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  1. Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

    psnet.ahrq.gov/issue/reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
    August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

  2. Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. | PSNet

    psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge
    October 19, 2022 - Study Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. Citation Text: Hoffman AM, Walls JL, Prusch A, et al. Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication rec…

  3. Racial and ethnic harm in patient care is a patient safety issue. | PSNet

    psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue
    October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

  4. Effect of day of the week on short- and long-term mortality after emergency general surgery. | PSNet

    psnet.ahrq.gov/issue/effect-day-week-short-and-long-term-mortality-after-emergency-general-surgery
    January 23, 2019 - Study Effect of day of the week on short- and long-term mortality after emergency general surgery. Citation Text: Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.100…

  5. Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes
    May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

  6. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

    psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
    August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

  7. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. | PSNet

    psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ
    April 28, 2021 - Study Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Citation Text: Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qua…

  8. Failure events in transition of care for surgical patients. | PSNet

    psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
    October 19, 2022 - Study Failure events in transition of care for surgical patients. Citation Text: Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. Copy Citation Format: …

  9. Untitled (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0645-151012.pdf
    August 05, 2015 - Untitled     Anxiety Disorders in Children Nomination Summary Document Results of Topic Selection Process & Next Steps § The topic, Anxiety Disorders in Children, will go forward for re…

  10. Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu
    August 15, 2016 - Study Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. Citation Text: Pelieu I, Djadi-Prat J, Consoli SM, et al. Impact of organizational culture on preventability assessment of selec…

  11. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. | PSNet

    psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
    December 23, 2011 - Study A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Citation Text: Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Med C…

  12. What's in a name? Provider perception of injured John Doe patients. | PSNet

    psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
    September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …

  13. Communication discrepancies between physicians and hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/communication-discrepancies-between-physicians-and-hospitalized-patients
    October 12, 2022 - Study Classic Communication discrepancies between physicians and hospitalized patients. Citation Text: Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302-1307. doi:10.1001/archintern…

  14. Nurse decision making in the prearrest period. | PSNet

    psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
    July 29, 2020 - Study Nurse decision making in the prearrest period. Citation Text: Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res. 2010;19(1):21-37. doi:10.1177/1054773809353161. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  15. Trends and patterns in reporting of patient safety situations in transplantation. | PSNet

    psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation
    October 19, 2022 - Study Trends and patterns in reporting of patient safety situations in transplantation. Citation Text: Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. …

  16. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. | PSNet

    psnet.ahrq.gov/issue/attitudes-nursing-students-and-clinical-instructors-towards-reporting-irregular-incidents
    June 01, 2019 - Study The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. Citation Text: Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. N…

  17. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. | PSNet

    psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative
    April 12, 2023 - Study Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. Citation Text: Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. JAMA Intern Med. 2024…

  18. Performance of large language models on medical oncology examination questions. | PSNet

    psnet.ahrq.gov/issue/performance-large-language-models-medical-oncology-examination-questions
    January 12, 2022 - Study Performance of large language models on medical oncology examination questions. Citation Text: Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology examination questions. JAMA Netw Open. 2024;7(6):e2417641. doi:10.1001/jamanetworkopen.202…

  19. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. | PSNet

    psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
    October 12, 2022 - Study A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. Citation Text: Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, st…

  20. The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. | PSNet

    psnet.ahrq.gov/issue/impact-digital-hospitals-patient-and-clinician-experience-systematic-review-and-qualitative
    August 16, 2023 - Review The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. Citation Text: Canfell OJ, Woods L, Meshkat Y, et al. The impact of digital hospitals on patient and clinician experience: systematic review and qualitative e…
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