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Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health

August 02, 2015 - Study Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Citation Text: Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. | PSNet

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March 29, 2023 - Study Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Citation Text: Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…

Adverse events experienced by homecare patients: a scoping review of the literature. | PSNet

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October 19, 2022 - Review Adverse events experienced by homecare patients: a scoping review of the literature. Citation Text: Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/…

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. | PSNet

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December 01, 2021 - Study Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Citation Text: Calder LA, Perry J, Yan JW, et al. Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Ann Emerg Med. 2021;77(6…

Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? | PSNet

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June 16, 2011 - Study Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Citation Text: Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual …

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…

Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. | PSNet

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December 21, 2014 - Slideset Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. Citation Text: Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) pat…

Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. | PSNet

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February 17, 2017 - Study Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. Citation Text: Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. BM…

Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. | PSNet

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June 21, 2016 - Study Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. Citation Text: Riskin A, Bamberger P, Erez A, et al. Incivility and Patient Safety: A Longitudinal Study of Rudeness, Protocol Compliance, and Adverse Events. Jt Comm J Qual Pa…

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. | PSNet

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September 21, 2008 - Study NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. Citation Text: Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Pe…

Did duty hour reform lead to better outcomes among the highest risk patients? | PSNet

psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients

January 13, 2010 - Study Did duty hour reform lead to better outcomes among the highest risk patients? Citation Text: Volpp KG, Rosen AK, Rosenbaum PR, et al. Did duty hour reform lead to better outcomes among the highest risk patients? J Gen Intern Med. 2009;24(10):1149-55. doi:10.1007/s11606-009-1011-z…

Patient mortality during unannounced accreditation surveys at US hospitals. | PSNet

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August 03, 2022 - Study Patient mortality during unannounced accreditation surveys at US hospitals. Citation Text: Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685. Copy …

Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. | PSNet

psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates

April 12, 2017 - Study Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. Citation Text: Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict …

COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. | PSNet

psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest

August 19, 2020 - Commentary Emerging Classic COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. Citation Text: Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulat…

Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. | PSNet

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November 09, 2022 - Review Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. Citation Text: Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication safety: a multimethods research programme. Programm…

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. | PSNet

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September 23, 2020 - Commentary Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. Citation Text: Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet

psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers

June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/variability-collection-and-use-raceethnicity-and-language-data-93-pediatric-hospitals

July 15, 2020 - Study Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. Citation Text: Cowden JD, Flores G, Chow T, et al. Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. J Racial Ethn Health Disparities. 202…

Allergic adverse drug events after alert overrides in hospitalized patients. | PSNet

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May 25, 2022 - Study Allergic adverse drug events after alert overrides in hospitalized patients. Citation Text: Luri M, Gastaminza G, Idoate A, et al. Allergic adverse drug events after alert overrides in hospitalized patients. J Patient Saf. 2022;18(6):630-636. doi:10.1097/pts.0000000000001034. Cop…

An ethnographic study of health information technology use in three intensive care units. | PSNet

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January 14, 2014 - Study An ethnographic study of health information technology use in three intensive care units. Citation Text: Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1…

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