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The effect of workload on infection risk in critically ill patients. | PSNet

psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients

March 02, 2011 - Study Classic The effect of workload on infection risk in critically ill patients. Citation Text: Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81. Copy Citation For…

Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. | PSNet

psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services

June 01, 2016 - Study Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. Citation Text: Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualit…

Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. | PSNet

psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health

October 26, 2022 - Study Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. Citation Text: Lurvey LD, Fassett MJ, Kanter MH. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organiz…

Four-year impact of an alert notification system on closed-loop communication of critical test results. | PSNet

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June 21, 2016 - Study Four-year impact of an alert notification system on closed-loop communication of critical test results. Citation Text: Lacson R, Prevedello LM, Andriole KP, et al. Four-year impact of an alert notification system on closed-loop communication of critical test results. AJR Am J Roent…

Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. | PSNet

psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population

February 16, 2011 - Study Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. Citation Text: Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two pop…

Preventable deaths: who, how often, and why? | PSNet

psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why

February 22, 2011 - Study Classic Preventable deaths: who, how often, and why? Citation Text: Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

Systematic review of the impact of physician implicit racial bias on clinical decision making. | PSNet

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May 18, 2022 - Review Systematic review of the impact of physician implicit racial bias on clinical decision making. Citation Text: Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10…

Relationship between nursing home safety culture and Joint Commission accreditation. | PSNet

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June 02, 2010 - Study Relationship between nursing home safety culture and Joint Commission accreditation. Citation Text: Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15. Copy Citation…

Approval and perceived impact of duty hour regulations: survey of pediatric program directors. | PSNet

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February 27, 2013 - Study Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Citation Text: Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi…

Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. | PSNet

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June 10, 2020 - Study Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. Citation Text: Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf…

Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. | PSNet

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August 07, 2024 - Study Emerging Classic Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. Citation Text: Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outco…

Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues

January 31, 2024 - Book/Report Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. Citation Text: Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the …

Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet

psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va

July 13, 2022 - Book/Report Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. Citation Text: Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Rou…

Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey

January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. | PSNet

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March 24, 2021 - Study A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. Citation Text: Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health C…

Factors associated with system-level activities for patient safety and infection control. | PSNet

psnet.ahrq.gov/issue/factors-associated-system-level-activities-patient-safety-and-infection-control

January 15, 2009 - Study Factors associated with system-level activities for patient safety and infection control. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Factors associated with system-level activities for patient safety and infection control. Health Policy (New York). 2009;89(1):26-36. doi…

Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic

February 02, 2022 - Review Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. Citation Text: Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-1…

Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. | PSNet

psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study

August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…

Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-hospital-acquired-conditions-associated-potential-low-value-care-medicare

May 19, 2021 - Study Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. Citation Text: Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet

psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes

March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…

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