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  1. Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. | PSNet

    psnet.ahrq.gov/issue/value-improving-patient-safety-health-economic-considerations-rapid-response-systems-rapid
    January 07, 2015 - Review Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. Citation Text: Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…

  2. Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet

    psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
    June 28, 2017 - Study Drug and opioid-involved overdose deaths- United States, 2013-2017. Citation Text: Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. Copy Citat…

  3. Deaths among opioid users: impact of potential inappropriate prescribing practices. | PSNet

    psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
    October 19, 2011 - Study Deaths among opioid users: impact of potential inappropriate prescribing practices. Citation Text: Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. Copy Citation Form…

  4. Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions
    August 11, 2021 - Review Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. Citation Text: Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in drug-related hospital admissions? A …

  5. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. | PSNet

    psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical
    December 14, 2022 - Review Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. Citation Text: Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…

  6. EHR-related medication errors in two ICUs. | PSNet

    psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus
    March 15, 2017 - Study EHR-related medication errors in two ICUs. Citation Text: Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

  7. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet

    psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review
    January 15, 2025 - Review Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Citation Text: Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…

  8. Rapid response teams as a patient safety practice for failure to rescue. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
    January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue. Citation Text: Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. Copy Citation For…

  9. Talking with patients about other clinicians' errors. | PSNet

    psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors
    October 27, 2021 - Study Classic Talking with patients about other clinicians' errors. Citation Text: Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119. Copy Citation …

  10. Liability claims and costs before and after implementation of a medical error disclosure program. | PSNet

    psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
    April 24, 2018 - Study Classic Liability claims and costs before and after implementation of a medical error disclosure program. Citation Text: Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure …

  11. Another medical malpractice crisis?: Try something different. | PSNet

    psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-different
    November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…

  12. Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet

    psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
    November 16, 2022 - Study Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. Citation Text: Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infe…

  13. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. | PSNet

    psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection-2017
    June 27, 2018 - Review Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. Citation Text: Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JA…

  14. Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. | PSNet

    psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american
    February 03, 2011 - Organizational Policy/Guidelines Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. Citation Text: Michaels AD, Spinler SA, Leeper B, et al. Medication Errors in Acute Cardiovascular and Stroke Patients. Circulatio…

  15. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
    October 25, 2023 - Study Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. Citation Text: Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2…

  16. Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

    psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
    February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

  17. The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
    July 13, 2009 - Review The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. Citation Text: Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…

  18. Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet

    psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
    January 03, 2017 - Study Classic Organizational factors associated with high performance in quality and safety in academic medical centers. Citation Text: Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…

  19. Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. | PSNet

    psnet.ahrq.gov/issue/clinical-deterioration-nurse-sensitive-indicator-out-hospital-context-scoping-review
    July 19, 2023 - Review Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. Citation Text: Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out‐of‐hospital context: a scoping review. J Clin Nurs. 202…

  20. Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. | PSNet

    psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
    May 27, 2020 - Study Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. Citation Text: Gray BM, Vandergrift JL, McCoy R…
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