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  1. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
    October 25, 2023 - Study Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. Citation Text: Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2…

  2. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/teamwork-climate-safety-climate-and-physician-burnout-national-cross-sectional-study
    October 26, 2022 - Study Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Citation Text: Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-46…

  3. Quality of handoffs in community pharmacies. | PSNet

    psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
    May 11, 2016 - Study Quality of handoffs in community pharmacies. Citation Text: Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  4. Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

    psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care
    February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

  5. Relationship between medication errors and adverse drug events. | PSNet

    psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
    May 27, 2011 - Study Classic Relationship between medication errors and adverse drug events. Citation Text: Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. Copy Citation Format:…

  6. Hicks LS et al. 2008 "Impact of computerized decision support on blood pressure management and control: a randomized controlled trial." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hicks-ls-et-al-2008
    January 01, 2008 - Hicks LS et al. 2008 "Impact of computerized decision support on blood pressure management and control: a randomized controlled trial." Reference Hicks LS, Sequist TD, Ayanian JZ, et al. Impact of computerized decision support on blood pressure management and control: a randomized controlled trial. J …

  7. A case for safety leadership team training of hospital managers. | PSNet

    psnet.ahrq.gov/issue/case-safety-leadership-team-training-hospital-managers
    August 31, 2011 - Study A case for safety leadership team training of hospital managers. Citation Text: Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d. Copy Citation F…

  8. Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. | PSNet

    psnet.ahrq.gov/issue/hospital-testing-effectiveness-co-designed-educational-materials-improve-patient-and-visitor
    February 28, 2024 - Study Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. Citation Text: King L, Belan I, Clark RA, et al. Hospital testing of the effectiveness of co-designed educational m…

  9. Parents' understanding of medication at discharge and potential harm in children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
    April 22, 2020 - Study Parents' understanding of medication at discharge and potential harm in children with medical complexity. Citation Text: Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…

  10. Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. | PSNet

    psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
    June 26, 2019 - Study Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. Citation Text: Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…

  11. The wisdom and justice of not paying for "preventable complications." | PSNet

    psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
    January 22, 2014 - Commentary Classic The wisdom and justice of not paying for "preventable complications." Citation Text: Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…

  12. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/impact-laws-aimed-healthcare-associated-infection-reduction-qualitative-study
    December 23, 2020 - Study Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. Citation Text: Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.…

  13. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
    January 31, 2024 - Study Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Citation Text: Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…

  14. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. | PSNet

    psnet.ahrq.gov/issue/minor-flow-disruptions-traffic-related-factors-and-their-effect-major-flow-disruptions
    August 19, 2020 - Study Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. Citation Text: Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating roo…

  15. The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

    psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
    October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

  16. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet

    psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
    October 09, 2024 - Study The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Citation Text: Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Pa…

  17. Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. | PSNet

    psnet.ahrq.gov/issue/communication-failure-analysis-prescribers-use-internal-free-text-field-electronic
    May 20, 2019 - Study Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. Citation Text: Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inf…

  18. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. | PSNet

    psnet.ahrq.gov/issue/universal-surveillance-methicillin-resistant-staphylococcus-aureus-3-affiliated-hospitals
    December 23, 2008 - Study Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Citation Text: Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38845/psn-pdf
    August 05, 2009 - Hospitals tally their avoidable mistakes. August 5, 2009 Rein L. Washington Post. July 21, 2009:E1. https://psnet.ahrq.gov/issue/hospitals-tally-their-avoidable-mistakes This news article reports on Washington, DC–area initiatives to track preventable patient injury and discusses strategies to hold hospitals accou…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42478/psn-pdf
    August 07, 2013 - A guide for HCAs on safe patient transfers. August 7, 2013 Lees L. https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers This commentary offers practical advice for health care assistants to reduce risks during patient transfers. https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers https://psnet…
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