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  1. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet

    psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
    October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports. Citation Text: Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687…

  2. Patient safety culture: effects on errors, incident reporting, and patient safety grade. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade
    August 26, 2020 - Study Patient safety culture: effects on errors, incident reporting, and patient safety grade. Citation Text: Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/…

  3. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet

    psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
    May 05, 2021 - Study Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Citation Text: Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…

  4. The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns | PSNet

    psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide-patient-safety-educate
    September 12, 2018 - Journal Article The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns Citation Text: Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation a…

  5. Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. | PSNet

    psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
    January 12, 2022 - Study Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. Citation Text: Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …

  6. Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet

    psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
    July 07, 2010 - Study Awareness of diagnosis and follow up care after discharge from the emergency department Citation Text: Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…

  7. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics. | PSNet

    psnet.ahrq.gov/issue/longitudinal-study-manifestations-and-mechanisms-technology-related-prescribing-errors
    January 18, 2023 - Study Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics. Citation Text: Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.…

  8. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. | PSNet

    psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
    November 16, 2016 - Review Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. Citation Text: Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping …

  9. 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

    psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led
    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…

  10. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. | PSNet

    psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
    October 05, 2022 - Study Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. Citation Text: Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…

  11. Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
    July 20, 2011 - Study Medication discrepancies upon hospital to skilled nursing facility transitions. Citation Text: Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…

  12. Transitioning between electronic health records: effects on ambulatory prescribing safety. | PSNet

    psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety
    June 03, 2013 - Study Transitioning between electronic health records: effects on ambulatory prescribing safety. Citation Text: Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…

  13. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. | PSNet

    psnet.ahrq.gov/issue/measuring-impact-ai-diagnosis-hospitalized-patients-randomized-clinical-vignette-survey-study
    December 20, 2020 - Study Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. Citation Text: Jabbour S, Fouhey D, Shepard S, et al. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study…

  14. Electronic health record–related events in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
    April 03, 2018 - Study Classic Electronic health record–related events in medical malpractice claims. Citation Text: Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…

  15. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-patient-centred-readmission-factors-multi-site-mixed-methods-study
    May 08, 2017 - Study Understanding patient-centred readmission factors: a multi-site, mixed-methods study. Citation Text: Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2…

  16. Impact of adverse events on outcomes in intensive care unit patients. | PSNet

    psnet.ahrq.gov/issue/impact-adverse-events-outcomes-intensive-care-unit-patients
    April 18, 2012 - Study Impact of adverse events on outcomes in intensive care unit patients. Citation Text: Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients. Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c. Copy Citation…

  17. In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/situ-simulations-detect-patient-safety-threats-during-hospital-cardiac-arrest
    September 13, 2023 - Study In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. Citation Text: Stærk M, Lauridsen KG, Johnsen J, et al. In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. Resusc Plus. 2023;14:100410. doi:10.1016/j.resplu.…

  18. The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. | PSNet

    psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms
    February 28, 2024 - Study The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. Citation Text: Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…

  19. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/prospective-evaluation-medication-related-clinical-decision-support-over-rides-intensive-care
    April 07, 2019 - Study Emerging Classic Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. Citation Text: Wong A, Amato MG, Seger DL, et al. Prospective evaluation of medication-related clinical decision support over-rid…

  20. Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/association-between-handover-anesthesiology-care-and-1-year-mortality-among-adults-undergoing
    June 08, 2022 - Study Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. Citation Text: Sun LY, Jones PM, Wijeysundera DN, et al. Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surger…
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