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  1. Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. | PSNet

    psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and
    October 26, 2022 - Study Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. Citation Text: Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…

  2. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey
    January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

  3. The Harvard Medical Practice Study trigger system performance in deceased patients. | PSNet

    psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
    March 02, 2022 - Study The Harvard Medical Practice Study trigger system performance in deceased patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…

  4. Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. | PSNet

    psnet.ahrq.gov/issue/association-health-literacy-postoperative-outcomes-patients-undergoing-major-abdominal
    May 08, 2017 - Study Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. Citation Text: Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2…

  5. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/stop-orders-reduce-inappropriate-urinary-catheterization-hospitalized-patients-randomized
    February 23, 2022 - Study Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. Citation Text: Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled t…

  6. Reducing treatment errors through point-of-care glucometer configuration. | PSNet

    psnet.ahrq.gov/issue/reducing-treatment-errors-through-point-care-glucometer-configuration
    September 23, 2020 - Study Reducing treatment errors through point-of-care glucometer configuration. Citation Text: Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014…

  7. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet

    psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
    June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …

  8. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. | PSNet

    psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
    February 12, 2020 - Study Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. Citation Text: Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …

  9. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. | PSNet

    psnet.ahrq.gov/issue/clinical-profile-hospitalized-children-provided-urgent-assistance-medical-emergency-team
    February 01, 2011 - Study Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Citation Text: Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 20…

  10. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
    September 04, 2016 - Study Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Citation Text: Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…

  11. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

    psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos
    November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Citation Text: Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. C…

  12. Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
    March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

  13. Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

    psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
    August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

  14. Relationship between nurse burnout, patient and organizational outcomes: systematic review. | PSNet

    psnet.ahrq.gov/issue/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review
    December 01, 2021 - Review Relationship between nurse burnout, patient and organizational outcomes: systematic review. Citation Text: Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.101…

  15. Trends in adverse event rates in hospitalized patients, 2010-2019. | PSNet

    psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019
    June 22, 2022 - Study Trends in adverse event rates in hospitalized patients, 2010-2019. Citation Text: Eldridge N, Wang Y, Metersky M, et al. Trends in adverse event rates in hospitalized patients, 2010-2019. JAMA. 2022;328(2):173-183. doi:10.1001/jama.2022.9600. Copy Citation Format: DOI…

  16. Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. | PSNet

    psnet.ahrq.gov/issue/assessment-fidelity-interventions-improve-hand-hygiene-healthcare-workers-systematic-review
    June 02, 2019 - Review Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. Citation Text: Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Contro…

  17. Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

    psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
    December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…

  18. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet

    psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
    January 18, 2013 - Study Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? Citation Text: Rosen AK, Itani KMF, Cevasco M, et al. Validating the Patient Safety Indicators in the Veterans Health Administration. Med Care. 2011;50(…

  19. A national profile of patient safety in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
    April 11, 2011 - Study Classic A national profile of patient safety in U.S. hospitals. Citation Text: Romano PS, Geppert JJ, Davies SM, et al. A national profile of patient safety in U.S. hospitals. Health Aff (Millwood). 2003;22(2):154-66. Copy Citation Format: …

  20. Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet

    psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
    October 14, 2009 - Study Hospital safety climate and safety outcomes: is there a relationship in the VA? Citation Text: Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. …
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