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5781. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. | PSNet
      psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates
      May 01, 2019 - Study Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. Citation Text: Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admiss…

5782. An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. | PSNet
      psnet.ahrq.gov/issue/overview-intravenous-related-medication-administration-errors-reported-medmarxr-national
      April 14, 2021 - Study An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. Citation Text: Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national…

5783. The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. | PSNet
      psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted
      May 08, 2017 - Study The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. Citation Text: Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…

5784. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
      February 22, 2017 - Review The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. Citation Text: Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nu…

5785. Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet
      psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
      May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients and staff. Citation Text: Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. Copy…

5786. Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. | PSNet
      psnet.ahrq.gov/issue/delayed-flow-risk-patient-safety-mixed-method-analysis-emergency-department-patient-flow
      May 13, 2009 - Study Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. Citation Text: Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54…

5787. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. | PSNet
      psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking
      March 28, 2012 - Commentary Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Citation Text: Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…

5788. Inpatient housestaff discontinuity of care and patient adverse events. | PSNet
      psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
      July 02, 2008 - Study Inpatient housestaff discontinuity of care and patient adverse events. Citation Text: Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008. Copy Citation …

5789. Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. | PSNet
      psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have
      April 08, 2020 - Study Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. Citation Text: Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…

5790. Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. | PSNet
      psnet.ahrq.gov/issue/postoperative-opioid-prescribing-and-pain-scores-hospital-consumer-assessment-healthcare
      January 29, 2020 - Study Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. Citation Text: Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Prov…

5791. Safety culture: an integration of existing models and a framework for understanding its development. | PSNet
      psnet.ahrq.gov/issue/safety-culture-integration-existing-models-and-framework-understanding-its-development
      December 21, 2017 - Review Classic Safety culture: an integration of existing models and a framework for understanding its development. Citation Text: Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a framework for understanding its …

5792. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet
      psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
      October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

5793. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet
      psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
      June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

5794. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. | PSNet
      psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge
      September 23, 2020 - Commentary Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Citation Text: Martin ES, Overstreet RL, Jackson-Khalil LR, et al. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Am J Health S…

5795. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. | PSNet
      psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
      April 03, 2013 - Study Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Citation Text: Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Strat Manage J…

5796. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet
      psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
      August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…

5797. Follow-up of outpatient test results: a survey of house-staff practices and perceptions. | PSNet
      psnet.ahrq.gov/issue/follow-outpatient-test-results-survey-house-staff-practices-and-perceptions
      July 14, 2010 - Study Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Citation Text: Lin JJ, Dunn A, Moore C. Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Am J Med Qual. 2006;21(3):178-84. Copy Citation Format: …

5798. The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. | PSNet
      psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent
      April 22, 2017 - Commentary The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. Citation Text: Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication…

5799. Creating a culture of caregiver support. | PSNet
      psnet.ahrq.gov/issue/creating-culture-caregiver-support
      May 18, 2022 - Newspaper/Magazine Article Creating a culture of caregiver support. Citation Text: Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…

5800. Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge. | PSNet
      psnet.ahrq.gov/issue/correlation-between-24-hour-predischarge-opioid-use-and-amount-opioids-prescribed-hospital
      November 13, 2024 - Study Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge. Citation Text: Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018…