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  1. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. | PSNet

    psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
    July 19, 2023 - Study Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. Citation Text: Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…

  2. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. | PSNet

    psnet.ahrq.gov/issue/economic-value-pharmacist-led-medication-reconciliation-reducing-medication-errors-after
    March 04, 2009 - Study Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. Citation Text: Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital …

  3. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. | PSNet

    psnet.ahrq.gov/issue/moving-knowledge-action-improving-safety-and-quality-care-patients-limited-english
    October 19, 2022 - Study Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. Citation Text: Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.…

  4. Inappropriate medication in a national sample of US elderly patients receiving home health care. | PSNet

    psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
    September 09, 2020 - Study Inappropriate medication in a national sample of US elderly patients receiving home health care. Citation Text: Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients receiving home health care. J Gen Intern Med. 2012;27(3):304-310. do…

  5. Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-influencing-doctors-intentions-report-patient-safety-concerns
    July 29, 2020 - Study Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study. Citation Text: Rich A, Viney R, Griffin A. Understanding the factors influencing doctors' intentions to report patient safety concerns: a qualitative study. J R Soc Med…

  6. Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors. | PSNet

    psnet.ahrq.gov/issue/potential-benefit-electronic-pharmacy-claims-data-prevent-medication-history-errors-and
    June 19, 2018 - Study Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors. Citation Text: Pevnick JM, Palmer KA, Shane R, et al. Potential benefit of electronic pharmacy claims data to prevent medication history errors and result…

  7. Costs of adverse events in intensive care units. | PSNet

    psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units
    July 23, 2008 - Study Classic Costs of adverse events in intensive care units. Citation Text: Kaushal R, Bates DW, Franz C, et al. Costs of adverse events in intensive care units. Crit Care Med. 2007;35(11):2479-83. Copy Citation Format: Google Scholar PubMed Bi…

  8. Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. | PSNet

    psnet.ahrq.gov/issue/reducing-ambulatory-central-line-associated-bloodstream-infections-family-centered-approach
    February 15, 2023 - Study Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. Citation Text: Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line‐associated bloodstream infections: a family‐centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. …

  9. Detection of adverse drug events using an electronic trigger tool. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-drug-events-using-electronic-trigger-tool
    October 02, 2013 - Study Detection of adverse drug events using an electronic trigger tool. Citation Text: Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481. Copy Citation F…

  10. Can patient safety be measured by surveys of patient experiences? | PSNet

    psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-experiences
    March 04, 2020 - Study Can patient safety be measured by surveys of patient experiences? Citation Text: Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274. Copy Citation Format: Google Sc…

  11. Primary care providers' perspectives on errors of omission. | PSNet

    psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission
    July 30, 2014 - Study Primary care providers' perspectives on errors of omission. Citation Text: Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161. Copy Citation Format: …

  12. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. | PSNet

    psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
    August 23, 2023 - Study Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Citation Text: Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…

  13. Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. | PSNet

    psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and
    January 27, 2021 - Study Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. Citation Text: Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…

  14. Serious incidents after death: content analysis of incidents reported to a national database. | PSNet

    psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
    October 03, 2018 - Study Serious incidents after death: content analysis of incidents reported to a national database. Citation Text: Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 2017;111(2):57-64. doi…

  15. A war on two fronts: cancer care in the time of COVID-19. | PSNet

    psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19
    March 12, 2025 - Commentary A war on two fronts: cancer care in the time of COVID-19. Citation Text: Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133. Copy Citation Format: DOI Goo…

  16. Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. | PSNet

    psnet.ahrq.gov/issue/choice-transparency-coordination-and-quality-among-direct-consumer-telemedicine-websites-and
    May 29, 2019 - Study Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. Citation Text: Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to-Consumer Telemedicine Websites and Ap…

  17. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. | PSNet

    psnet.ahrq.gov/issue/assessing-adverse-events-after-chiropractic-care-chiropractic-teaching-clinic-active
    December 23, 2020 - Study Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. Citation Text: Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillanc…

  18. The emotional impact of errors or adverse events on healthcare providers in the NICU: the protective role of coworker support. | PSNet

    psnet.ahrq.gov/issue/emotional-impact-errors-or-adverse-events-healthcare-providers-nicu-protective-role-coworker
    January 23, 2019 - Study The emotional impact of errors or adverse events on healthcare providers in the NICU: the protective role of coworker support. Citation Text: Winning AM, Merandi JM, Lewe D, et al. The emotional impact of errors or adverse events on healthcare providers in the NICU: The protective …

  19. Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. | PSNet

    psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study
    May 19, 2021 - Review Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. Citation Text: Blume KS, Dietermann K, Kirchner‐Heklau U, et al. Staffing levels and nursing‐sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5…

  20. Systematic review of clinical debriefing tools: attributes and evidence for use. | PSNet

    psnet.ahrq.gov/issue/systematic-review-clinical-debriefing-tools-attributes-and-evidence-use
    March 20, 2024 - Review Systematic review of clinical debriefing tools: attributes and evidence for use. Citation Text: Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-01…
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