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6041. The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. | PSNet
      psnet.ahrq.gov/issue/medical-emergency-team-system-and-not-resuscitation-orders-results-merit-study
      June 02, 2010 - Study The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. Citation Text: Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008;79(3):391-…

6042. Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
      May 19, 2021 - Study Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. Citation Text: Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat…

6043. Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. | PSNet
      psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
      June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…

6044. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. | PSNet
      psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
      February 03, 2016 - Study Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Citation Text: Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems …

6045. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/data-driven-approach-evaluate-barcode-assisted-medication-preparation-alerts-large-academic
      October 19, 2022 - Study A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Citation Text: Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic me…

6046. Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. | PSNet
      psnet.ahrq.gov/issue/capturing-patients-perspectives-medication-safety-development-patient-centered-medication
      February 17, 2021 - Study Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. Citation Text: Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safe…

6047. Failure mode and effects analysis to reduce risk of heparin use. | PSNet
      psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
      July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. Citation Text: Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. Copy Citation F…

6048. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. | PSNet
      psnet.ahrq.gov/issue/practice-and-quality-improvement-successful-implementation-teamstepps-tools-academic
      April 17, 2019 - Study Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. Citation Text: Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic i…

6049. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. | PSNet
      psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
      November 13, 2009 - Study Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6)…

6050. The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group. | PSNet
      psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory
      November 26, 2014 - Study The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group. Citation Text: Miller N, Bhowmik S, Ezinwa M, et al. The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. J P…

6051. An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. | PSNet
      psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications
      November 08, 2012 - Study An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. Citation Text: McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …

6052. Responding to health information technology reported safety events: insights from patient safety event reports. | PSNet
      psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event
      June 30, 2019 - Study Responding to health information technology reported safety events: insights from patient safety event reports. Citation Text: Responding to health information technology reported safety events: insights from patient safety event reports. Adams KT, Kim TC, Fong A, et al. J Patient …

6053. A new, evidence-based estimate of patient harms associated with hospital care. | PSNet
      psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
      October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

6054. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-alarm-fatigue-work-nurses-intensive-care-environment-systematic-review
      August 31, 2022 - Review Classic Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. Citation Text: Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an intensive care environment--a s…

6055. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. | PSNet
      psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
      January 06, 2012 - Study Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Citation Text: Elbardissi AW, Wiegmann DA, Dearani JA, et al. Application of the human factors analysis and classification system methodology to the cardi…

6056. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. | PSNet
      psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute
      May 30, 2016 - Study Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospita…

6057. Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. | PSNet
      psnet.ahrq.gov/issue/improving-adherence-long-term-opioid-therapy-guidelines-reduce-opioid-misuse-primary-care
      January 23, 2019 - Study Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. Citation Text: Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Ca…

6058. The relationship between culture of safety and rate of adverse events in long-term care facilities. | PSNet
      psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care-facilities
      June 09, 2021 - Study The relationship between culture of safety and rate of adverse events in long-term care facilities. Citation Text: Abusalem S, Polivka B, Coty M-B, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021;17(4):2…

6059. A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." | PSNet
      psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
      April 24, 2019 - Study A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." Citation Text: Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …

6060. Flying lessons for clinicians: developing system 2 practice. | PSNet
      psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
      April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. Citation Text: Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. Copy Citation Format: D…