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7341. Multistate point-prevalence survey of health care-associated infections. | PSNet
      psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
      November 14, 2018 - Study Multistate point-prevalence survey of health care-associated infections. Citation Text: Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. Copy Citation …

7342. A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study. | PSNet
      psnet.ahrq.gov/issue/road-map-advancing-practice-respect-health-care-results-interdisciplinary-modified-delphi
      August 01, 2018 - Study A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study. Citation Text: Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in Health Care: The Results of an In…

7343. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. | PSNet
      psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
      April 08, 2018 - Study Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. Citation Text: Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-b…

7344. Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity. | PSNet
      psnet.ahrq.gov/issue/optimizing-measurement-misdiagnosis-related-harms-using-symptom-disease-pair-analysis
      July 21, 2021 - Commentary Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity. Citation Text: Liberman AL, Wang Z, Zhu Y, et al. Optimizing measurement of misdiagnosis-related harms using symp…

7345. Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. | PSNet
      psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological
      October 23, 2019 - Review Classic Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. Citation Text: Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of D…

7346. Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes. | PSNet
      psnet.ahrq.gov/issue/medicare-and-medicaid-programs-and-childrens-health-insurance-program-hospital-inpatient
      November 23, 2015 - Legislation/Regulation Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requir…

7347. Systematic review and meta-analysis of the effectiveness of pharmacist-led medication reconciliation in the community after hospital discharge. | PSNet
      psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-effectiveness-pharmacist-led-medication-reconciliation
      January 23, 2017 - Review Systematic review and meta-analysis of the effectiveness of pharmacist-led medication reconciliation in the community after hospital discharge. Citation Text: McNab D, Bowie P, Ross A, et al. Systematic review and meta-analysis of the effectiveness of pharmacist-led medication rec…

7348. Analysis of clinical decision support system malfunctions: a case series and survey. | PSNet
      psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
      April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…

7349. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet
      psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
      February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

7350. Assessment of patient retention of inpatient care information post-hospitalization. | PSNet
      psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
      June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…

7351. Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. | PSNet
      psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method
      May 11, 2022 - Study Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. Citation Text: Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method qualitat…

7352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36818/psn-pdf
      August 26, 2011 - Patient safety in women's health care: a framework for progress. August 26, 2011 Gluck PA. Patient safety in women's health care: a framework for progress. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):525-36. https://psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress The author provides …

7353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36780/psn-pdf
      April 29, 2018 - If safety is your yardstick, measuring culture from the top down must be a priority. April 29, 2018 ISMP Medication Safety Alert! Acute care edition. March 22, 2007. https://psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority This article discusses the importance of a safety c…

7354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37505/psn-pdf
      February 06, 2008 - Health Literacy Practices in Primary Care Settings: Examples from the Field. February 6, 2008 Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008. https://psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field This report describes tactics for cl…

7355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39980/psn-pdf
      January 13, 2014 - Common formats for patient safety data collection and event reporting. January 13, 2014 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-0 Use of common formats allows for comparison between facilities. This website provides …

7356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43429/psn-pdf
      October 11, 2016 - CA sitting on millions in hospital fines. October 11, 2016 Clark C. https://psnet.ahrq.gov/issue/ca-sitting-millions-hospital-fines Although California has collected an estimated $15 million in penalties from hospitals for adverse events, this news piece describes how much of the money has yet to be allocated or s…

7357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40755/psn-pdf
      March 02, 2012 - Fall prevention in hospitals: an integrative review. March 2, 2012 Spoelstra SL, Given BA, Given CW. Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1). doi:10.1177/1054773811418106. https://psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review Analyzing literature on fall prevention, this review …

7358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35173/psn-pdf
      June 27, 2016 - Medication Safety: A Guide for Health Care Facilities. June 27, 2016 Manasse HR Jr, Thompson KK. Bethesda, MD: American Society of Health-System Pharmacists; 2005. ISBN 9781585280896. https://psnet.ahrq.gov/issue/medication-safety-guide-health-care-facilities This book provides an in-depth introduction to implemen…

7359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35274/psn-pdf
      August 24, 2005 - Surgical Patient Safety Essential Information for Surgeons in Today's Environment. August 24, 2005 Manuel BM, Nora PF, eds. Chicago, IL: American College of Surgeons; 2004. ISBN 9781880696163. https://psnet.ahrq.gov/issue/surgical-patient-safety-essential-information-surgeons-todays-environment The editors of this…

7360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41308/psn-pdf
      April 18, 2012 - Health Care–Associated Infections (HAI) Portal. April 18, 2012 Joint Commission. https://psnet.ahrq.gov/issue/health-care-associated-infections-hai-portal This Web site provides resources on infection prevention and control, including standards, strategies, educational tools, and setting-based information. https:…