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Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. | PSNet

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September 28, 2010 - Commentary Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. Citation Text: Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervisi…

Scaling safety: the South Carolina Surgical Safety Checklist experience. | PSNet

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February 07, 2018 - Study Scaling safety: the South Carolina Surgical Safety Checklist experience. Citation Text: Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717. …

Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet

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January 02, 2017 - Study Rates and types of events reported to established incident reporting systems in two US hospitals. Citation Text: Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…

Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. | PSNet

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December 21, 2017 - Study Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. Citation Text: van Galen LS, Struik PW, Driesen BEJM, et al. Delayed Recognition of Deterioration of Patients …

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. | PSNet

psnet.ahrq.gov/issue/signs-and-symptoms-determine-if-patient-presenting-primary-care-or-hospital-outpatient

March 23, 2022 - Review Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. Citation Text: Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings…

Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study. | PSNet

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September 29, 2021 - Study Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study. Citation Text: Sankaran R, Sukul D, Nuliyalu U, et al. Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction …

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. | PSNet

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January 21, 2019 - Commentary Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. Citation Text: Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. | PSNet

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September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…

Work patterns and fatigue-related risk among junior doctors. | PSNet

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July 29, 2020 - Study Work patterns and fatigue-related risk among junior doctors. Citation Text: Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup Environ Med. 2007;64(11):733-8. Copy Citation Format: Google Scholar PubMed BibTeX En…

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. | PSNet

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May 19, 2021 - Study Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. Citation Text: Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. | PSNet

psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry

November 26, 2014 - Study Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. Citation Text: Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. J …

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases

August 18, 2021 - Study Emerging Classic Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. Citation Text: Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…

Suffering in silence: a qualitative study of second victims of adverse events. | PSNet

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February 03, 2021 - Study Suffering in silence: a qualitative study of second victims of adverse events. Citation Text: Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. Co…

Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. | PSNet

psnet.ahrq.gov/issue/medication-errors-hospital-admission-and-discharge-risk-factors-and-impact-medication

November 10, 2021 - Study Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. Citation Text: Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medicatio…

How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. | PSNet

psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision

March 17, 2021 - Study How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. Citation Text: Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation o…

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes

October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. | PSNet

psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses

March 28, 2012 - Study Classic Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Citation Text: Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…

Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. | PSNet

psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care

October 27, 2021 - Review Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. Citation Text: Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. | PSNet

psnet.ahrq.gov/issue/predictors-response-rates-safety-culture-questionnaires-healthcare-systematic-review-and

September 01, 2021 - Review Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. Citation Text: Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. BMJ …

Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/unannounced-versus-announced-hospital-surveys-nationwide-cluster-randomized-controlled-trial

September 20, 2023 - Study Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. Citation Text: Ehlers LH, Simonsen KB, Jensen MB, et al. Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. Int J Qual Health Care. 2017;29…

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