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8461. An intervention to decrease catheter-related bloodstream infections in the ICU. | PSNet
      psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
      June 16, 2011 - Study Classic An intervention to decrease catheter-related bloodstream infections in the ICU. Citation Text: Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…

8462. Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. | PSNet
      psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family-qualitative-study
      March 24, 2021 - Study Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. Citation Text: McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their famil…

8463. Systemic causes of in-hospital intravenous medication errors: a systematic review. | PSNet
      psnet.ahrq.gov/issue/systemic-causes-hospital-intravenous-medication-errors-systematic-review
      July 01, 2020 - Review Systemic causes of in-hospital intravenous medication errors: a systematic review. Citation Text: Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts…

8464. Automating detection of diagnostic error of infectious diseases using machine learning. | PSNet
      psnet.ahrq.gov/issue/automating-detection-diagnostic-error-infectious-diseases-using-machine-learning
      October 09, 2024 - Study Automating detection of diagnostic error of infectious diseases using machine learning. Citation Text: Peterson KS, Chapman AB, Widanagamaachchi W, et al. Automating detection of diagnostic error of infectious diseases using machine learning. PLOS Digit Health. 2024;3(6):e0000528. …

8465. Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
      July 27, 2022 - Review Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. Citation Text: Rodwin BA, Bilan VP, Merchant NB, et al. Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(7):2099-2…

8466. Association of interruptions with an increased risk and severity of medication administration errors. | PSNet
      psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
      August 26, 2020 - Study Classic Association of interruptions with an increased risk and severity of medication administration errors. Citation Text: Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…

8467. Preventable adverse drug events: descriptive epidemiology. | PSNet
      psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
      October 17, 2012 - Study Preventable adverse drug events: descriptive epidemiology. Citation Text: Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139. Copy Citation Format: DOI Google Sc…

8468. National surveillance of emergency department visits for outpatient adverse drug events. | PSNet
      psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events
      February 27, 2009 - Study Classic National surveillance of emergency department visits for outpatient adverse drug events. Citation Text: Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 200…

8469. Emergency hospitalizations for adverse drug events in older Americans. | PSNet
      psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
      October 20, 2021 - Study Classic Emergency hospitalizations for adverse drug events in older Americans. Citation Text: Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10…

8470. A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? | PSNet
      psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and
      January 23, 2019 - Review A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? Citation Text: Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about team…

8471. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. | PSNet
      psnet.ahrq.gov/issue/adverse-events-italian-nursing-homes-during-covid-19-epidemic-national-survey
      December 16, 2020 - Study Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Citation Text: Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465. Copy Citation…

8472. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. | PSNet
      psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
      April 06, 2022 - Study Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. Citation Text: Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…

8473. Explaining Michigan: developing an ex post theory of a quality improvement program. | PSNet
      psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
      April 04, 2011 - Study Classic Explaining Michigan: developing an ex post theory of a quality improvement program. Citation Text: Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…

8474. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. | PSNet
      psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
      October 19, 2022 - Study Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. Citation Text: Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…

8475. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis
      February 18, 2017 - Review Resilience in nursing medication administration practice: a systematic review with narrative synthesis. Citation Text: Kellett PLR, Franklin BD, Pearce S, et al. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. BMJ Open Qual. …

8476. Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. | PSNet
      psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
      November 26, 2014 - Study Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. Citation Text: Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order entry in four community hospita…

8477. Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. | PSNet
      psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
      August 09, 2017 - Study Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. Citation Text: Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Val…

8478. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/867658
      January 26, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Opioid Stewardship Curated Library Primers Pharmacist's Role in Medication Safety UC Davis PSNet Editorial Team | December, 15 2024 Pharmacists in all settings play a crucial role in medication safety. Opioid Safety UC Davis PSNet Editoria…

8479. Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. | PSNet
      psnet.ahrq.gov/issue/physician-and-nurse-well-being-and-preferred-interventions-address-burnout-hospital-practice
      February 09, 2011 - Study Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. Citation Text: Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to a…

8480. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. | PSNet
      psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
      April 04, 2018 - Study Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Citation Text: Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 201…