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Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. | PSNet

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May 12, 2021 - Commentary Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. Citation Text: Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…

Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. | PSNet

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September 07, 2022 - Study Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. Citation Text: Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous t…

U.S. adoption of computerized physician order entry systems. | PSNet

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April 24, 2018 - Study Classic U.S. adoption of computerized physician order entry systems. Citation Text: Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health Aff (Millwood). 2005;24(6):1654-63. Copy Citation Format: …

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. | PSNet

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March 23, 2022 - Review Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. Citation Text: Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings…

Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. | PSNet

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December 21, 2018 - Study Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. Citation Text: Djukic M, Stimpfel AW, Kovner C. Bachelor's Degree Nurse Graduates Report Better Quality and Safety Educational Preparedness than Associate De…

Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. | PSNet

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May 18, 2022 - Study Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. Citation Text: Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A …

Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. | PSNet

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October 12, 2022 - Review Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. Citation Text: Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students: does digital technology make a difference? A …

Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. | PSNet

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September 03, 2011 - Commentary Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. Citation Text: Cinar P, Kubal T, Freifeld A, et al. Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. J Natl Co…

Registration-associated patient misidentification in an academic medical center: causes and corrections. | PSNet

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September 02, 2020 - Study Registration-associated patient misidentification in an academic medical center: causes and corrections. Citation Text: Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…

COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. | PSNet

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September 30, 2020 - Commentary COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Citation Text: Ingrassia PL, Capogna G, Diaz-Navarro C, et al. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Adv Simul (Lond). 2020;5:13. d…

Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture. | PSNet

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August 25, 2021 - Study Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture. Citation Text: van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety …

Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial. | PSNet

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November 30, 2016 - Study Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial. Citation Text: Rock C, Harris AD, Reich NG, et al. Is hand hygiene before putting on nonsterile gloves in the intensive care unit a wa…

Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? | PSNet

psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they

September 23, 2020 - Study Classic Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Citation Text: Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are …

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. | PSNet

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September 22, 2010 - Study Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Citation Text: Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectiv…

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. | PSNet

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February 10, 2011 - Study Classic Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. Citation Text: Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra cos…

Design and implementation of an automated email notification system for results of tests pending at discharge. | PSNet

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March 04, 2015 - Study Design and implementation of an automated email notification system for results of tests pending at discharge. Citation Text: Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…

An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. | PSNet

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September 16, 2020 - Commentary An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. Citation Text: Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:…

Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. | PSNet

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October 07, 2020 - Commentary Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. Citation Text: Whelehan DF, Algeo N, Brown DA. Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. BMJ Leader. 2021;5:108-112. doi:10.1136/leader-2020-00…

Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. | PSNet

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March 05, 2008 - Study Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. Citation Text: de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…

Lessons learned from a national hospital antibiotic stewardship implementation project. | PSNet

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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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