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  1. psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
    September 23, 2020 - Study Emerging Classic Evaluation of medication errors at the transition of care from an ICU to non-ICU location. Citation Text: Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…
  2. psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
    July 13, 2022 - Study Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support. Citation Text: Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involveme…
  3. psnet.ahrq.gov/issue/evaluating-prevalence-four-recommended-practices-suicide-prevention-following-hospital
    June 07, 2023 - Study Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Citation Text: Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt…
  4. psnet.ahrq.gov/issue/validation-secondary-screener-suicide-risk-results-emergency-department-safety-assessment-and
    May 31, 2023 - Study Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE). Citation Text: Boudreaux ED, Larkin C, Camargo CA, et al. Validation of a secondary screener for suicide risk: results from the Emergency…
  5. psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based
    March 24, 2019 - Study A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction. Citation Text: Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept ex…
  6. psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
    October 01, 2014 - Commentary Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. Citation Text: Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
  7. psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy
    December 08, 2021 - Study Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. Citation Text: Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…
  8. psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons
    January 04, 2010 - Study The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Citation Text: Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…
  9. psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
    March 02, 2022 - Study Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. Citation Text: Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …
  10. psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
    November 24, 2021 - Commentary Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. Citation Text: List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social n…
  11. psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection
    November 16, 2022 - Study Classic Targeted versus universal decolonization to prevent ICU infection. Citation Text: Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…
  12. psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
    July 21, 2021 - Study Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Citation Text: Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…
  13. psnet.ahrq.gov/issue/fable-reality-parkland-hospital-impact-evidence-based-design-strategies-patient-safety
    September 09, 2020 - Commentary From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment. Citation Text: Rich RK, Jimenez FE, Puumala SE, et al. From Fable to Reality at Parkland Hospital: The Im…
  14. psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism
    October 28, 2020 - Study Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. Citation Text: Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in…
  15. psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
    October 16, 2024 - Study A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. Citation Text: Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute car…
  16. psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
    December 08, 2021 - Study Classic Evaluation of symptom checkers for self diagnosis and triage: audit study. Citation Text: Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…
  17. psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people-identify
    December 21, 2022 - Study Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment. Citation Text: Wallerstedt SM, Svensson SA, Lönnbro J, et al. Performance of 3 sets of criteria for potentially inappropriate prescribing in older peop…
  18. psnet.ahrq.gov/issue/key-use-cases-artificial-intelligence-reduce-frequency-adverse-drug-events-scoping-review
    May 20, 2020 - Review Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. Citation Text: Syrowatka A, Song W, Amato MG, et al. Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. Lancet Digit…
  19. psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
    September 30, 2020 - Commentary Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Citation Text: DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10…
  20. psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare
    September 08, 2021 - Study A qualitative study of what care workers do to provide patient safety at home through telecare. Citation Text: Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. d…

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