and potential adverse events: a multi-site … July 19, 2017 Perspective Opioid Overdose as a Patient
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848125/psn-pdf
    April 26, 2023 - it was generally positively received.6 Finally, one study found that it reduced the death rate from opioid-induced … did not increase risk of patient harm as this same system significantly decreased death rates from opioid-induced
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49769/psn-pdf
    September 01, 2016 - hospital's rapid response team, who administered naloxone (a medication that reverses the effects of opioid … With this particular doctor, earlier intervention may have averted a potentially life-threatening opioid

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