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Emergency department monitor alarms rarely change clinical management: an observational study. | PSNet

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September 30, 2020 - Study Emergency department monitor alarms rarely change clinical management: an observational study. Citation Text: Fleischman W, Ciliberto B, Rozanski N, et al. Emergency department monitor alarms rarely change clinical management: an observational study. Am J Emerg Med. 2020;38(6):1072…

Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. | PSNet

psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects

June 18, 2013 - Study Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. Citation Text: Mattsson TO, Lipczak H, Pottegård A. Patient Involvement in Evaluation of Safety in Oral Antineoplastic Treatm…

Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

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August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet

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August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. | PSNet

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November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…

Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. | PSNet

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January 16, 2019 - Book/Report Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. Citation Text: Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicin…

The potential for leveraging machine learning to filter medication alerts. | PSNet

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July 22, 2020 - Study The potential for leveraging machine learning to filter medication alerts. Citation Text: Liu S, Kawamoto K, Del Fiol G, et al. The potential for leveraging machine learning to filter medication alerts. J Am Med Inform Assoc. 2022;29(5):891-899. doi:10.1093/jamia/ocab292. Copy Ci…

Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. | PSNet

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January 24, 2018 - Study Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. Citation Text: Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual …

Empowering patients and reducing inequities: is there potential in sharing clinical notes? | PSNet

psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes

June 05, 2019 - Commentary Empowering patients and reducing inequities: is there potential in sharing clinical notes? Citation Text: Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…

Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. | PSNet

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June 15, 2016 - Study Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. Citation Text: Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…

Biased language in simulated handoffs and clinician recall and attitudes. | PSNet

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June 29, 2022 - Study Biased language in simulated handoffs and clinician recall and attitudes. Citation Text: Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. …

Medical team training: applying crew resource management in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration

April 30, 2014 - Study Classic Medical team training: applying crew resource management in the Veterans Health Administration. Citation Text: Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…

The influence of electronic health record design on usability and medication safety: systematic review. | PSNet

psnet.ahrq.gov/issue/influence-electronic-health-record-design-usability-and-medication-safety-systematic-review

July 19, 2023 - Review The influence of electronic health record design on usability and medication safety: systematic review. Citation Text: Cahill M, Cleary BJ, Cullinan S. The influence of electronic health record design on usability and medication safety: systematic review. BMC Health Serv Res. 2025…

Development of a preliminary patient safety classification system for generative AI. | PSNet

psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai

December 21, 2022 - Study Development of a preliminary patient safety classification system for generative AI. Citation Text: Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017…

Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration

May 17, 2023 - Study Delays in care during the COVID-19 pandemic in the Veterans Health Administration. Citation Text: Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. …

Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. | PSNet

psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care

May 12, 2021 - Study Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. Citation Text: Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care…

Medical large language models are vulnerable to data-poisoning attacks. | PSNet

psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks

November 16, 2022 - Study Medical large language models are vulnerable to data-poisoning attacks. Citation Text: Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. Copy Citation Format…

Multidisciplinary approaches to reducing error and risk in a patient care setting. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting

January 05, 2017 - Study Classic Multidisciplinary approaches to reducing error and risk in a patient care setting. Citation Text: Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002…

A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. | PSNet

psnet.ahrq.gov/issue/qualitative-positive-deviance-study-explore-exceptionally-safe-care-medical-wards-older

March 02, 2016 - Study A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. Citation Text: Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Qual Saf. …

Impact of a comprehensive patient safety strategy on obstetric adverse events. | PSNet

psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events

October 20, 2014 - Study Impact of a comprehensive patient safety strategy on obstetric adverse events. Citation Text: Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.0…

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