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  1. Classification of health information technology safety events in a pediatric tertiary care hospital. | PSNet

    psnet.ahrq.gov/issue/classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital
    May 20, 2019 - Study Classification of health information technology safety events in a pediatric tertiary care hospital. Citation Text: Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a pediatric tertiary care hospital. J Patient Saf. 2023;19(4):25…

  2. Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy
    November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

  3. Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet

    psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event
    August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

  4. Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

    psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
    June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

  5. Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. | PSNet

    psnet.ahrq.gov/issue/rural-emergency-medical-services-clinicians-perceptions-and-preferences-receiving-clinical
    June 02, 2021 - Study Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. Citation Text: Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…

  6. Leapfrog safety grades in California hospitals: a data analysis. | PSNet

    psnet.ahrq.gov/issue/leapfrog-safety-grades-california-hospitals-data-analysis
    November 16, 2022 - Study Leapfrog safety grades in California hospitals: a data analysis. Citation Text: Razick D, Amani N, Ali L, et al. Leapfrog safety grades in California hospitals: a data analysis. Am J Med Qual. 2024;39(5):251-255. doi:10.1097/jmq.0000000000000200. Copy Citation Format: …

  7. Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. | PSNet

    psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health
    December 15, 2021 - Review Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. Citation Text: Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic setting: a review of an underestimated public hea…

  8. Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. | PSNet

    psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process
    September 25, 2018 - Study Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. Citation Text: Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Proce…

  9. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-adults-living-diabetes-mellitus-scoping-review
    November 02, 2022 - Review Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Citation Text: Ayalew MB, Spark MJ, Quirk F, et al. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Int J Clin Pharm. 2022;44(4):860-…

  10. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
    February 15, 2011 - Study Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. Citation Text: Smucker DR, Regan S, Elder NC, et al. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. J Palliat Med. 20…

  11. Quality improvement for patient safety: project-level versus program-level learning. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
    April 01, 2010 - Study Quality improvement for patient safety: project-level versus program-level learning. Citation Text: Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…

  12. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-predictors-adverse-events-older-surgical-patients-impact-present-admission
    October 04, 2023 - Study Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. Citation Text: Kim H, Capezuti E, Kovner C, et al. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indi…

  13. Improving Patient Access and Patient-Clinician Continuity Through Panel Redesign - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2010
    January 01, 2010 - Improving Patient Access and Patient-Clinician Continuity Through Panel Redesign - 2010 Project Name Improving Patient Access and Patient-Clinician Continuity through Panel Redesign Principal Investigator Balasubramanian, Hari Organization University of Massachusetts Amherst …

  14. Linking patient safety culture to quality ratings in the nursing home setting. | PSNet

    psnet.ahrq.gov/issue/linking-patient-safety-culture-quality-ratings-nursing-home-setting
    June 29, 2022 - Study Linking patient safety culture to quality ratings in the nursing home setting. Citation Text: Yount N, Zebrak KA, Famolaro T, et al. Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. J Appl Gerontol. 2021;41(1):73-81. doi:10.1177/0733464820969283. Cop…

  15. Does Nursing Home Compare reflect patient safety in nursing homes? | PSNet

    psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes
    February 10, 2015 - Study Does Nursing Home Compare reflect patient safety in nursing homes? Citation Text: Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721. Copy Citation…

  16. Accuracy of practitioner estimates of probability of diagnosis before and after testing. | PSNet

    psnet.ahrq.gov/issue/accuracy-practitioner-estimates-probability-diagnosis-and-after-testing
    May 05, 2021 - Study Accuracy of practitioner estimates of probability of diagnosis before and after testing. Citation Text: Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.10…

  17. Defining, estimating, and communicating overdiagnosis in cancer screening. | PSNet

    psnet.ahrq.gov/issue/defining-estimating-and-communicating-overdiagnosis-cancer-screening
    October 13, 2018 - Commentary Defining, estimating, and communicating overdiagnosis in cancer screening. Citation Text: Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694. Copy Citation …

  18. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. | PSNet

    psnet.ahrq.gov/issue/effective-intervention-limiting-opioid-prescribing-means-reducing-opioid-analgesic-misuse-and
    July 29, 2020 - Commentary An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. Citation Text: Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, …

  19. Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluating-relationship-between-health-information-technology-and-safer-prescribing-long-term
    March 16, 2022 - Review Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. Citation Text: Kruse CS, Mileski M, Syal R, et al. Evaluating the relationship between health information technology and safer-prescribing in…

  20. The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. | PSNet

    psnet.ahrq.gov/issue/effect-implementing-bar-code-medication-administration-emergency-department-medication
    December 01, 2021 - Study The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. Citation Text: Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …
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