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psnet.ahrq.gov/issue/influence-gender-profession-and-managerial-function-clinicians-perceptions-patient-safety
September 07, 2022 - Study
Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study.
Citation Text:
Gambashidze N, Hammer A, Wagner A, et al. Influence of gender, profession, and managerial function on clinicians' pe…
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psnet.ahrq.gov/issue/cost-adverse-drug-events-related-potentially-inappropriate-medication-use-systematic-review
December 21, 2022 - Review
Cost of adverse drug events related to potentially inappropriate medication use: a systematic review.
Citation Text:
Schiavo G, Forgerini M, Lucchetta RC, et al. Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. J Am Pharm Assoc …
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psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature
June 30, 2021 - Review
Measuring safety in older adult care homes: a scoping review of the international literature.
Citation Text:
Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…
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psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
August 04, 2021 - Commentary
Findings of the first consensus conference on medical emergency teams.
Citation Text:
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
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psnet.ahrq.gov/issue/there-link-between-nursing-home-reported-quality-and-covid-19-cases-evidence-california
June 30, 2021 - Study
Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities.
Citation Text:
He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facil…
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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…
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psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
July 20, 2022 - Study
Lessons learned from a national hospital antibiotic stewardship implementation project.
Citation Text:
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…
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psnet.ahrq.gov/issue/effects-health-information-technology-patient-outcomes-systematic-review
December 03, 2018 - Review
Classic
Effects of health information technology on patient outcomes: a systematic review.
Citation Text:
Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - Commentary
Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.
Citation Text:
Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
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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…
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psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid
October 19, 2022 - Study
Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance.
Citation Text:
Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…
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psnet.ahrq.gov/issue/adverse-events-italian-nursing-homes-during-covid-19-epidemic-national-survey
December 16, 2020 - Study
Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey.
Citation Text:
Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465.
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psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
January 09, 2019 - Book/Report
Classic
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Departmen…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - Study
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.
Citation Text:
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…
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psnet.ahrq.gov/issue/private-patient-rooms-and-hospital-acquired-methicillin-resistant-staphylococcus-aureus
March 11, 2020 - Study
Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data from the United States.
Citation Text:
Park S-H, Stockbridge EL, Miller TL, et al. Private patient rooms and hospital-acquired methicillin-resista…
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - Study
Patient safety indicators during the initial COVID-19 pandemic surge in the United States.
Citation Text:
Rodriguez JA, Samal L, Ganesan S, et al. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. J Patient Saf. 2024;20(4):247-251. doi:10.10…
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psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
July 13, 2022 - Study
Lessons learned in implementing a chronic opioid therapy management system.
Citation Text:
Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …
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psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
October 27, 2021 - Study
Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.
Citation Text:
Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Rapid Response Systems
September 15, 2024
Rapid Response Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/rapid-response-systems
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field.…