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9781. Quality measures of clinical pharmacy services during transitions of care. | PSNet
      psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
      December 05, 2012 - Commentary Quality measures of clinical pharmacy services during transitions of care. Citation Text: King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. Cop…

9782. Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. | PSNet
      psnet.ahrq.gov/issue/assessment-wearable-fall-prevention-system-veterans-health-administration-hospital
      October 19, 2022 - Study Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. Citation Text: Osborne TF, Veigulis ZP, Arreola DM, et al. Assessment of a wearable fall prevention system at a veterans health administration hospital. Digit Health. 2023;9:20552076231187…

9783. Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet
      psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
      September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

9784. Using Medical Emergency Teams to detect preventable adverse events. | PSNet
      psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
      December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

9785. Every patient should be enabled to stop the line. | PSNet
      psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line
      September 30, 2020 - Commentary Every patient should be enabled to stop the line. Citation Text: Bell SK, Martinez W. Every patient should be enabled to stop the line. BMJ Qual Saf. 2019;28(3):172-176. doi:10.1136/bmjqs-2018-008714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

9786. Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation. | PSNet
      psnet.ahrq.gov/issue/adopting-national-quality-forum-medication-safe-practices-progress-and-barriers-hospital
      December 16, 2011 - Study Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation. Citation Text: Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress and barriers to hospital implementation. J Hosp Med.…

9787. Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet
      psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
      August 04, 2021 - Study Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. Citation Text: Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…

9788. Fostering patient safety competencies using multiple-patient simulation experiences. | PSNet
      psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences
      January 12, 2022 - Study Fostering patient safety competencies using multiple-patient simulation experiences. Citation Text: Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…

9789. The justification for strike action in healthcare: a systematic critical interpretive synthesis. | PSNet
      psnet.ahrq.gov/issue/justification-strike-action-healthcare-systematic-critical-interpretive-synthesis
      November 30, 2022 - Review The justification for strike action in healthcare: a systematic critical interpretive synthesis. Citation Text: Essex R, Weldon SM. The justification for strike action in healthcare: a systematic critical interpretive synthesis. Nurs Ethics. 2022;29(5):1152-1173. doi:10.1177/09697…

9790. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. | PSNet
      psnet.ahrq.gov/issue/mandatory-presuit-mediation-5-year-results-medical-malpractice-resolution-program
      February 02, 2022 - Study Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. Citation Text: Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/j…

9791. Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet
      psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
      August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

9792. Adverse drug events in surgical patients: an observational multicentre study. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-surgical-patients-observational-multicentre-study
      January 18, 2013 - Government Resource Adverse drug events in surgical patients: an observational multicentre study. Citation Text: de Boer M, Boeker EB, Ramrattan MA, et al. Adverse drug events in surgical patients: an observational multicentre study. Int J Clin Pharm. 2013;35(5):744-52. doi:10.1007/s110…

9793. Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. | PSNet
      psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration
      September 24, 2016 - Study Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. Citation Text: Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification…

9794. Adverse respiratory events in anesthesia: a closed claims analysis. | PSNet
      psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
      February 10, 2011 - Study Classic Adverse respiratory events in anesthesia: a closed claims analysis. Citation Text: Caplan RA, Posner KL, Ward RJ, et al. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology. 1990;72(5):828-33. Copy Citation Form…

9795. A systematic review of adult admissions to ICUs related to adverse drug events. | PSNet
      psnet.ahrq.gov/issue/systematic-review-adult-admissions-icus-related-adverse-drug-events
      March 16, 2016 - Review A systematic review of adult admissions to ICUs related to adverse drug events. Citation Text: Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. Co…

9796. Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. | PSNet
      psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
      April 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. Citation Text: Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Contr…

9797. Identifying hospital organizational strategies to reduce readmissions. | PSNet
      psnet.ahrq.gov/issue/identifying-hospital-organizational-strategies-reduce-readmissions
      May 25, 2016 - Study Identifying hospital organizational strategies to reduce readmissions. Citation Text: Ahmad FS, Metlay JP, Barg FK, et al. Identifying hospital organizational strategies to reduce readmissions. Am J Med Qual. 2013;28(4):278-85. doi:10.1177/1062860612464999. Copy Citation F…

9798. Morbidity and mortality: delays in my patient’s cancer care. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
      July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…

9799. Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. | PSNet
      psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
      April 08, 2020 - Study Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. Citation Text: Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…

9800. Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp2.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Methods Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods Participation Outcomes Adult Non-ICUs Pediatric …