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7341. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. | PSNet
      psnet.ahrq.gov/issue/inappropriate-dosing-direct-oral-anticoagulants-patients-atrial-fibrillation
      August 04, 2021 - Study Emerging Classic Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Citation Text: Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Am J Cardi…

7342. Organizational learning in the morbidity and mortality conference. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
      June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

7343. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. | PSNet
      psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
      July 07, 2010 - Study Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. Citation Text: Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…

7344. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. | PSNet
      psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records-patient-safety
      October 30, 2013 - Study IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. Citation Text: Caron A, Chazard E, Muller J, et al. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. J Am Med Infor…

7345. An organization-specific and modifiable inpatient safety composite measure. | PSNet
      psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
      June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…

7346. Exploring organizational context and structure as predictors of medication errors and patient falls. | PSNet
      psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
      January 22, 2020 - Study Exploring organizational context and structure as predictors of medication errors and patient falls. Citation Text: Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). …

7347. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. | PSNet
      psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre-post-study
      October 19, 2022 - Study Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. Citation Text: Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/1…

7348. Breast cancer missed at screening; hindsight or mistakes? | PSNet
      psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
      November 15, 2023 - Study Breast cancer missed at screening; hindsight or mistakes? Citation Text: Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. Copy Citation Format: DOI Google …

7349. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds
      October 19, 2022 - Study Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Citation Text: Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…

7350. Unplanned return to theater: a quality of care and risk management index? | PSNet
      psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
      August 20, 2018 - Study Unplanned return to theater: a quality of care and risk management index? Citation Text: Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. …

7351. Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. | PSNet
      psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
      February 01, 2013 - Study Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. Citation Text: Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…

7352. Internal reporting system to improve a pharmacy's medication distribution process. | PSNet
      psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
      October 31, 2017 - Study Internal reporting system to improve a pharmacy's medication distribution process. Citation Text: Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. Cop…

7353. The critical incident technique. | PSNet
      psnet.ahrq.gov/issue/critical-incident-technique
      January 07, 2015 - Study Classic The critical incident technique. Citation Text: FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

7354. Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
      January 08, 2020 - Study Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. Citation Text: Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and va…

7355. Is it possible to identify risks for injurious falls in hospitalized patients? | PSNet
      psnet.ahrq.gov/issue/it-possible-identify-risks-injurious-falls-hospitalized-patients
      December 12, 2012 - Study Is it possible to identify risks for injurious falls in hospitalized patients? Citation Text: Mion LC, Chandler M, Waters TM, et al. Is it possible to identify risks for injurious falls in hospitalized patients? Jt Comm J Qual Patient Saf. 2012;38(9):408-13. Copy Citation For…

7356. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-quality-care-and-service-utilization-plato-physician-leadership-accurate-and
      August 18, 2021 - Study Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. Citation Text: Brunt BA, Gifford L. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timel…

7357. Communication elements supporting patient safety in psychiatric inpatient care. | PSNet
      psnet.ahrq.gov/issue/communication-elements-supporting-patient-safety-psychiatric-inpatient-care
      July 01, 2013 - Study Communication elements supporting patient safety in psychiatric inpatient care. Citation Text: Kanerva A, Kivinen T, Lammintakanen J. Communication elements supporting patient safety in psychiatric inpatient care. J Psychiatr Ment Health Nurs. 2015;22(5):298-305. doi:10.1111/jpm.12…

7358. Using inpatient hospital discharge data to monitor patient safety events. | PSNet
      psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
      March 02, 2011 - Study Using inpatient hospital discharge data to monitor patient safety events. Citation Text: Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107. Copy Citation …

7359. A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet
      psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
      October 19, 2022 - Commentary A lethal hidden curriculum—death of a medical student from opioid use disorder. Citation Text: Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. Copy C…

7360. The hazards of hospitalization. | PSNet
      psnet.ahrq.gov/issue/hazards-hospitalization
      December 29, 2014 - Study Classic The hazards of hospitalization. Citation Text: Schimmel E. THE HAZARDS OF HOSPITALIZATION. Ann Intern Med. 1964;60:100-110. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …