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  1. Primary care collaboration to improve diagnosis and screening for colorectal cancer. | PSNet

    psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
    July 13, 2022 - Study Classic Primary care collaboration to improve diagnosis and screening for colorectal cancer. Citation Text: Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf…

  2. Frequency of failure to inform patients of clinically significant outpatient test results. | PSNet

    psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
    April 24, 2018 - Study Frequency of failure to inform patients of clinically significant outpatient test results. Citation Text: Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…

  3. Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing. | PSNet

    psnet.ahrq.gov/issue/personal-protective-equipment-ppe-surgeons-during-covid-19-pandemic-systematic-review
    September 23, 2020 - Review Emerging Classic Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing. Citation Text: Jessop ZM, Dobbs TD, Ali SR, et al. Personal protective equipment for surgeons during COV…

  4. Evaluation of perioperative medication errors and adverse drug events. | PSNet

    psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
    July 16, 2019 - Study Classic Evaluation of perioperative medication errors and adverse drug events. Citation Text: Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…

  5. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
    October 05, 2022 - Study Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. Citation Text: Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…

  6. Family involvement in managing medications of older patients across transitions of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/family-involvement-managing-medications-older-patients-across-transitions-care-systematic
    May 26, 2021 - Review Emerging Classic Family involvement in managing medications of older patients across transitions of care: a systematic review. Citation Text: Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transi…

  7. Design and implementation of an automated email notification system for results of tests pending at discharge. | PSNet

    psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
    March 04, 2015 - Study Design and implementation of an automated email notification system for results of tests pending at discharge. Citation Text: Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…

  8. Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study. | PSNet

    psnet.ahrq.gov/issue/changes-cancer-detection-and-false-positive-recall-mammography-using-artificial-intelligence
    August 23, 2023 - Study Classic Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study. Citation Text: Kim H-E, Kim HH, Han B-K, et al. Changes in cancer detection and false-positive recall in mammogr…

  9. The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. | PSNet

    psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
    March 24, 2021 - Study Emerging Classic The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. Citation Text: Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opi…

  10. Human factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey study. | PSNet

    psnet.ahrq.gov/issue/human-factors-considerations-using-personal-protective-equipment-covid-19-pandemic-context-bi
    July 08, 2020 - Study Human factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey study. Citation Text: Parush A, Wacht O, Gomes R, et al. Human Factors Considerations in Using Personal Protective Equipment in the COVID-19 Pandemic Context: …

  11. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-essential-tool-safe-preparedness-covid-19-pandemic
    June 02, 2021 - Study In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Citation Text: Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309. doi:10.1…

  12. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet

    psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
    May 04, 2022 - Study Collaborative case review: a systems-based approach to patient safety event investigation and analysis. Citation Text: Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…

  13. Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian Model. | PSNet

    psnet.ahrq.gov/issue/voices-frontline-nurses-care-quality-and-patient-safety-during-covid-19-application
    February 21, 2024 - Study Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian Model. Citation Text: Pogorzelska-Maziarz M, de Cordova PB, Manning ML, et al. Voices from frontline nurses on care quality and patient safety during COVID-19: an appli…

  14. Health care safety during the pandemic and beyond--building a system that ensures resilience. | PSNet

    psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
    July 20, 2022 - Commentary Health care safety during the pandemic and beyond--building a system that ensures resilience. Citation Text: Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…

  15. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. | PSNet

    psnet.ahrq.gov/issue/urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes
    November 02, 2022 - Study Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. Citation Text: Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin ca…

  16. Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet

    psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
    December 02, 2020 - Study Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. Citation Text: Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …

  17. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. | PSNet

    psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage-system
    July 29, 2020 - Commentary Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Citation Text: Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.78…

  18. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. | PSNet

    psnet.ahrq.gov/issue/when-agency-fails-analysis-association-between-hospital-agency-staffing-and-quality-outcomes
    September 11, 2024 - Study When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Citation Text: Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Ma…

  19. Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers
    July 07, 2021 - Review Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. Citation Text: White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve m…

  20. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. | PSNet

    psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification
    March 10, 2021 - Study Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. Citation Text: Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …
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