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4441. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet
      psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
      July 07, 2021 - Study Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Citation Text: Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…

4442. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. | PSNet
      psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
      June 11, 2010 - Study Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. Citation Text: Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse ev…

4443. Is patient safety improving? National trends in patient safety indicators: 1998–2007. | PSNet
      psnet.ahrq.gov/issue/patient-safety-improving-national-trends-patient-safety-indicators-1998-2007
      March 21, 2012 - Study Is patient safety improving? National trends in patient safety indicators: 1998–2007. Citation Text: Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi…

4444. How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. | PSNet
      psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting
      July 21, 2017 - Study How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. Citation Text: O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital settin…

4445. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. | PSNet
      psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries
      August 12, 2020 - Study Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Citation Text: Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…

4446. Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience. | PSNet
      psnet.ahrq.gov/issue/declines-hospitalizations-acute-cardiovascular-conditions-during-covid-19-pandemic
      April 24, 2018 - Study Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience. Citation Text: Bhatt AS, Moscone A, McElrath EE, et al. Declines in Hospitalizations for Acute Cardiovascular Conditions During the COVID-19 Pandem…

4447. Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. | PSNet
      psnet.ahrq.gov/issue/improving-communication-and-teamwork-during-labor-feasibility-acceptability-and-safety-study
      July 20, 2022 - Study Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. Citation Text: Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. do…

4448. The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States. | PSNet
      psnet.ahrq.gov/issue/impact-covid-19-pandemic-emergency-department-visits-and-patient-safety-united-states
      July 14, 2021 - Study The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States. Citation Text: Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med. 2…

4449. Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. | PSNet
      psnet.ahrq.gov/issue/evaluating-impact-pharmacist-led-prescribing-feedback-intervention-prescribing-errors
      August 26, 2020 - Study Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a ho…

4450. Preventable medication harm across health care settings: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review-and-meta-analysis
      July 31, 2019 - Review Classic Preventable medication harm across health care settings: a systematic review and meta-analysis. Citation Text: Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis…

4451. Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet
      psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
      December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

4452. Patient characteristics and the occurrence of never events. | PSNet
      psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
      February 15, 2011 - Study Patient characteristics and the occurrence of never events. Citation Text: Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. Copy Citation Format: DOI Google Schol…

4453. Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. | PSNet
      psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
      October 28, 2020 - Study Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. Citation Text: Roope LSJ, Buchanan J, Morrell L, et al. Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. …

4454. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. | PSNet
      psnet.ahrq.gov/issue/racial-and-ethnic-discrepancy-pulse-oximetry-and-delayed-identification-treatment-eligibility
      June 22, 2022 - Study Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. Citation Text: Fawzy A, Wu TD, Wang K, et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among …

4455. Injuries before and after diagnosis of cancer: nationwide register based study. | PSNet
      psnet.ahrq.gov/issue/injuries-and-after-diagnosis-cancer-nationwide-register-based-study
      May 25, 2022 - Study Injuries before and after diagnosis of cancer: nationwide register based study. Citation Text: Shen Q, Lu D, Schelin MEC, et al. Injuries before and after diagnosis of cancer: nationwide register based study. BMJ. 2016;354:i4218. doi:10.1136/bmj.i4218. Copy Citation Format: …

4456. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. | PSNet
      psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing
      November 10, 2021 - Study Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Citation Text: Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…

4457. Association between operative autonomy of surgical residents and patient outcomes. | PSNet
      psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes
      September 09, 2020 - Study Association between operative autonomy of surgical residents and patient outcomes. Citation Text: Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.64…

4458. Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department
      November 13, 2024 - Study Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. Citation Text: Gillman L, Leslie G, Williams T, et al. Adverse events experienced while transferring the critically ill patient from the emergency de…

4459. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/clinical-diagnoses-vs-autopsy-findings-early-deceased-septic-patients-intensive-care
      September 22, 2021 - Study Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. Citation Text: Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive c…

4460. The effects of harm events on 30-day readmission in surgical patients. | PSNet
      psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
      July 31, 2019 - Study The effects of harm events on 30-day readmission in surgical patients. Citation Text: Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261. Copy Citati…