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  1. Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. | PSNet

    psnet.ahrq.gov/issue/optimizing-medication-management-during-covid-19-pandemic-implementation-guide-post-acute-and
    August 16, 2023 - Study Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. Citation Text: Brandt N, Steinman MA. Optimizing Medication Management During the COVID‐19 Pandemic: An Implementation Guide for Post‐Acute and Long‐Term Care. J A…

  2. The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
    February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

  3. When no news is bad news: improving diagnostic testing communication through patient engagement. | PSNet

    psnet.ahrq.gov/issue/when-no-news-bad-news-improving-diagnostic-testing-communication-through-patient-engagement
    August 20, 2018 - Study When no news is bad news: improving diagnostic testing communication through patient engagement. Citation Text: Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26…

  4. Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet

    psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
    December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. Citation Text: Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. Copy Citation …

  5. Patient safety strategies targeted at diagnostic errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review
    March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…

  6. Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. | PSNet

    psnet.ahrq.gov/issue/effectiveness-patient-safety-training-equipping-medical-students-recognise-safety-hazards-and
    March 23, 2011 - Study Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. Citation Text: Hall LW, Scott SD, Cox KR, et al. Effectiveness of patient safety training in equipping medical students to recognise safety hazards…

  7. Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective. | PSNet

    psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric-chiropractic
    October 19, 2016 - Study Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective. Citation Text: Pohlman KA, Carroll L, Hartling L, et al. Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective. J Evid …

  8. Parent–provider miscommunications in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-children
    May 08, 2017 - Study Parent–provider miscommunications in hospitalized children. Citation Text: Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190. Copy Citation Format: DOI Google Sc…

  9. Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems
    June 26, 2024 - Study Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study. Citation Text: Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nu…

  10. Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet

    psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach
    November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

  11. Accidental deaths, saved lives, and improved quality. | PSNet

    psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
    February 04, 2015 - Commentary Classic Accidental deaths, saved lives, and improved quality. Citation Text: Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. C…

  12. Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/evaluating-impact-auto-calculation-settings-opioid-prescribing-academic-medical-center
    March 09, 2011 - Study Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. Citation Text: Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid Prescribing at an Academic Medical Center. Jt Comm J Qual…

  13. Pediatric prehospital medication dosing errors: a national survey of paramedics. | PSNet

    psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
    August 25, 2021 - Study Pediatric prehospital medication dosing errors: a national survey of paramedics. Citation Text: Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…

  14. Time-series analysis of health care–associated infections in a new hospital with all private rooms. | PSNet

    psnet.ahrq.gov/issue/time-series-analysis-health-care-associated-infections-new-hospital-all-private-rooms
    July 31, 2019 - Study Time-series analysis of health care–associated infections in a new hospital with all private rooms. Citation Text: McDonald EG, Dendukuri N, Frenette C, et al. Time-Series Analysis of Health Care-Associated Infections in a New Hospital With All Private Rooms. JAMA Intern Med. 2019.…

  15. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. | PSNet

    psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety
    April 24, 2018 - Review Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Citation Text: Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs A…

  16. Does crew resource management training work? An update, an extension, and some critical needs. | PSNet

    psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs
    January 02, 2017 - Review Does crew resource management training work? An update, an extension, and some critical needs. Citation Text: Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:…

  17. Information handoff and outcomes of critically ill patients transferred between hospitals. | PSNet

    psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between-hospitals
    July 18, 2016 - Study Information handoff and outcomes of critically ill patients transferred between hospitals. Citation Text: Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.20…

  18. The cost of opioid–related adverse drug events. | PSNet

    psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
    August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

  19. Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/reasons-repeat-rapid-response-team-calls-and-associations-hospital-mortality
    March 03, 2020 - Study Reasons for repeat rapid response team calls, and associations with in-hospital mortality. Citation Text: Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. …

  20. The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care. | PSNet

    psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
    August 21, 2024 - Study The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care. Citation Text: Lekman J, Lindén E, Ekstedt M. The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. Scand J Caring Sci. 2023;37(4):1…
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