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  1. psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
    January 11, 2023 - Study The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. Citation Text: Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…
  2. psnet.ahrq.gov/issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays
    September 04, 2019 - Study Classic Mortality among patients admitted to hospitals on weekends as compared with weekdays. Citation Text: Bell CM, Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with weekdays. New Engl J Med. 2001;345(9):663-668…
  3. psnet.ahrq.gov/issue/how-gender-shapes-interprofessional-teamwork-operating-room-qualitative-secondary-analysis
    March 10, 2021 - Study How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. Citation Text: Etherington C, Kitto S, Burns JK, et al. How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. BMC Health Serv Res. 2…
  4. psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
    December 31, 2014 - Study Factors contributing to an increase in duplicate medication order errors after CPOE implementation. Citation Text: Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …
  5. psnet.ahrq.gov/issue/responding-safe-care-healthcare-staff-experiences-caring-child-intellectual-disability
    June 15, 2022 - Review Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. Citation Text: Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with i…
  6. psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
    December 01, 2021 - Study Effect of barcode technology on medication preparation safety: a quasi-experimental study. Citation Text: Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1…
  7. psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done
    August 31, 2022 - Study Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. Citation Text: Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…
  8. psnet.ahrq.gov/issue/medication-discrepancy-rates-and-sources-upon-nursing-home-intake-prospective-study
    February 12, 2020 - Study Medication discrepancy rates and sources upon nursing home intake: a prospective study. Citation Text: Patterson ME, Bollinger S, Coleman C, et al. Medication discrepancy rates and sources upon nursing home intake: a prospective study. Res Social Adm Pharm. 2022;18(5):2830-2836. do…
  9. psnet.ahrq.gov/issue/avoiding-med-wreck-structured-medication-reconciliation-framework-and-standardized-auditing
    May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …
  10. psnet.ahrq.gov/issue/measuring-impact-medication-related-interventions-30-day-readmission-rates-skilled-nursing
    July 29, 2020 - Study Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. Citation Text: Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-Day Readmission Rates in a Skilled Nursing Facili…
  11. psnet.ahrq.gov/issue/what-medication-iatrogenic-risk-elderly-outpatients-chronic-pain
    February 12, 2020 - Study What is the medication iatrogenic risk in elderly outpatients for chronic pain? Citation Text: Jambon J, Choukroun C, Roux-Marson C, et al. What is the medication iatrogenic risk in elderly outpatients for chronic pain? Clin Neuropharmacol. 2022;45(3):65-71. doi:10.1097/wnf.0000000…
  12. psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
    September 09, 2020 - Study Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. Citation Text: Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…
  13. psnet.ahrq.gov/issue/electronic-health-records-and-adverse-drug-events-after-patient-transfer
    February 25, 2009 - Study Electronic health records and adverse drug events after patient transfer. Citation Text: Boockvar KS, Livote EE, Goldstein N, et al. Electronic health records and adverse drug events after patient transfer. Qual Saf Health Care. 2010;19(5):e16. doi:10.1136/qshc.2009.033050. …
  14. psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-error-simulated
    September 16, 2015 - Study Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. Citation Text: Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing…
  15. psnet.ahrq.gov/issue/cdc-central-line-bloodstream-infection-prevention-efforts-produced-net-benefits-least-640
    October 31, 2014 - Study CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. Citation Text: Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 M…
  16. psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnographic-study
    October 21, 2020 - Study Emerging Classic How to be a very safe maternity unit: an ethnographic study. Citation Text: Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01…
  17. psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
    March 02, 2022 - Study Classic Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. Citation Text: Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…
  18. psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-leaving-hospital
    December 16, 2020 - Review A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? Citation Text: Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: …
  19. psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
    January 10, 2018 - Study Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Citation Text: Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …
  20. psnet.ahrq.gov/issue/effects-pharmacist-conducted-medication-reconciliation-discharge-30-day-readmission-rates
    September 08, 2021 - Study Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. Citation Text: Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge on 30-d…

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