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  1. Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common? | PSNet

    psnet.ahrq.gov/issue/pharmacologically-inappropriate-prescriptions-elderly-patients-general-practice-how-common
    March 08, 2023 - Study Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common? Citation Text: Brekke M, Rognstad S, Straand J, et al. Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Pr…

  2. The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet

    psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
    May 22, 2013 - Study The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. Citation Text: van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…

  3. Unanticipated death after discharge home from the emergency department. | PSNet

    psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
    November 16, 2022 - Study Unanticipated death after discharge home from the emergency department. Citation Text: Sklar DP, Crandall CS, Loeliger E, et al. Unanticipated Death After Discharge Home From the Emergency Department. Ann Emerg Med. 2007;49(6). doi:10.1016/j.annemergmed.2006.11.018. Copy Citati…

  4. The Child Health PSO at 10 years: an emerging learning network. | PSNet

    psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
    July 28, 2021 - Commentary The Child Health PSO at 10 years: an emerging learning network. Citation Text: Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449. Copy Citation Format: …

  5. Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective. | PSNet

    psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective
    May 23, 2018 - Study Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective. Citation Text: Hsia IK-H, Dexter F, Logvinov I, et al. Survey of the National Drug Shortage Effect on Anesthesia and Patient Safety: A Patient Perspective. Anesth Analg. 2015;121(2)…

  6. "To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet

    psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
    August 04, 2021 - Study "To err is human" but disclosure must be taught: a simulation-based assessment study. Citation Text: Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…

  7. The second victim of unanticipated adverse events. | PSNet

    psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
    February 12, 2020 - Commentary The second victim of unanticipated adverse events. Citation Text: Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010. Copy Citation Format: DOI …

  8. Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. | PSNet

    psnet.ahrq.gov/issue/improving-medication-administration-safety-using-naive-observation-assess-practice-and-guide
    October 06, 2016 - Study Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. Citation Text: Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and g…

  9. Discrepancies between home medications listed at hospital admission and reported medical conditions. | PSNet

    psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
    November 03, 2021 - Study Discrepancies between home medications listed at hospital admission and reported medical conditions. Citation Text: Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother.…

  10. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. | PSNet

    psnet.ahrq.gov/issue/effective-triage-can-ameliorate-deleterious-effects-delayed-transfer-trauma-patients
    August 04, 2021 - Study Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. Citation Text: Richardson D, Franklin G, Santos A, et al. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma…

  11. Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. | PSNet

    psnet.ahrq.gov/issue/defining-minimum-necessary-anticoagulation-related-communication-discharge-consensus-care
    March 04, 2020 - Study Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. Citation Text: Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Commu…

  12. Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. | PSNet

    psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care
    May 24, 2010 - Study Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Citation Text: Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the c…

  13. A survey of outpatient internal medicine clinician perceptions of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
    February 12, 2020 - Study A survey of outpatient internal medicine clinician perceptions of diagnostic error. Citation Text: Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070. Co…

  14. Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. | PSNet

    psnet.ahrq.gov/issue/organizational-ambidexterity-and-hybrid-middle-manager-case-patient-safety-uk-hospitals
    January 29, 2014 - Study Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. Citation Text: Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2…

  15. How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet

    psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals
    October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

  16. Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-safe-sleep-among-hospitalized-infants-eight-childrens-hospitals
    April 24, 2018 - Study Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. Citation Text: Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88…

  17. Adoption of health information technology for medication safety in US hospitals, 2006. | PSNet

    psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
    August 07, 2013 - Study Adoption of health information technology for medication safety in US hospitals, 2006. Citation Text: Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi…

  18. No harm found when nurse anesthetists work without supervision by physicians. | PSNet

    psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
    August 04, 2021 - Study No harm found when nurse anesthetists work without supervision by physicians. Citation Text: Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966. Copy Citat…

  19. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-crisis-resource-management-simulation-based-training-interprofessional-and
    November 13, 2019 - Review Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. Citation Text: Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…

  20. Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. | PSNet

    psnet.ahrq.gov/issue/lack-emergency-medical-services-documentation-associated-poor-patient-outcomes-validation
    June 14, 2017 - Study Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. Citation Text: Laudermilch DJ, Schiff MA, Nathens AB, et al. Lack of emergency medical services documentation is associated with p…
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