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Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet

psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record

May 01, 2015 - Study Classic Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Citation Text: Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…

Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. | PSNet

psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication

January 07, 2015 - Study Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. Citation Text: Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …

Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. | PSNet

psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions

May 04, 2022 - Study Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. Citation Text: El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions u…

Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/unprecedented-solutions-extraordinary-times-helping-long-term-care-settings-deal-covid-19

January 12, 2022 - Commentary Emerging Classic Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. Citation Text: Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term car…

Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. | PSNet

psnet.ahrq.gov/issue/using-global-trigger-tool-surgical-and-neurosurgical-patients-feasibility-study

June 09, 2021 - Study Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. Citation Text: Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/…

What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. | PSNet

psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study

June 16, 2021 - Study What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. Citation Text: Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. J Health Serv Res…

Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-improves-during-situ-simulation-intervention-repeated-cross-sectional

January 20, 2021 - Study Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. Citation Text: Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a re…

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. | PSNet

psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content

May 19, 2021 - Commentary We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. Citation Text: Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for…

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. | PSNet

psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed

December 08, 2021 - Study Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. Citation Text: Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …

Medication-related medical emergency team activations: a case review study of frequency and preventability. | PSNet

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October 27, 2021 - Study Medication-related medical emergency team activations: a case review study of frequency and preventability. Citation Text: Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case review study of frequency and preventability. BMJ Qual S…

Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. | PSNet

psnet.ahrq.gov/issue/associations-between-internet-based-patient-ratings-and-conventional-surveys-patient

August 26, 2020 - Study Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. Citation Text: Greaves F, Pape UJ, King D, et al. Associations between Internet-based patient ratings and conventional surveys of patient…

Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care

November 06, 2019 - Review Emerging Classic Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. Citation Text: Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementa…

Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? | PSNet

psnet.ahrq.gov/issue/do-telephone-call-interruptions-have-impact-radiology-resident-diagnostic-accuracy

July 19, 2023 - Study Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Citation Text: Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.a…

Association of overlapping surgery with perioperative outcomes. | PSNet

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June 08, 2022 - Study Emerging Classic Association of overlapping surgery with perioperative outcomes. Citation Text: Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711. Copy…

Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. | PSNet

psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies

February 22, 2017 - Study Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. Citation Text: Badr S, Nahle T, Rahman S, et al. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. J Gen Intern Med. 2025;40(3):525-…

Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/physician-antipsychotic-overprescribing-letters-and-cognitive-behavioral-and-physical-health

March 05, 2025 - Study Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. Citation Text: Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing…

Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. | PSNet

psnet.ahrq.gov/issue/healthcare-fragmentation-multimorbidity-potentially-inappropriate-medication-and-mortality

April 12, 2019 - Study Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. Citation Text: Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: …

Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit

June 29, 2011 - Commentary Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Citation Text: Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. | PSNet

psnet.ahrq.gov/issue/policy-based-intervention-reduction-communication-breakdowns-inpatient-surgical-care-results

January 04, 2010 - Study A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. Citation Text: Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of communication…

Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet

psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care

January 12, 2022 - Study Getting the whole story: integrating patient complaints and staff reports of unsafe care. Citation Text: van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …

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