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Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet

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September 10, 2014 - Government Resource Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. Citation Text: Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix H…

Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. | PSNet

psnet.ahrq.gov/issue/perceptions-pediatric-hospital-safety-culture-united-states-analysis-2016-hospital-survey

January 19, 2022 - Study Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. Citation Text: Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of t…

Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation. | PSNet

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November 17, 2021 - Study Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation. Citation Text: Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on hospital performance: The m…

How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. | PSNet

psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study

March 18, 2013 - Study Classic How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospect…

Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. | PSNet

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August 18, 2021 - Study Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. Citation Text: Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled…

Do medical inpatients who report poor service quality experience more adverse events and medical errors? | PSNet

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July 14, 2021 - Study Classic Do medical inpatients who report poor service quality experience more adverse events and medical errors? Citation Text: Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse ev…

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. | PSNet

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May 20, 2020 - Study Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. Citation Text: Tamblyn R, Winslade N, Lee TC, et…

"SWARMing" to improve patient care: a novel approach to root cause analysis. | PSNet

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September 23, 2020 - Study "SWARMing" to improve patient care: a novel approach to root cause analysis. Citation Text: Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. Copy Citation Format: …

Communication between primary and secondary care: deficits and danger. | PSNet

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September 23, 2020 - Study Communication between primary and secondary care: deficits and danger. Citation Text: Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. Copy Citation Format…

Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. | PSNet

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June 21, 2016 - Study Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. Citation Text: Simon M, Maben J, Murrells T, et al. Is single room hospital accommod…

Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial. | PSNet

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May 18, 2022 - Study Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial. Citation Text: Auty SG, Barr KD, Frakt AB, et al. Effect of a Veter…

Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. | PSNet

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July 12, 2023 - Study Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. Citation Text: Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…

Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet

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June 02, 2021 - Study Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? Citation Text: Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…

A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. | PSNet

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December 23, 2011 - Study A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. Citation Text: Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care p…

National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. | PSNet

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September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…

Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. | PSNet

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November 30, 2016 - Study Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. Citation Text: Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. …

Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. | PSNet

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June 14, 2017 - Study Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. Citation Text: Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of pre…

A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. | PSNet

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May 29, 2019 - Study A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. Citation Text: Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in electronic health records at hospital…

Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. | PSNet

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September 11, 2019 - Study Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Citation Text: Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…

"Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. | PSNet

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August 04, 2015 - Study "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. Citation Text: Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern …

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