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Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. | PSNet

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January 12, 2022 - Review Emerging Classic Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. Citation Text: van Dael J, Reader TW, Gillespie A, et al. Learning from complaints in healthcare: a realist review o…

High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet

psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing

May 18, 2022 - Study High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? Citation Text: Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…

What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. | PSNet

psnet.ahrq.gov/issue/what-patients-complaints-and-praise-tell-health-practitioner-implications-health-care-quality

February 21, 2024 - Study What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. Citation Text: Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for healt…

Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. | PSNet

psnet.ahrq.gov/issue/implementing-receiver-driven-handoffs-emergency-department-reduce-miscommunication

December 05, 2018 - Study Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. Citation Text: Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.113…

How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. | PSNet

psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three

April 21, 2015 - Study How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. Citation Text: Martin G, Ozieranski P, Leslie M, et al. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. J Heal…

Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet

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May 06, 2020 - Study Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. Citation Text: Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Olde…

Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet

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June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital

June 22, 2022 - Study Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. Citation Text: Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. JAMA Netw Open. 2022;5(1)…

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. | PSNet

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January 08, 2025 - Study Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. Citation Text: Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…

WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. | PSNet

psnet.ahrq.gov/issue/who-research-agenda-role-institutional-safety-climate-hand-hygiene-improvement-delphi

February 01, 2011 - Study WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. Citation Text: Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement…

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. | PSNet

psnet.ahrq.gov/issue/impact-electronic-health-record-alert-inappropriate-prescribing-high-risk-medications

August 25, 2021 - Study Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. Citation Text: Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …

Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department

September 22, 2017 - Study Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. Citation Text: Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…

Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. | PSNet

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August 18, 2021 - Study Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. Citation Text: Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…

The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. | PSNet

psnet.ahrq.gov/issue/effect-two-different-electronic-health-record-user-interfaces-intensive-care-provider-task

March 16, 2022 - Study The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. Citation Text: Ahmed A, Chandra S, Herasevich V, et al. The effect of two different electronic health record user interfaces on intensi…

Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. | PSNet

psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national

November 16, 2022 - Study Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. Citation Text: Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …

Medication-related problems in critical care survivors: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review

August 20, 2018 - Review Medication-related problems in critical care survivors: a systematic review. Citation Text: Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …

Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet

psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors

June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…

Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. | PSNet

psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record

May 20, 2019 - Study Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. Citation Text: Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…

How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet

psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general

December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. | PSNet

psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical

June 08, 2022 - Study A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Citation Text: Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Australas Emerg C…

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