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  1. Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. | PSNet

    psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and
    January 27, 2021 - Study Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. Citation Text: Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…

  2. How accurately do older adult emergency department patients recall their medications? | PSNet

    psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their-medications
    September 02, 2020 - Study How accurately do older adult emergency department patients recall their medications? Citation Text: Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…

  3. Improving nursing home safety through adoption of a practical resilient health care approach. | PSNet

    psnet.ahrq.gov/issue/improving-nursing-home-safety-through-adoption-practical-resilient-health-care-approach
    August 26, 2020 - Commentary Improving nursing home safety through adoption of a practical resilient health care approach. Citation Text: Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014…

  4. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
    March 10, 2010 - Study Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. Citation Text: Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…

  5. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. | PSNet

    psnet.ahrq.gov/issue/avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus-traditional
    January 19, 2022 - Study Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. Citation Text: Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ…

  6. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. | PSNet

    psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
    January 16, 2013 - Study Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. Citation Text: Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…

  7. Repeat medication errors in nursing homes: contributing factors and their association with patient harm. | PSNet

    psnet.ahrq.gov/issue/repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient
    August 07, 2013 - Study Repeat medication errors in nursing homes: contributing factors and their association with patient harm. Citation Text: Crespin DJ, Modi A, Wei D, et al. Repeat medication errors in nursing homes: Contributing factors and their association with patient harm. Am J Geriatr Pharmaco…

  8. Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

    psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
    March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

  9. Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing
    June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

  10. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

    psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
    September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

  11. The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety
    December 16, 2009 - Study The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. Citation Text: Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety. Pediatr Crit Car…

  12. The attributes of medical event reporting systems. | PSNet

    psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
    February 14, 2024 - Study Classic The attributes of medical event reporting systems. Citation Text: Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…

  13. Association of measured quality with financial health among U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/association-measured-quality-financial-health-among-us-hospitals
    December 07, 2022 - Study Association of measured quality with financial health among U.S. hospitals. Citation Text: Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696. Copy Citation …

  14. Innovation in patient safety: a new task design in reducing patient falls. | PSNet

    psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
    January 04, 2010 - Study Innovation in patient safety: a new task design in reducing patient falls. Citation Text: Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5. Copy Citation …

  15. Fast tracking in cardiac surgery: is it safe? | PSNet

    psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe
    October 05, 2022 - Study Fast tracking in cardiac surgery: is it safe? Citation Text: MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  16. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. | PSNet

    psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted
    July 21, 2021 - Study Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Citation Text: Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…

  17. Using safety culture results to guide the merger of four general practices in the UK. | PSNet

    psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
    February 01, 2023 - Study Using safety culture results to guide the merger of four general practices in the UK. Citation Text: Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-…

  18. Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. | PSNet

    psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal
    January 26, 2022 - Study Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. Citation Text: Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…

  19. Information overload and missed test results in electronic health record–based settings. | PSNet

    psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based-settings
    April 14, 2011 - Study Information overload and missed test results in electronic health record–based settings. Citation Text: Singh H, Spitzmueller C, Petersen NJ, et al. Information overload and missed test results in electronic health record-based settings. JAMA Intern Med. 2013;173(8):702-4. doi:10.1…

  20. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. | PSNet

    psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
    June 29, 2022 - Study Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. Citation Text: Falcone ML, Tokac U, Fish AF, et al. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory fac…
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