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  1. When disasters strike the emergency department: a case series and narrative review. | PSNet

    psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review
    September 30, 2020 - Commentary When disasters strike the emergency department: a case series and narrative review. Citation Text: Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…

  2. Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. | PSNet

    psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
    October 20, 2021 - Study Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. Citation Text: Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…

  3. Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. | PSNet

    psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized
    May 18, 2022 - Study Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. Citation Text: McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…

  4. Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. | PSNet

    psnet.ahrq.gov/issue/variability-collection-and-use-raceethnicity-and-language-data-93-pediatric-hospitals
    July 15, 2020 - Study Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. Citation Text: Cowden JD, Flores G, Chow T, et al. Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. J Racial Ethn Health Disparities. 202…

  5. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. | PSNet

    psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient
    March 27, 2024 - Review Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. Citation Text: Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient…

  6. Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
    November 15, 2011 - Study Classic Learning from mistakes: factors that influence how students and residents learn from medical errors. Citation Text: Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…

  7. Discussion of medical errors in morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
    August 04, 2015 - Study Classic Discussion of medical errors in morbidity and mortality conferences. Citation Text: Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. Copy Citation …

  8. Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. | PSNet

    psnet.ahrq.gov/issue/developing-strategic-recommendations-implementing-smart-pumps-advanced-healthcare-systems
    August 24, 2022 - Commentary Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. Citation Text: Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart pumps in advanced hea…

  9. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet

    psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
    January 19, 2022 - Study Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Citation Text: Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…

  10. Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. | PSNet

    psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
    February 02, 2022 - Study Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. Citation Text: Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…

  11. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. | PSNet

    psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
    March 28, 2012 - Study Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. Citation Text: Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…

  12. A contemporary analysis of closed claims related to wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/contemporary-analysis-closed-claims-related-wrong-site-surgery
    March 03, 2021 - Study A contemporary analysis of closed claims related to wrong site surgery. Citation Text: Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002. Copy Cit…

  13. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-1
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. Citation Text: Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2018. Am J Health Syst …

  14. FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. | PSNet

    psnet.ahrq.gov/issue/fda-alerts-patients-and-health-care-professionals-epipen-auto-injector-errors-related-device
    April 07, 2019 - Press Release/Announcement FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. Citation Text: FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctio…

  15. Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. | PSNet

    psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
    December 09, 2020 - Study Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. Citation Text: Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementa…

  16. Safety culture in the operating room: variability among perioperative healthcare workers. | PSNet

    psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers
    November 17, 2021 - Study Safety culture in the operating room: variability among perioperative healthcare workers. Citation Text: Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/…

  17. Racial disparities in diagnostic delay among women with breast cancer. | PSNet

    psnet.ahrq.gov/issue/racial-disparities-diagnostic-delay-among-women-breast-cancer
    November 10, 2021 - Study Racial disparities in diagnostic delay among women with breast cancer. Citation Text: Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019. C…

  18. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
    November 16, 2022 - Study A mixed methods evaluation of medication reconciliation in the primary care setting. Citation Text: Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journ…

  19. Inappropriate prescribing to older patients by nurse practitioners and primary care physicians. | PSNet

    psnet.ahrq.gov/issue/inappropriate-prescribing-older-patients-nurse-practitioners-and-primary-care-physicians
    September 23, 2020 - Study Inappropriate prescribing to older patients by nurse practitioners and primary care physicians. Citation Text: Huynh J, Alim SA, Chan DC, et al. Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care Physicians. Ann Intern Med. 2023;176(11):1448-1455. d…

  20. A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
    August 24, 2022 - Study A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. Citation Text: Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the report…
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