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6141. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. | PSNet
      psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
      September 23, 2020 - Commentary The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Citation Text: Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…

6142. Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? | PSNet
      psnet.ahrq.gov/issue/healthcare-scandals-and-failings-doctors-do-official-inquiries-hold-profession-account
      November 13, 2019 - Review Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? Citation Text: Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126. C…

6143. Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet
      psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
      May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

6144. Economic evaluation of the impact of medication errors reported by US clinical pharmacists. | PSNet
      psnet.ahrq.gov/issue/economic-evaluation-impact-medication-errors-reported-us-clinical-pharmacists
      February 02, 2011 - Study Economic evaluation of the impact of medication errors reported by US clinical pharmacists. Citation Text: Samp JC, Touchette DR, Marinac JS, et al. Economic evaluation of the impact of medication errors reported by U.S. clinical pharmacists. Pharmacotherapy. 2014;34(4):350-7. doi:…

6145. Solving alarm fatigue with smartphone technology. | PSNet
      psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
      October 04, 2023 - Commentary Solving alarm fatigue with smartphone technology. Citation Text: Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. Copy Citation Format: DOI Google Scholar PubMed BibTe…

6146. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet
      psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
      February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

6147. What are we doing when we double check? | PSNet
      psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
      June 10, 2020 - Commentary What are we doing when we double check? Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

6148. The evidence base for US Joint Commission hospital accreditation standards: cross sectional study. | PSNet
      psnet.ahrq.gov/issue/evidence-base-us-joint-commission-hospital-accreditation-standards-cross-sectional-study
      June 09, 2021 - Study The evidence base for US Joint Commission hospital accreditation standards: cross sectional study. Citation Text: Ibrahim SA, Reynolds KA, Poon E, et al. The evidence base for US joint commission hospital accreditation standards: cross sectional study. BMJ. 2022;377:e063064. doi:10…

6149. Market-based control mechanisms for patient safety. | PSNet
      psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
      June 30, 2010 - Commentary Market-based control mechanisms for patient safety. Citation Text: Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care. 2009;18(2):99-103. doi:10.1136/qshc.2007.025833. Copy Citation Format: DOI Google Scholar PubMe…

6150. Falling through the cracks: the invisible hospital cleaning workforce. | PSNet
      psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
      June 19, 2013 - Commentary Falling through the cracks: the invisible hospital cleaning workforce. Citation Text: Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. Copy…

6151. 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…

6152. Communication and shared understanding between parents and resident-physicians at night. | PSNet
      psnet.ahrq.gov/issue/communication-and-shared-understanding-between-parents-and-resident-physicians-night
      May 08, 2017 - Study Communication and shared understanding between parents and resident-physicians at night. Citation Text: Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2…

6153. Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. | PSNet
      psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
      June 19, 2024 - Commentary Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. Citation Text: Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…

6154. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet
      psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
      November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…

6155. Correlation between hospital rating agencies' data: an analysis and recommendation. | PSNet
      psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
      April 05, 2023 - Study Correlation between hospital rating agencies' data: an analysis and recommendation. Citation Text: Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…

6156. Making the Patient Safety and Quality Improvement Act of 2005 work. | PSNet
      psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
      July 11, 2018 - Commentary Making the Patient Safety and Quality Improvement Act of 2005 work. Citation Text: Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10. Copy Citation Format: Google Scholar PubMed B…

6157. Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet
      psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
      August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

6158. Supplement to Evaluation Highlight No. 13 | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight13.html
      June 01, 2015 - Supplement to Evaluation Highlight No. 13 How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality? June 2015 Evaluation Highlight No. 13 is the 13th in a series that presents descriptive and analytic findings from the national evaluation of the C…

6159. Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us. | PSNet
      psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
      January 02, 2017 - Commentary Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us. Citation Text: Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Te…

6160. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. | PSNet
      psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005
      June 07, 2016 - Study Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Citation Text: Moore TJ, Cohen MR, Furberg CD. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Arch Intern Med. 2007;167(16):1752-9. Copy Citation Forma…