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  1. psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
    October 25, 2023 - Study Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Citation Text: Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…
  2. psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
    October 27, 2021 - Study Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. Citation Text: Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…
  3. psnet.ahrq.gov/issue/six-major-steps-make-investigations-suicide-valuable-learning-and-prevention
    December 07, 2022 - Review Six major steps to make investigations of suicide valuable for learning and prevention. Citation Text: Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1…
  4. psnet.ahrq.gov/issue/covid-19-related-negative-emotions-and-emotional-suppression-are-associated-greater-risk
    November 17, 2021 - Study COVID-19 related negative emotions and emotional suppression are associated with greater risk perceptions among emergency nurses: a cross-sectional study. Citation Text: Huff NR, Liu G, Chimowitz H, et al. COVID-19 related negative emotions and emotional suppression are associated …
  5. psnet.ahrq.gov/issue/electronic-health-records-communication-and-data-sharing-challenges-and-opportunities
    October 13, 2018 - Study Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Citation Text: Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving t…
  6. psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
    April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…
  7. psnet.ahrq.gov/issue/risk-delayed-or-missed-care-and-non-covid-19-outcomes-older-patients-chronic-conditions
    December 16, 2020 - Study Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic. Citation Text: Smith M, Vaughan Sarrazin M, Wang X, et al. Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic condition…
  8. psnet.ahrq.gov/issue/drug-related-hospitalizations-tertiary-care-internal-medicine-service-canadian-hospital
    April 22, 2011 - Study Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. Citation Text: Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospecti…
  9. psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases
    August 18, 2021 - Study Emerging Classic Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. Citation Text: Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…
  10. psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
    February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…
  11. psnet.ahrq.gov/issue/case-controlled-study-relatives-complaints-concerning-patients-who-died-hospital-role
    November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…
  12. psnet.ahrq.gov/issue/development-pilot-study-and-psychometric-analysis-ahrq-surveys-patient-safety-culture-sops
    December 09, 2020 - Study Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals. Citation Text: Zebrak K, Yount N, Sorra J, et al. Development, pilot study, and psychometric analysis of the AHRQ Surveys on P…
  13. psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial
    September 11, 2024 - Study Classic Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. Citation Text: Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety performance on hospi…
  14. psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
    July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. Citation Text: Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …
  15. psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
    February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…
  16. psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
    July 22, 2020 - Study Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. Citation Text: Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…
  17. digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
    January 01, 2011 - Medication Reconciliation to Improve Quality of Transitional Care - 2011 Project Name Medication Reconciliation to Improve Quality of Transitional Care Principal Investigator Weiner, Michael Organization Indiana University Funding Mechanism PAR: HS08-270: Utilizing …
  18. psnet.ahrq.gov/issue/work-conditions-mental-workload-and-patient-care-quality-multisource-study-emergency
    March 06, 2013 - Study Work conditions, mental workload and patient care quality: a multisource study in the emergency department. Citation Text: Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. BMJ Qual Saf. …
  19. psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
    October 27, 2021 - Study Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. Citation Text: Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…
  20. psnet.ahrq.gov/issue/healthcare-system-wide-implementation-opioid-safety-guideline-recommendations-case-urine-drug
    August 11, 2021 - Study Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. Citation Text: Brennan PL, Del Re AC, Henderson PT, et al. Healthcare sy…