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  1. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
    October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

  2. Surgical patient safety outcomes in critical access hospitals: how do they compare? | PSNet

    psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare
    June 05, 2019 - Study Surgical patient safety outcomes in critical access hospitals: how do they compare? Citation Text: Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. C…

  3. Clinical impact of intraoperative electronic health record downtime on surgical patients. | PSNet

    psnet.ahrq.gov/issue/clinical-impact-intraoperative-electronic-health-record-downtime-surgical-patients
    March 14, 2016 - Study Clinical impact of intraoperative electronic health record downtime on surgical patients. Citation Text: Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933.…

  4. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. | PSNet

    psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography
    February 03, 2016 - Review Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. Citation Text: Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammogra…

  5. Discontinuity of chronic medications in patients discharged from the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
    November 03, 2015 - Study Discontinuity of chronic medications in patients discharged from the intensive care unit. Citation Text: Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. Copy Cita…

  6. Communicating patient safety information through video and oral formats-a comparison. | PSNet

    psnet.ahrq.gov/issue/communicating-patient-safety-information-through-video-and-oral-formats-comparison
    November 16, 2022 - Study Communicating patient safety information through video and oral formats-a comparison. Citation Text: Bånnsgård M, Nouri A, Finizia C, et al. Communicating patient safety information through video and oral formats-a comparison. J Patient Saf. 2023;19(2):137-142. doi:10.1097/pts.0000…

  7. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet

    psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
    March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…

  8. The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. | PSNet

    psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
    June 08, 2022 - Study The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. Citation Text: Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in older acutely admitted patient…

  9. A novel ICU hand-over tool: the glass door of the patient room. | PSNet

    psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
    October 12, 2009 - Commentary A novel ICU hand-over tool: the glass door of the patient room. Citation Text: Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. Copy Citation Format: …

  10. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. | PSNet

    psnet.ahrq.gov/issue/systematic-review-prevalence-frequency-and-comparative-value-adverse-events-data-social-media
    October 06, 2021 - Review Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Citation Text: Golder S, Norman G, Loke YK. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Br J Clin Pharmacol…

  11. Incorrect surgical procedures within and outside of the operating room. | PSNet

    psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
    November 21, 2011 - Study Incorrect surgical procedures within and outside of the operating room. Citation Text: Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. Copy Citation F…

  12. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
    November 16, 2022 - Study A mixed methods evaluation of medication reconciliation in the primary care setting. Citation Text: Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journ…

  13. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/collaborative-cohort-study-intervention-reduce-ventilator-associated-pneumonia-intensive-care
    September 20, 2011 - Study Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Citation Text: Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive …

  14. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet

    psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
    July 17, 2024 - Study Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. Citation Text: Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transiti…

  15. Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals. | PSNet

    psnet.ahrq.gov/issue/intravenous-smart-pump-drug-library-compliance-descriptive-study-44-hospitals
    July 31, 2019 - Study Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals. Citation Text: Giuliano KK, Su W-T, Degnan DD, et al. Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals. J Patient Saf. 2018;14(4):e76-e82. doi:10.1097/PTS.0000000…

  16. Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results of a multicentre validity and reproducibility study, 11 European Union countries, 2017 to 2018. | PSNet

    psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections-death-results
    August 10, 2022 - Study Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results of a multicentre validity and reproducibility study, 11 European Union countries, 2017 to 2018. Citation Text: van der Kooi T, Lepape A, Astagneau P, et al. Mortality review …

  17. Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. | PSNet

    psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
    July 02, 2019 - Study Classic Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. Citation Text: Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Bill…

  18. An Overview of the SOPS® Surveys for New Users - Kirchner (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-sops101-webcast-2023-kirchner.pdf
    January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Kirchner Overview of the SOPS Surveys Jess Kirchner, M.A. SOPS Program Manager User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat What are the SOPS Surveys? • Surveys of providers and staff about the extent to which their organizational cu…

  19. Medication errors involving patient-controlled analgesia.   | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
    May 24, 2015 - Study Medication errors involving patient-controlled analgesia.   Citation Text: Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. Copy Citation Format: DOI G…

  20. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. | PSNet

    psnet.ahrq.gov/issue/errors-palliative-care-kinds-causes-and-consequences-pilot-survey-experiences-and-attitudes
    December 04, 2016 - Study Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. Citation Text: Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences a…
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