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A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. | PSNet

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March 16, 2022 - Study A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. Citation Text: Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with mat…

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

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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…

Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. | PSNet

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August 12, 2020 - Study Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. Citation Text: Wang X, Wilson C, Holmes K. Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. J Gerontol Soc Work. 2021:1-17. doi:10.1080/016…

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. | PSNet

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February 17, 2021 - Study Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. Citation Text: Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. | PSNet

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April 01, 2020 - Study Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. Citation Text: Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard …

Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. | PSNet

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September 23, 2020 - Study Classic Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Citation Text: Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEV…

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. | PSNet

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June 08, 2022 - Review The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. Citation Text: Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based t…

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

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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: …

Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. | PSNet

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December 30, 2014 - Study Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Citation Text: Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual …

The care transitions intervention: translating from efficacy to effectiveness. | PSNet

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August 18, 2021 - Study Classic The care transitions intervention: translating from efficacy to effectiveness. Citation Text: Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med. 2011;171(14):1232-7. …

Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. | PSNet

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October 19, 2022 - Study Classic Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Citation Text: Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series acr…

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. | PSNet

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December 02, 2020 - Study Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Citation Text: Donovan AL, Aaronson EL, Black L, et al. Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Jt Comm J Qual Patient Saf. 20…

Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. | PSNet

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May 25, 2016 - Study Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. Citation Text: Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled Substances Had No Detectable Effect On Providers. Health Aff (Mil…

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

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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…

General practitioners' risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study. | PSNet

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December 21, 2014 - Study General practitioners' risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study. Citation Text: Wegwarth O, Hoffmann TC, Goldacre B, et al. General practitioners’ risk literacy and real-world prescribing of potentially hazardous drugs: a cros…

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. | PSNet

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June 15, 2016 - Review Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. Citation Text: Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of computerized physician o…

Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet

psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic

May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet

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July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…

Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. | PSNet

psnet.ahrq.gov/issue/family-conferences-facilitate-deprescribing-older-outpatients-frailty-and-polypharmacy

July 29, 2020 - Study Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. Citation Text: Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty…

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

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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/…

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