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  1. psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
    August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…
  2. psnet.ahrq.gov/issue/integrative-systematic-review-promoting-patient-safety-within-prehospital-emergency-medical
    June 10, 2020 - Review An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. Citation Text: Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient safety within p…
  3. psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
    July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …
  4. psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
    June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…
  5. psnet.ahrq.gov/issue/understanding-second-victim-experience-among-multidisciplinary-providers-obstetrics-and
    December 23, 2020 - Study Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. Citation Text: Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Pat…
  6. psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
    March 24, 2021 - Study Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. Citation Text: Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…
  7. psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis
    June 14, 2019 - Study Emerging Classic Exposure to incivility hinders clinical performance in a simulated operative crisis. Citation Text: Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…
  8. psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
    October 19, 2022 - Study Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. Citation Text: Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…
  9. psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
    May 12, 2021 - Commentary Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. Citation Text: Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…
  10. psnet.ahrq.gov/issue/are-physicians-perceptions-healthcare-quality-and-practice-satisfaction-affected-errors
    July 10, 2008 - Study Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? Citation Text: Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by er…
  11. psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
    November 03, 2021 - Study Classic Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. Citation Text: Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…
  12. psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
    September 15, 2021 - Study Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. Citation Text: Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…
  13. psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety
    March 29, 2023 - Study What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. Citation Text: Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality Improvement and Patient S…
  14. psnet.ahrq.gov/issue/real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate
    July 21, 2021 - Study Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. Citation Text: Kotwal S, Fanai M, Fu W, et al. Real-world virtual patient simulation to improve diagnostic performance through deliberate pra…
  15. psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
    June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…
  16. psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during
    September 24, 2018 - Study Emerging Classic Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. Citation Text: Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associa…
  17. psnet.ahrq.gov/issue/rapid-expansion-healing-emotional-lives-peers-program-during-covid-19-second-victim-peer
    June 05, 2024 - Study Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare professionals. Citation Text: Rivera-Chiauzzi EY, Huang L, Osborne AK, et al. Rapid expansion of the Healing Emotional Lives of Peers program during …
  18. psnet.ahrq.gov/issue/association-between-handover-anesthesiology-care-and-1-year-mortality-among-adults-undergoing
    June 08, 2022 - Study Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. Citation Text: Sun LY, Jones PM, Wijeysundera DN, et al. Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surger…
  19. psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and
    August 25, 2021 - Study Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. Citation Text: Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condi…
  20. psnet.ahrq.gov/issue/measurement-and-monitoring-patient-safety-prehospital-care-systematic-review
    November 17, 2021 - Review Measurement and monitoring patient safety in prehospital care: a systematic review. Citation Text: O’Connor P, O’malley R, Oglesby A-M, et al. Measurement and monitoring patient safety in prehospital care: a systematic review. Int J Health Care Qual. 2021;33(1):mzab013. doi:10.109…