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Assessing patient work system factors for medication management during transition of care among older adults: an observational study. | PSNet

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July 20, 2022 - Study Assessing patient work system factors for medication management during transition of care among older adults: an observational study. Citation Text: Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…

Resilience in nursing medication administration practice: a systematic review with narrative synthesis. | PSNet

psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis

February 18, 2017 - Review Resilience in nursing medication administration practice: a systematic review with narrative synthesis. Citation Text: Kellett PLR, Franklin BD, Pearce S, et al. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. BMJ Open Qual. …

Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. | PSNet

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September 23, 2020 - Study Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. Citation Text: Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality improvement to optimize be…

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. | PSNet

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February 02, 2022 - Review The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. Citation Text: Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and …

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative. | PSNet

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February 22, 2023 - Study In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative. Citation Text: Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improveme…

Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet

psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level

June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…

Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet

psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design

January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Citation Text: Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…

Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet

psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning

June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. Citation Text: Rowland P, Lan MF, Wan C, et al. Why is learning from patient safety incidents (still) so hard? A sociocultural perspect…

Retained surgical items: a problem yet to be solved. | PSNet

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September 24, 2014 - Study Retained surgical items: a problem yet to be solved. Citation Text: Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026. Copy Citation Format: …

Medication use leading to emergency department visits for adverse drug events in older adults. | PSNet

psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

March 05, 2008 - Study Classic Medication use leading to emergency department visits for adverse drug events in older adults. Citation Text: Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. A…

Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study. | PSNet

psnet.ahrq.gov/issue/medication-opioid-use-disorder-after-nonfatal-opioid-overdose-and-association-mortality

October 03, 2018 - Study Classic Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study. Citation Text: Larochelle MR, Bernson D, Land T, et al. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Associat…

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. | PSNet

psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency

April 06, 2022 - Study Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. Citation Text: Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…

Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. | PSNet

psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care

April 04, 2018 - Study Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Citation Text: Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 201…

Identifying medication errors in neonatal intensive care units: a two-center study | PSNet

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November 11, 2020 - Study Identifying medication errors in neonatal intensive care units: a two-center study Citation Text: Eslami K, Aletayeb F, Aletayeb SMH, et al. Identifying medication errors in neonatal intensive care units: a two-center study. BMC Pediatr. 2019;19(1):365. doi:10.1186/s12887-019-1748-…

Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia. | PSNet

psnet.ahrq.gov/issue/clinical-and-economic-outcomes-attributable-health-care-associated-sepsis-and-pneumonia

December 09, 2015 - Study Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia. Citation Text: Eber MR, Laxminarayan R, Perencevich E, et al. Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. Arch Intern Med. 2010;170(4):347-53.…

Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? | PSNet

psnet.ahrq.gov/issue/current-teaching-and-evaluation-methods-critical-care-medicine-has-accreditation-council

February 23, 2022 - Study Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? Citation Text: Chudgar SM, Cox CE, Que LG, et al. Current teaching and evaluation methods…

Combining multiple large language models improves diagnostic accuracy. | PSNet

psnet.ahrq.gov/issue/combining-multiple-large-language-models-improves-diagnostic-accuracy

March 02, 2011 - Study Combining multiple large language models improves diagnostic accuracy. Citation Text: Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502. Copy Citation Format: …

Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. | PSNet

psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors

July 21, 2021 - Study Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. Citation Text: Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…

Prognosis of undiagnosed chest pain: linked electronic health record cohort study. | PSNet

psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study

March 19, 2018 - Study Prognosis of undiagnosed chest pain: linked electronic health record cohort study. Citation Text: Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. Copy Citation …

The effect of a rapid response team on major clinical outcome measures in a community hospital. | PSNet

psnet.ahrq.gov/issue/effect-rapid-response-team-major-clinical-outcome-measures-community-hospital

October 19, 2022 - Study The effect of a rapid response team on major clinical outcome measures in a community hospital. Citation Text: Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82. …

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