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  1. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
    April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

  2. Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. | PSNet

    psnet.ahrq.gov/issue/declines-opioid-prescribing-after-private-insurer-policy-change-massachusetts-2011-2015
    October 19, 2022 - Government Resource Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. Citation Text: García MC, Dodek AB, Kowalski T, et al. Declines in Opioid Prescribing After a Private Insurer Policy Change - Massachusetts, 2011-2015. MMWR Morb Mortal Wkly…

  3. Evidence-based guidelines for fatigue risk management in emergency medical services. | PSNet

    psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-emergency-medical-services
    August 03, 2017 - Review Evidence-based guidelines for fatigue risk management in emergency medical services. Citation Text: Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101. doi:10.…

  4. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. | PSNet

    psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
    March 17, 2021 - Commentary Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. Citation Text: Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…

  5. Global drug shortages due to COVID-19: impact on patient care and mitigation strategies. | PSNet

    psnet.ahrq.gov/issue/global-drug-shortages-due-covid-19-impact-patient-care-and-mitigation-strategies
    November 04, 2020 - Commentary Global drug shortages due to COVID-19: impact on patient care and mitigation strategies. Citation Text: Badreldin HA, Atallah B. Global drug shortages due to COVID-19: Impact on patient care and mitigation strategies. Res Social Adm Pharm. 2020;17(1):1946-1949. doi:10.1016/j.s…

  6. Do HSMRs really measure patient safety?  | PSNet

    psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
    June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety?  Citation Text: Do HSMRs really measure patient safety?  Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…

  7. A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. | PSNet

    psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety-and-employee-quality
    May 16, 2012 - Study A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. Citation Text: Holden RJ, Scanlon MC, Patel NR, et al. A human factors framework and study of the effect of nursing workload on patient safety and employe…

  8. An observational study of medication administration errors in old-age psychiatric inpatients. | PSNet

    psnet.ahrq.gov/issue/observational-study-medication-administration-errors-old-age-psychiatric-inpatients
    September 27, 2017 - Study An observational study of medication administration errors in old-age psychiatric inpatients. Citation Text: Haw C, Stubbs J, Dickens G. An observational study of medication administration errors in old-age psychiatric inpatients. Int J Qual Health Care. 2007;19(4):210-6. Copy Ci…

  9. Bedside shift report improves patient safety and nurse accountability. | PSNet

    psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
    April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. Citation Text: Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

  10. Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
    January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. Citation Text: Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …

  11. Management of test results in family medicine offices. | PSNet

    psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
    July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

  12. The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. | PSNet

    psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
    September 23, 2020 - Newspaper/Magazine Article The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. Citation Text: The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…

  13. The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review. | PSNet

    psnet.ahrq.gov/issue/role-education-developing-culture-safety-through-perceptions-undergraduate-nursing-students
    August 17, 2016 - Review The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review. Citation Text: Bedgood AL, Mellott S. The Role of Education in Developing a Culture of Safety Through the Perceptions of Undergradua…

  14. Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. | PSNet

    psnet.ahrq.gov/issue/improving-medication-administration-safety-solid-organ-transplant-patients-through-barcode
    October 02, 2013 - Study Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. Citation Text: Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-as…

  15. Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.  | PSNet

    psnet.ahrq.gov/issue/evidence-review-conducted-agency-healthcare-research-and-quality-safety-program-improving
    June 21, 2015 - Review Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.  Citation Text: Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Heal…

  16. Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. | PSNet

    psnet.ahrq.gov/issue/postdischarge-adverse-events-1-day-hospital-admissions-older-adults-admitted-emergency
    May 18, 2022 - Study Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. Citation Text: Pines JM, Mongelluzzo J, Hilton JA, et al. Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency depa…

  17. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. | PSNet

    psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
    August 04, 2021 - Study From research to practice: factors affecting implementation of prospective targeted injury-detection systems. Citation Text: Sorensen A, Harrison MI, Kane HL, et al. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. BMJ …

  18. Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/pharmaceutical-interventions-improve-safety-chemotherapy-treated-cancer-patients-cross
    March 10, 2011 - Study Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. Citation Text: Daupin J, Perrin G, Lhermitte-Pastor C, et al. Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: A cross-sectional s…

  19. The successful anesthesia patient safety officer. | PSNet

    psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
    December 22, 2018 - Commentary The successful anesthesia patient safety officer. Citation Text: Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 …

  20. Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
    April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting system. Citation Text: Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…
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