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Preventable adverse drug events among inpatients: a systematic review. | PSNet

psnet.ahrq.gov/issue/preventable-adverse-drug-events-among-inpatients-systematic-review

February 22, 2019 - Review Emerging Classic Preventable adverse drug events among inpatients: a systematic review. Citation Text: Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:1…

Potential biases in machine learning algorithms using electronic health record data. | PSNet

psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data

June 12, 2019 - Commentary Classic Potential biases in machine learning algorithms using electronic health record data. Citation Text: Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. | PSNet

psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously

February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team

February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …

Effect of bar-code technology on the safety of medication administration. | PSNet

psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration

October 25, 2010 - Study Classic Effect of bar-code technology on the safety of medication administration. Citation Text: Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.10…

An intervention model that promotes accountability: peer messengers and patient/family complaints. | PSNet

psnet.ahrq.gov/issue/intervention-model-promotes-accountability-peer-messengers-and-patientfamily-complaints

June 27, 2018 - Study An intervention model that promotes accountability: peer messengers and patient/family complaints. Citation Text: Pichert JW, Moore IN, Karrass J, et al. An intervention model that promotes accountability: peer messengers and patient/family complaints. Jt Comm J Qual Patient Saf.…

Electronic prescribing improves medication safety in community-based office practices. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-improves-medication-safety-community-based-office-practices

January 19, 2014 - Study Electronic prescribing improves medication safety in community-based office practices. Citation Text: Kaushal R, Kern LM, Barrón Y, et al. Electronic Prescribing Improves Medication Safety in Community-Based Office Practices. J Gen Intern Med. 2010;25(6). doi:10.1007/s11606-009-1…

A symptom-checker for adult patients visiting an interdisciplinary emergency care center and the safety of patient self-triage: real-life prospective evaluation. | PSNet

psnet.ahrq.gov/issue/symptom-checker-adult-patients-visiting-interdisciplinary-emergency-care-center-and-safety

April 21, 2021 - Study A symptom-checker for adult patients visiting an interdisciplinary emergency care center and the safety of patient self-triage: real-life prospective evaluation. Citation Text: Meer A, Rahm P, Schwendinger M, et al. A symptom-checker for adult patients visiting an interdisciplinary…

Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet

psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis

August 15, 2012 - Book/Report Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Citation Text: Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…

Bar-coding surgical sponges to improve safety: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial

March 02, 2011 - Study Classic Bar-coding surgical sponges to improve safety: a randomized controlled trial. Citation Text: Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…

The impact of rudeness on medical team performance: a randomized trial. | PSNet

psnet.ahrq.gov/issue/impact-rudeness-medical-team-performance-randomized-trial

April 24, 2018 - Study Classic The impact of rudeness on medical team performance: a randomized trial. Citation Text: Riskin A, Erez A, Foulk T, et al. The impact of rudeness on medical team performance: a randomized trial. Pediatrics. 2015;136(3):487-495. doi:10.1542/peds.2015-…

Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. | PSNet

psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians

February 07, 2024 - Study Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. Citation Text: Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…

Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet

psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident

January 15, 2020 - Journal Article Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths Citation Text: Mitchell R, Faris M, Lystad R, et al. Using the WHO International Classification…

Enhancing patient safety and risk management through clinical pathways in oncology. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology

September 13, 2023 - Study Enhancing patient safety and risk management through clinical pathways in oncology. Citation Text: Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024…

The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. | PSNet

psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital

September 08, 2021 - Study The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. Citation Text: Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on the occurrence o…

Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies. | PSNet

psnet.ahrq.gov/issue/organisational-factors-associated-safety-climate-patient-satisfaction-and-self-reported

April 07, 2021 - Study Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies. Citation Text: Jacobs S, Hann M, Bradley F, et al. Organisational factors associated with safety climate, patient satisfaction and self-reporte…

How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. | PSNet

psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk-management-strategies

March 18, 2020 - Study How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. Citation Text: Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing perioperative ri…

Explaining Michigan: developing an ex post theory of a quality improvement program. | PSNet

psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program

April 04, 2011 - Study Classic Explaining Michigan: developing an ex post theory of a quality improvement program. Citation Text: Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. | PSNet

psnet.ahrq.gov/issue/changes-weekend-and-weekday-care-quality-emergency-medical-admissions-20-hospitals-england

August 20, 2018 - Study Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. Citation Text: Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency…

Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. | PSNet

psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse

November 24, 2021 - Study Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. Citation Text: Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a quali…

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