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  1. Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. | PSNet

    psnet.ahrq.gov/issue/public-reporting-health-care-associated-surveillance-data-recommendations-healthcare
    May 25, 2011 - Commentary Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. Citation Text: Talbot TR, Bratzler DW, Carrico RM, et al. Public Reporting of Health Care–Associated Surveillance Data: Recommen…

  2. Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

    psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
    March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

  3. Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. | PSNet

    psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify
    August 07, 2013 - Study Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. Citation Text: Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method…

  4. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. | PSNet

    psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system
    January 15, 2009 - Study Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Citation Text: Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):…

  5. Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
    May 19, 2021 - Study Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. Citation Text: Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat…

  6. National survey on the effect of oncology drug shortages on cancer care. | PSNet

    psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
    April 22, 2015 - Study National survey on the effect of oncology drug shortages on cancer care. Citation Text: McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563. Copy Citat…

  7. Adverse drug event reporting systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
    December 21, 2017 - Review Adverse drug event reporting systems: a systematic review. Citation Text: Bailey C, Peddie D, Wickham ME, et al. Adverse drug event reporting systems: a systematic review. Br J Clin Pharm. 2016;82(1):17-29. doi:10.1111/bcp.12944. Copy Citation Format: DOI Google Scho…

  8. Examining the relationship between nurse fatigue, alertness, and medication errors. | PSNet

    psnet.ahrq.gov/issue/examining-relationship-between-nurse-fatigue-alertness-and-medication-errors
    October 10, 2015 - Study Examining the relationship between nurse fatigue, alertness, and medication errors. Citation Text: Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631. …

  9. ICU nurses' acceptance of electronic health records. | PSNet

    psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records
    December 31, 2014 - Study ICU nurses' acceptance of electronic health records. Citation Text: Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018. Copy Citation Format: DOI Google…

  10. Improving medication-related clinical decision support. | PSNet

    psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support
    July 01, 2017 - Review Emerging Classic Improving medication-related clinical decision support. Citation Text: Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. …

  11. Paying the piper: investing in infrastructure for patient safety.  | PSNet

    psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
    July 01, 2017 - Commentary Classic Paying the piper: investing in infrastructure for patient safety.  Citation Text: Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. Co…

  12. Do physicians clean their hands? Insights from a covert observational study. | PSNet

    psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
    July 02, 2019 - Study Do physicians clean their hands? Insights from a covert observational study. Citation Text: Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632. Copy Citati…

  13. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. | PSNet

    psnet.ahrq.gov/issue/developing-and-implementing-new-safe-practices-voluntary-adoption-through-statewide
    June 13, 2011 - Commentary Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Citation Text: Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2…

  14. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-safe-and-effective-medicines-use-consumers-overview-systematic-reviews
    July 19, 2023 - Review Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Citation Text: Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database…

  15. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. | PSNet

    psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute
    May 30, 2016 - Study Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospita…

  16. The impact of improving teamwork on patient outcomes in surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-improving-teamwork-patient-outcomes-surgery-systematic-review
    May 13, 2020 - Review The impact of improving teamwork on patient outcomes in surgery: a systematic review. Citation Text: Sun R, Marshall DC, Sykes MC, et al. The impact of improving teamwork on patient outcomes in surgery: A systematic review. Int J Surg. 2018;53:171-177. doi:10.1016/j.ijsu.2018.03.0…

  17. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

    psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
    September 27, 2017 - Commentary Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. Citation Text: Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…

  18. How well is quality improvement described in the perioperative care literature? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
    January 19, 2022 - Review How well is quality improvement described in the perioperative care literature? A systematic review. Citation Text: Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…

  19. Drug administration errors in hospital inpatients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-hospital-inpatients-systematic-review
    September 01, 2016 - Review Drug administration errors in hospital inpatients: a systematic review. Citation Text: Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. Copy Citation …

  20. System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. | PSNet

    psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated
    August 25, 2021 - Study Emerging Classic System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. Citation Text: Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraope…
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