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What is the role of individual accountability in patient safety? A multi-site ethnographic study. | PSNet

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June 16, 2021 - Study What is the role of individual accountability in patient safety? A multi-site ethnographic study. Citation Text: Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):21…

Potential consequences of patient complications for surgeon well-being: a systematic review. | PSNet

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May 23, 2018 - Review Potential consequences of patient complications for surgeon well-being: a systematic review. Citation Text: Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamas…

A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families. | PSNet

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September 01, 2018 - Commentary A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families. Citation Text: Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for Bette…

Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. | PSNet

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June 04, 2014 - Study Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Citation Text: Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…

Child age and risk of medication error: a multisite children's hospital study. | PSNet

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August 28, 2024 - Study Child age and risk of medication error: a multisite children's hospital study. Citation Text: Badgery-Parker T, Li L, Fitzpatrick E, et al. Child age and risk of medication error: a multisite children's hospital study. J Pediatr. 2024;272:114087. doi:10.1016/j.jpeds.2024.114087. …

Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? | PSNet

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January 13, 2010 - Study Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? Citation Text: Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare…

Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. | PSNet

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February 16, 2022 - Study Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. Citation Text: Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. | PSNet

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September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. Citation Text: Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. | PSNet

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September 28, 2016 - Study Emerging Classic Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. Citation Text: Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropri…

Computer-based simulation to reduce EHR-related chemotherapy ordering errors. | PSNet

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October 27, 2021 - Study Computer-based simulation to reduce EHR-related chemotherapy ordering errors. Citation Text: Wyatt KD, Freedman EB, Arteaga GM, et al. Computer‐based simulation to reduce EHR‐related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496. Copy Citat…

What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. | PSNet

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October 23, 2019 - Study What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. Citation Text: Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and mi…

Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. | PSNet

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April 03, 2024 - Study Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. Citation Text: Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…

Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. | PSNet

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October 16, 2024 - Study Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. Citation Text: Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well-being during the COVID-19 pandemi…

Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet

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August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. | PSNet

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March 03, 2021 - Study The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. Citation Text: Connolly W, Rafter N, Conroy RM, et al. The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in th…

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. | PSNet

psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture

September 01, 2021 - Study Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. Citation Text: Mohr DC, Eaton JL, McPhaul KM, et al. Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. J P…

Effectiveness of written hospitalist sign-outs in answering overnight inquiries. | PSNet

psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries

January 15, 2014 - Study Effectiveness of written hospitalist sign-outs in answering overnight inquiries. Citation Text: Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. C…

Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up. | PSNet

psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions-care-between-hospital

June 07, 2023 - Study Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up. Citation Text: Armor BL, Wight AJ, Carter SM. Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between H…

Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. | PSNet

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August 30, 2017 - Study Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. Citation Text: Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared

March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

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