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6161. Ten years later, alarm fatigue is still a safety concern. | PSNet
      psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
      October 25, 2023 - Commentary Ten years later, alarm fatigue is still a safety concern. Citation Text: Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662. Copy Citation Format: …

6162. Medical errors and quality of care: from control to commitment. | PSNet
      psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
      July 15, 2020 - Commentary Medical errors and quality of care: from control to commitment. Citation Text: Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. Copy Citation Format…

6163. Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital. | PSNet
      psnet.ahrq.gov/issue/bringing-patients-own-medications-emergency-department-ambulance-effect-prescribing-accuracy
      October 19, 2022 - Study Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital. Citation Text: Chan EW, Taylor SE, Marriott JL, et al. Bringing patients' own medications into an emergency department by amb…

6164. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. | PSNet
      psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
      June 05, 2019 - Study Medical error: using storytelling and reflection to impact error response factors in family medicine residents. Citation Text: Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …

6165. Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. | PSNet
      psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill
      February 14, 2024 - Study Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. Citation Text: Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Pati…

6166. The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. | PSNet
      psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
      July 01, 2017 - Study The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. Citation Text: Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…

6167. Development of a trigger tool to identify adverse events and harm in emergency medical services. | PSNet
      psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
      August 07, 2024 - Study Development of a trigger tool to identify adverse events and harm in emergency medical services. Citation Text: Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…

6168. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review | PSNet
      psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals
      August 28, 2024 - Review Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review Citation Text: Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare pr…

6169. TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. | PSNet
      psnet.ahrq.gov/issue/triad-xii-are-patients-aware-and-agree-dnr-or-polst-orders-their-medical-records
      September 15, 2021 - Study TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. Citation Text: Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi…

6170. Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. | PSNet
      psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
      September 01, 2021 - Study Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. Citation Text: Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associ…

6171. Fifteen years after To Err Is Human: a success story to learn from. | PSNet
      psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
      August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

6172. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
      April 24, 2018 - Study Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. Citation Text: Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through sim…

6173. Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. | PSNet
      psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
      September 24, 2016 - Study Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. Citation Text: Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post St…

6174. Analysis of overridden alerts in a drug–drug interaction detection system. | PSNet
      psnet.ahrq.gov/issue/analysis-overridden-alerts-drug-drug-interaction-detection-system
      June 30, 2011 - Study Analysis of overridden alerts in a drug–drug interaction detection system. Citation Text: Mille F, Schwartz C, Brion F, et al. Analysis of overridden alerts in a drug-drug interaction detection system. Int J Qual Health Care. 2008;20(6):400-5. doi:10.1093/intqhc/mzn038. Copy Ci…

6175. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. | PSNet
      psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention
      February 19, 2020 - Study Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. Citation Text: Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…

6176. Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. | PSNet
      psnet.ahrq.gov/issue/safety-during-night-shifts-cross-sectional-survey-junior-doctors-preparation-and-practice
      August 18, 2021 - Study Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. Citation Text: Jackson EJ, Moreton A. Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. BMJ Open. 2013;3(9):e003567. doi:10.1136/bmjope…

6177. Not just "getting by": factors influencing providers' choice of interpreters. | PSNet
      psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
      August 23, 2023 - Study Not just "getting by": factors influencing providers' choice of interpreters. Citation Text: Hsieh E. Not just "getting by": factors influencing providers' choice of interpreters. J Gen Intern Med. 2015;30(1):75-82. doi:10.1007/s11606-014-3066-8. Copy Citation Format: …

6178. Root cause analyses of suicides of mental health clients. | PSNet
      psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
      March 16, 2016 - Study Root cause analyses of suicides of mental health clients. Citation Text: Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…

6179. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. | PSNet
      psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
      February 27, 2009 - Study Classic Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. Citation Text: Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …

6180. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. | PSNet
      psnet.ahrq.gov/issue/effects-enhanced-discharge-planning-intervention-hospitalized-older-adults-randomized-trial
      September 21, 2016 - Study Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Citation Text: Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist.…