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  1. psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality
    July 14, 2009 - Study Classic Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. Citation Text: Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…
  2. psnet.ahrq.gov/issue/impact-transition-digital-hospital-medication-errors-time-study
    March 27, 2024 - Study The impact of transition to a digital hospital on medication errors (TIME study). Citation Text: Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. …
  3. psnet.ahrq.gov/issue/prevalence-dose-errors-among-paediatric-patients-hospital-wards-and-without-health
    November 02, 2018 - Review The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. Citation Text: Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospi…
  4. psnet.ahrq.gov/issue/how-and-when-organization-identification-promotes-safety-voice-among-healthcare-professionals
    September 15, 2021 - Study How and when organization identification promotes safety voice among healthcare professionals. Citation Text: Hu X, Casey T. How and when organization identification promotes safety voice among healthcare professionals. J Adv Nurs. 2021;77(9):3733-3744. doi:10.1111/jan.14868. Cop…
  5. psnet.ahrq.gov/issue/effect-pharmacy-based-centralized-intravenous-admixture-service-prevalence-medication-errors
    December 01, 2021 - Study Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevale…
  6. psnet.ahrq.gov/issue/quality-and-variability-patient-directions-electronic-prescriptions-ambulatory-care-setting
    May 08, 2017 - Study Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. Citation Text: Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Car…
  7. psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
    August 16, 2023 - Study How medical error shapes physicians' perceptions of learning: an exploratory study. Citation Text: Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.00000…
  8. psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
    June 22, 2022 - Study Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on…
  9. psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams
    May 05, 2021 - Study Psychological safety in intensive care unit rounding teams. Citation Text: Diabes MA, Ervin JN, Davis BS, et al. Psychological safety in intensive care unit rounding teams. Ann Am Thorac Soc. 2021;18(6):1027-1033. doi:10.1513/annalsats.202006-753oc. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals
    July 31, 2019 - Study Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. Citation Text: Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospectiv…
  11. psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office
    December 15, 2010 - Study Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. Citation Text: Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Proble…
  12. psnet.ahrq.gov/issue/identifying-adverse-events-patients-hospitalized-isolation-or-quarantine-due-covid-19
    September 13, 2023 - Study Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. Citation Text: de Arriba Fernández A, Sánchez Medina R, Dorta Hung ME, et al. Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. J Patient Sa…
  13. psnet.ahrq.gov/issue/effects-tall-man-lettering-visual-behaviour-critical-care-nurses-while-identifying-syringe
    September 09, 2020 - Study Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation. Citation Text: Lohmeyer Q, Schiess C, Wendel Garcia PD, et al. Effects of tall man lettering on the visual behaviour of critical car…
  14. psnet.ahrq.gov/issue/effect-medication-reconciliation-and-without-patient-counseling-number-pharmaceutical
    May 26, 2021 - Study Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital. Citation Text: Karapinar-Carkit F, Borgsteede SD, Zoer J, et al. Effect of medication reconciliation with and without p…
  15. psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized
    May 18, 2022 - Study Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. Citation Text: McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…
  16. psnet.ahrq.gov/issue/multiple-meanings-resilience-health-professionals-experiences-dual-element-training
    August 10, 2022 - Study Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. Citation Text: Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences o…
  17. psnet.ahrq.gov/issue/interprofessional-and-intraprofessional-communication-about-older-peoples-medications-across
    June 26, 2019 - Study Interprofessional and intraprofessional communication about older people's medications across transitions of care. Citation Text: Manias E, Bucknall T, Woodward-Kron R, et al. Interprofessional and intraprofessional communication about older people's medications across transitions …
  18. psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
    January 08, 2020 - Review Patient safety culture in care homes for older people: a scoping review. Citation Text: Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2. Copy Citation …
  19. psnet.ahrq.gov/issue/strengthening-open-disclosure-maternity-services-english-nhs-discern-realist-evaluation-study
    April 12, 2023 - Study Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Citation Text: Adams MA, Bevan C, Booker M, et al. Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Health Soc …
  20. psnet.ahrq.gov/issue/information-concerning-icu-patients-families-handover-clinicians-game-whispers-qualitative
    March 24, 2021 - Study Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. Citation Text: Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families in the handover—the clinicians’ “game of whi…

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