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2721. Drug dosing error with drops – severe clinical course of codeine intoxication in twins. | PSNet
      psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins
      September 29, 2021 - Study Drug dosing error with drops – severe clinical course of codeine intoxication in twins. Citation Text: Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…

2722. The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet
      psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
      September 15, 2011 - Study The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. Citation Text: Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…

2723. How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? | PSNet
      psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19
      June 14, 2017 - Commentary How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? Citation Text: Chopra V, Toner E, Waldhorn R, et al. How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)? Ann Intern Med. 2020;172(9):621-622. doi:10.7326/m20-0907. Copy Citation…

2724. A trigger tool to identify adverse events in the intensive care unit.  | PSNet
      psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
      April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit.  Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…

2725. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet
      psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
      November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…

2726. Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet
      psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year
      August 18, 2021 - Study Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. Citation Text: Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…

2727. Does health care role and experience influence perception of safety culture related to preventing infections? | PSNet
      psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing
      July 19, 2023 - Study Does health care role and experience influence perception of safety culture related to preventing infections? Citation Text: Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …

2728. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet
      psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
      March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

2729. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
      January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011 Project Name Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Princi…

2730. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet
      psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
      June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

2731. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-long-term-care-and-its-relationship-probable-delirium
      September 23, 2020 - Study Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. Citation Text: Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25…

2732. Registered nurses' efforts to ensure safety for home-dwelling older patients. | PSNet
      psnet.ahrq.gov/issue/registered-nurses-efforts-ensure-safety-home-dwelling-older-patients
      July 19, 2019 - Study Registered nurses' efforts to ensure safety for home-dwelling older patients. Citation Text: Lindberg C, Fock J, Nilsen P, et al. Registered nurses' efforts to ensure safety for home‐dwelling older patients. Scand J Caring Sci. 2022. doi:10.1111/scs.13142. Copy Citation Forma…

2733. Aging stigma and the health of US adults over 65: what do we know? | PSNet
      psnet.ahrq.gov/issue/aging-stigma-and-health-us-adults-over-65-what-do-we-know
      December 23, 2020 - Review Aging stigma and the health of US adults over 65: what do we know? Citation Text: Allen J, Sikora N. Aging stigma and the health of US adults over 65: what do we know? Clin Interv Aging. 2023;18:2093-2116. doi:10.2147/cia.s396833. Copy Citation Format: DOI Google Sch…

2734. Time-series analysis of health care–associated infections in a new hospital with all private rooms. | PSNet
      psnet.ahrq.gov/issue/time-series-analysis-health-care-associated-infections-new-hospital-all-private-rooms
      July 31, 2019 - Study Time-series analysis of health care–associated infections in a new hospital with all private rooms. Citation Text: McDonald EG, Dendukuri N, Frenette C, et al. Time-Series Analysis of Health Care-Associated Infections in a New Hospital With All Private Rooms. JAMA Intern Med. 2019.…

2735. Association of surgical resident wellness with medical errors and patient outcomes. | PSNet
      psnet.ahrq.gov/issue/association-surgical-resident-wellness-medical-errors-and-patient-outcomes
      November 20, 2019 - Study Association of surgical resident wellness with medical errors and patient outcomes. Citation Text: Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.00000000000039…

2736. Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. | PSNet
      psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-observational-study-factors
      April 24, 2018 - Study Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. Citation Text: Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-sectional observat…

2737. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet
      psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
      April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…

2738. Organizational learning in the morbidity and mortality conference. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
      June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

2739. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. | PSNet
      psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-0
      September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2015. Am J Health Syst …

2740. Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions. | PSNet
      psnet.ahrq.gov/issue/prescribing-elderly-part-i-sensitivity-elderly-adverse-drug-reactions
      January 11, 2017 - Review Classic Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions. Citation Text: Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions*. J Am Geriatr Soc. 2015;36(2…