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Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet

June 08, 2022 - Study Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. Citation Text: Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the Un…

Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. | PSNet

psnet.ahrq.gov/issue/hospital-surveys-centers-medicare-and-medicaid-services-analysis-more-34000-deficiencies

May 26, 2021 - Study Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. Citation Text: Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. J Patient Saf. 2021;17(4)…

Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. | PSNet

psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric

July 28, 2021 - Study Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. Citation Text: Raghuram N, Alodan K, Bartels U, et al. Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.…

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation

May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers

November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. | PSNet

psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after

December 15, 2021 - Review A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. Citation Text: Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …

Sources of medication omissions among hospitalized older adults with polypharmacy. | PSNet

psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy

January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. | PSNet

psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge

August 19, 2020 - Study Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Citation Text: Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(…

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet

psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube

November 17, 2021 - Study Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. Citation Text: Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointest…

Identifying and reconciling patients' allergy information within the electronic health record. | PSNet

psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record

June 15, 2022 - Study Identifying and reconciling patients' allergy information within the electronic health record. Citation Text: Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:…

Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. | PSNet

psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations

March 17, 2021 - Review Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Citation Text: Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;1…

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis

September 23, 2020 - Review Classic Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. Citation Text: Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hos…

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event

May 19, 2021 - Study Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…

Implementation strategies in the context of medication reconciliation: a qualitative study. | PSNet

psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study

August 05, 2020 - Study Implementation strategies in the context of medication reconciliation: a qualitative study. Citation Text: Stolldorf DP, Ridner SH, Vogus TJ, et al. Implementation strategies in the context of medication reconciliation: a qualitative study. Implement Sci Commun. 2021;2(1):63. doi:1…

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. | PSNet

psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety

October 02, 2019 - Commentary Emerging Classic Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. Citation Text: Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…

Using a learning system approach to improve safety for prone-position ventilation patients. | PSNet

psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients

January 10, 2024 - Study Using a learning system approach to improve safety for prone-position ventilation patients. Citation Text: Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone-position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.10…

Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment

August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

Do words matter? Stigmatizing language and the transmission of bias in the medical record. | PSNet

psnet.ahrq.gov/issue/do-words-matter-stigmatizing-language-and-transmission-bias-medical-record

June 06, 2021 - Study Do words matter? Stigmatizing language and the transmission of bias in the medical record. Citation Text: P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:…

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety

June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

Information transfer at hospital discharge: a systematic review. | PSNet

psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review

February 21, 2015 - Review Classic Information transfer at hospital discharge: a systematic review. Citation Text: Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…

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