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  1. Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. | PSNet

    psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders
    January 12, 2022 - Study Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. Citation Text: Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric emergency department medication orders…

  2. Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/assessing-clinical-economic-and-health-resource-utilization-impacts-prefilled-syringes-versus
    August 15, 2018 - Review Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. Citation Text: Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic,…

  3. Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. | PSNet

    psnet.ahrq.gov/issue/barriers-accessing-nighttime-supervisors-national-survey-internal-medicine-residents
    October 12, 2022 - Study Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. Citation Text: Catalanotti JS, O’Connor AB, Kisielewski M, et al. Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. J Gen Intern Med. 2021;36…

  4. Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. | PSNet

    psnet.ahrq.gov/issue/computer-assisted-telephone-triage-safe-prospective-surveillance-study-walk-patients-non-life
    July 17, 2024 - Study Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. Citation Text: Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective surveillance study in walk…

  5. The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet

    psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
    September 15, 2011 - Study The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. Citation Text: Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…

  6. Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. | PSNet

    psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
    June 22, 2022 - Commentary Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. Citation Text: Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…

  7. Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. | PSNet

    psnet.ahrq.gov/issue/use-artificial-intelligence-image-analysis-breast-cancer-screening-programmes-systematic
    May 13, 2020 - Review Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. Citation Text: Freeman K, Geppert J, Stinton C, et al. Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic r…

  8. Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. | PSNet

    psnet.ahrq.gov/issue/helping-healthcare-teams-save-lives-during-covid-19-insights-and-countermeasures-team-science
    June 24, 2020 - Commentary Emerging Classic Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. Citation Text: Traylor AM. Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. Am Ps…

  9. Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. | PSNet

    psnet.ahrq.gov/issue/can-mindfulness-health-care-professionals-improve-patient-care-integrative-review-and
    September 21, 2022 - Review Emerging Classic Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. Citation Text: Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrativ…

  10. Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. | PSNet

    psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
    August 14, 2019 - Review Classic Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. Citation Text: Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…

  11. Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy
    November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

  12. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. | PSNet

    psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison
    September 19, 2018 - Study Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. Citation Text: Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. d…

  13. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-adults-living-diabetes-mellitus-scoping-review
    November 02, 2022 - Review Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Citation Text: Ayalew MB, Spark MJ, Quirk F, et al. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Int J Clin Pharm. 2022;44(4):860-…

  14. A narrative review of strategies to increase patient safety event reporting by residents. | PSNet

    psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents
    December 02, 2020 - Review A narrative review of strategies to increase patient safety event reporting by residents. Citation Text: Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…

  15. Incidence and types of adverse events and negligent care in Utah and Colorado. | PSNet

    psnet.ahrq.gov/issue/incidence-and-types-adverse-events-and-negligent-care-utah-and-colorado
    December 24, 2008 - Study Classic Incidence and types of adverse events and negligent care in Utah and Colorado. Citation Text: Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38(3):261-71. C…

  16. Racial/ethnic inequities in pregnancy-related morbidity and mortality. | PSNet

    psnet.ahrq.gov/issue/racialethnic-inequities-pregnancy-related-morbidity-and-mortality
    August 10, 2022 - Commentary Emerging Classic Racial/ethnic inequities in pregnancy-related morbidity and mortality. Citation Text: Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;…

  17. Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction. | PSNet

    psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim-analysis-employee
    January 12, 2022 - Study Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction. Citation Text: Merandi J, Winning AM, Liao NN, et al. Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of e…

  18. Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
    August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…

  19. Failure mode and effects analysis to reduce risk of heparin use. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
    July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. Citation Text: Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. Copy Citation F…

  20. Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
    March 04, 2020 - Study Identifying unintended consequences of quality indicators: a qualitative study. Citation Text: Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. Cop…
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