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Unsafe care in residential settings for older adults. A content analysis of accreditation reports. | PSNet

psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports

August 16, 2023 - Study Unsafe care in residential settings for older adults. A content analysis of accreditation reports. Citation Text: Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(…

Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays

February 17, 2021 - Review Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Citation Text: Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scopin…

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet

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July 07, 2021 - Review Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. Citation Text: Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …

Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. | PSNet

psnet.ahrq.gov/issue/outcomes-associated-nationwide-introduction-rapid-response-systems-netherlands

January 18, 2013 - Study Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. Citation Text: Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care …

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. | PSNet

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September 21, 2022 - Study Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. Citation Text: Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights…

Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? | PSNet

psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice

June 23, 2021 - Review Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Citation Text: Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ …

An analysis of electronic health record–related patient safety concerns. | PSNet

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January 21, 2019 - Study Classic An analysis of electronic health record–related patient safety concerns. Citation Text: Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1…

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet

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May 18, 2022 - Review Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. Citation Text: Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. | PSNet

psnet.ahrq.gov/issue/impact-covid-19-inpatient-clinical-emergencies-single-center-experience

February 17, 2021 - Study Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Citation Text: Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135…

Ambulatory virtual care during a pandemic: patient safety considerations. | PSNet

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August 12, 2020 - Study Ambulatory virtual care during a pandemic: patient safety considerations. Citation Text: Mullur J, Chen Y-C, Wickner PG, et al. Ambulatory virtual care during a pandemic: patient safety considerations. J Patient Saf. 2022;18(2):e431-e438. doi:10.1097/pts.0000000000000832. Copy Ci…

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. | PSNet

psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk

March 31, 2021 - Study A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. Citation Text: Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK men…

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. | PSNet

psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned

September 25, 2019 - Study Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. Citation Text: Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…

Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. | PSNet

psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans

January 02, 2017 - Study Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Citation Text: Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs…

National trends in patient safety for four common conditions, 2005–2011. | PSNet

psnet.ahrq.gov/issue/national-trends-patient-safety-four-common-conditions-2005-2011

August 03, 2016 - Study Classic National trends in patient safety for four common conditions, 2005–2011. Citation Text: Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005-2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NE…

Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. | PSNet

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March 02, 2022 - Study Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. Citation Text: Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novic…

A multisite study of interprofessional teamwork and collaboration on general medical services. | PSNet

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November 15, 2023 - Study A multisite study of interprofessional teamwork and collaboration on general medical services. Citation Text: O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…

Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. | PSNet

psnet.ahrq.gov/issue/impact-altering-referral-threshold-out-hours-primary-care-hospital-patient-safety-and-further

February 02, 2022 - Study Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. Citation Text: Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…

Utilising improvement science methods to optimise medication reconciliation. | PSNet

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July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet

psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center

February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…

Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards

March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

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