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  1. psnet.ahrq.gov/issue/clinical-and-economic-impacts-explicit-tools-detecting-prescribing-errors-systematic-review
    January 12, 2022 - Review Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. Citation Text: Farhat A, Al‐Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4)…
  2. psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi
    June 29, 2022 - Study Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). Citation Text: Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…
  3. psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
    October 12, 2009 - Commentary A novel ICU hand-over tool: the glass door of the patient room. Citation Text: Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/understanding-second-victim-experience-among-multidisciplinary-providers-obstetrics-and
    December 23, 2020 - Study Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. Citation Text: Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Pat…
  5. psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
    September 29, 2021 - Review Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. Citation Text: Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…
  6. psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
    February 10, 2011 - Study Classic Incidence of adverse drug events and potential adverse drug events: implications for prevention. Citation Text: Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …
  7. psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
    March 12, 2025 - Study Identifying trigger concepts to screen emergency department visits for diagnostic errors. Citation Text: Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…
  8. psnet.ahrq.gov/issue/increasing-naloxone-prescribing-emergency-department-through-education-and-electronic-medical
    October 14, 2020 - Study Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. Citation Text: Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department through education and electronic medical record wor…
  9. psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and
    August 25, 2021 - Study Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. Citation Text: Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condi…
  10. psnet.ahrq.gov/issue/changes-prevalence-health-care-associated-infections-us-hospitals
    December 18, 2014 - Study Classic Changes in prevalence of health care-associated infections in U.S. hospitals. Citation Text: Magill SS, O'Leary E, Janelle SJ, et al. Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals. N Engl J Med. 2018;379(18):1732-1744…
  11. psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
    January 22, 2020 - Newspaper/Magazine Article AHRQ patient safety project reduces bloodstream infections by 40 percent. Citation Text: AHRQ patient safety project reduces bloodstream infections by 40 percent. Schmidt B. Patient Saf Qual Hcare. September 12, 2012. Copy Citation Save …
  12. psnet.ahrq.gov/issue/clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-utility
    May 18, 2022 - Study Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department. Citation Text: Genco EK, Forster JE, Flaten H, et al. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug …
  13. psnet.ahrq.gov/issue/evaluating-shared-decision-making-lung-cancer-screening
    May 25, 2016 - Study Evaluating shared decision making for lung cancer screening. Citation Text: Brenner AT, Malo TL, Margolis M, et al. Evaluating Shared Decision Making for Lung Cancer Screening. JAMA Intern Med. 2018;178(10):1311-1316. doi:10.1001/jamainternmed.2018.3054. Copy Citation Format:…
  14. psnet.ahrq.gov/issue/prescribers-responses-alerts-during-medication-ordering-long-term-care-setting
    February 26, 2009 - Study Prescribers' responses to alerts during medication ordering in the long term care setting. Citation Text: Judge J, Field T, DeFlorio M, et al. Prescribers' responses to alerts during medication ordering in the long term care setting. J Am Med Inform Assoc. 2006;13(4):385-90. Co…
  15. psnet.ahrq.gov/issue/clinical-application-computerized-system-physician-order-entry-clinical-decision-support
    February 26, 2009 - Study Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care. Citation Text: Rochon P, Field T, Bates DW, et al. Clinical application of a computerized system for physician order entry with…
  16. psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
    September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. Citation Text: Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…
  17. psnet.ahrq.gov/issue/development-checklist-safe-discharge-practices-hospital-patients
    November 03, 2015 - Study Development of a checklist of safe discharge practices for hospital patients. Citation Text: Soong C, Daub S, Lee J, et al. Development of a checklist of safe discharge practices for hospital patients. J Hosp Med. 2013;8(8):444-9. doi:10.1002/jhm.2032. Copy Citation Format:…
  18. psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis
    October 19, 2022 - Review Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. Citation Text: Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative…
  19. psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
    March 09, 2022 - Study Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. Citation Text: Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am …
  20. psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
    January 16, 2008 - Study Increased mortality and costs associated with adverse events in intensive care unit patients. Citation Text: Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…

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