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  1. A medication error prevention survey: five years of results. | PSNet

    psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
    March 26, 2015 - Study A medication error prevention survey: five years of results. Citation Text: Cusano FL, Chambers C, Summach L. A medication error prevention survey: five years of results. J Oncol Pharm Pract. 2009;15(2):87-93. doi:10.1177/1078155208099284. Copy Citation Format: DOI …

  2. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. | PSNet

    psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
    December 18, 2013 - Study "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Citation Text: Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…

  3. Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicine. | PSNet

    psnet.ahrq.gov/issue/mortality-among-patients-acute-myocardial-infarction-influences-patient-centered-care-and
    April 10, 2024 - Study Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicine. Citation Text: Meterko M, Wright S, Lin H, et al. Mortality among patients with acute myocardial infarction: the influences of patient-centered care and…

  4. The global burden of unsafe medical care: analytic modelling of observational studies. | PSNet

    psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies
    September 29, 2017 - Study Classic The global burden of unsafe medical care: analytic modelling of observational studies. Citation Text: Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf.…

  5. Medication errors in the care transition of trauma patients | PSNet

    psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
    September 02, 2020 - Study Medication errors in the care transition of trauma patients Citation Text: Martín Mª ÁP, García MM, Silveira ED, et al. Medication errors in the care transition of trauma patients. Eur J Clin Pharmacol. 2019;75(12):1739-1746. doi:10.1007/s00228-019-02757-3. Copy Citation Form…

  6. Impact of a relocation to a new critical care building on pediatric safety events. | PSNet

    psnet.ahrq.gov/issue/impact-relocation-new-critical-care-building-pediatric-safety-events
    May 27, 2020 - Study Impact of a relocation to a new critical care building on pediatric safety events. Citation Text: Furthmiller A, Sahay R, Zhang B, et al. Impact of a relocation to a new critical care building on pediatric safety events. J Hosp Med. 2024;19(5):589-595. doi:10.1002/jhm.13324. Copy…

  7. Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity
    December 02, 2020 - Study Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. Citation Text: Guzmán MDT, Banqueri MG, Otero MJ, et al. Development of a Trigger Tool to Identify Adverse Drug Events in Elderly Patients With Multimorbidity. J Patient Saf. 2021…

  8. Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. | PSNet

    psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
    April 07, 2021 - Study Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. Citation Text: Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-ma…

  9. The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. | PSNet

    psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site
    November 16, 2022 - Study The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. Citation Text: Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal surge…

  10. Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory
    October 31, 2011 - Study Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial. Citation Text: Etchells E, Adhikari NKJ, Cheung C, et al. Real-time clinical alerting: effect of an automated paging system on response …

  11. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet

    psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
    June 21, 2017 - Study An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. Citation Text: Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis…

  12. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
    January 17, 2012 - Study Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Citation Text: Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…

  13. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/effects-enhanced-discharge-planning-intervention-hospitalized-older-adults-randomized-trial
    September 21, 2016 - Study Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Citation Text: Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist.…

  14. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. | PSNet

    psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
    June 01, 2022 - Study Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. Citation Text: De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.02575…

  15. Leveraging patient safety research: efforts made fifteen years since To Err Is Human. | PSNet

    psnet.ahrq.gov/issue/leveraging-patient-safety-research-efforts-made-fifteen-years-err-human
    March 24, 2019 - Study Leveraging patient safety research: efforts made fifteen years since To Err Is Human. Citation Text: Liang C, Miao Q, Kang H, et al. Leveraging Patient Safety Research: Efforts Made Fifteen Years Since To Err Is Human. Stud Health Technol Inform. 2019;264:983-987. doi:10.3233/SHTI1…

  16. Measuring perceptions of safety climate in primary care: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/measuring-perceptions-safety-climate-primary-care-cross-sectional-study
    January 19, 2011 - Study Measuring perceptions of safety climate in primary care: a cross-sectional study. Citation Text: de Wet C, Johnson P, Mash R, et al. Measuring perceptions of safety climate in primary care: a cross-sectional study. J Eval Clin Pract. 2010;18(1). doi:10.1111/j.1365-2753.2010.01537…

  17. The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project | PSNet

    psnet.ahrq.gov/issue/impact-post-fall-huddles-repeat-fall-rates-and-perceptions-safety-culture-quasi-experimental
    December 30, 2014 - Journal Article The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project Citation Text: Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and pe…

  18. Errors in laboratory medicine: practical lessons to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
    February 14, 2024 - Commentary Classic Errors in laboratory medicine: practical lessons to improve patient safety. Citation Text: Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. Copy Citation …

  19. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/influence-surgeon-behavior-trainee-willingness-speak-randomized-controlled-trial
    February 22, 2019 - Study Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. Citation Text: Salazar MJB, Minkoff H, Bayya J, et al. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. J Am Coll Surg. 2014;219(5):1001-…

  20. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2013
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2013. Am J Health Syst Pharm. 2…
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