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4601. Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet
      psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
      February 03, 2021 - Study Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. Citation Text: Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…

4602. Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet
      psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
      July 20, 2011 - Study Medication discrepancies upon hospital to skilled nursing facility transitions. Citation Text: Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…

4603. FDA drug prescribing warnings: is the black box half empty or half full? | PSNet
      psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full
      December 19, 2011 - Study FDA drug prescribing warnings: is the black box half empty or half full? Citation Text: Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86. Copy Citation Format: …

4604. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet
      psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
      April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. Citation Text: de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…

4605. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. | PSNet
      psnet.ahrq.gov/issue/medication-safety-emergency-department-study-serious-medication-errors-reported-101-hospitals
      March 24, 2021 - Study Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. Citation Text: Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 20…

4606. Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. | PSNet
      psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed
      December 08, 2021 - Study Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. Citation Text: Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …

4607. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. | PSNet
      psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care
      April 13, 2022 - Study Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. Citation Text: de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient …

4608. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. | PSNet
      psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies
      February 22, 2017 - Study Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. Citation Text: Badr S, Nahle T, Rahman S, et al. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. J Gen Intern Med. 2025;40(3):525-…

4609. Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/physician-antipsychotic-overprescribing-letters-and-cognitive-behavioral-and-physical-health
      March 05, 2025 - Study Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. Citation Text: Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing…

4610. 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. | PSNet
      psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative-study
      November 16, 2022 - Study 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. Citation Text: Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study. Br J Gen Pract. 2022;…

4611. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet
      psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
      June 22, 2022 - Study Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? Citation Text: Metersky ML, Eldridge N, Wang Y, et al. Rates of adverse events in hospitalized patients after summer-time resident changeover in the …

4612. What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study. | PSNet
      psnet.ahrq.gov/issue/what-does-safety-mental-healthcare-transitions-mean-service-users-and-other-stakeholder
      February 02, 2022 - Study What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study. Citation Text: Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service users and other stakeho…

4613. Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. | PSNet
      psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
      April 12, 2023 - Study Emerging Classic Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. Citation Text: Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…

4614. Operational failures in general practice: a consensus-building study on the priorities for improvement. | PSNet
      psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement
      February 07, 2024 - Study Operational failures in general practice: a consensus-building study on the priorities for improvement. Citation Text: Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building study on the priorities for improvement. Br J Gen Pract. 2…

4615. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. | PSNet
      psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
      February 22, 2017 - Study Classic Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. Citation Text: Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…

4616. A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. | PSNet
      psnet.ahrq.gov/issue/case-controlled-study-relatives-complaints-concerning-patients-who-died-hospital-role
      November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…

4617. Safe but sound: patient safety meets evidence-based medicine. | PSNet
      psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
      March 13, 2013 - Commentary Classic Safe but sound: patient safety meets evidence-based medicine. Citation Text: Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508. Copy Citation Format: DOI Google Sc…

4618. Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. | PSNet
      psnet.ahrq.gov/issue/effects-resident-duty-hour-reform-surgical-and-procedural-patient-safety-indicators-among
      November 26, 2014 - Study Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. Citation Text: Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedura…

4619. Association of registered nurse and nursing support staffing with inpatient hospital mortality. | PSNet
      psnet.ahrq.gov/issue/association-registered-nurse-and-nursing-support-staffing-inpatient-hospital-mortality
      September 09, 2011 - Study Emerging Classic Association of registered nurse and nursing support staffing with inpatient hospital mortality. Citation Text: Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with inpatient hospital mortali…

4620. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. | PSNet
      psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
      March 30, 2022 - Study Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. Citation Text: Eriksson CO, Ovregaard N, Hansen M, et al. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety ev…