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Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet

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March 25, 2020 - Study Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. Citation Text: Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…

Principles of conservative prescribing. | PSNet

psnet.ahrq.gov/issue/principles-conservative-prescribing

April 22, 2017 - Review Classic Principles of conservative prescribing. Citation Text: Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. Copy Citation Format: …

Look alike/sound alike drugs: a literature review on causes and solutions. | PSNet

psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions

September 28, 2022 - Review Look alike/sound alike drugs: a literature review on causes and solutions. Citation Text: Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. Copy Citation For…

The impact of eHealth on the quality and safety of health care: a systematic overview. | PSNet

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December 14, 2016 - Review The impact of eHealth on the quality and safety of health care: a systematic overview. Citation Text: Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed…

Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study. | PSNet

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December 02, 2020 - Study Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study. Citation Text: Venesoja A, Tella S, Castrén M, et al. Finnish emergency medical services managers’ and medical direc…

Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet

psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic

May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet

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July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. | PSNet

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November 23, 2016 - Study Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. Citation Text: France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient Saf. 2008;1(3):145-15…

Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. | PSNet

psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient

April 19, 2017 - Study Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. Citation Text: Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality…

An analysis of incident reports related to electronic medication management: how they change over time. | PSNet

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March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…

Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events. | PSNet

psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify

May 25, 2022 - Study Classic Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events. Citation Text: Kang H, Wang J, Yao B, et al. Toward safer health care: a review strate…

Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. | PSNet

psnet.ahrq.gov/issue/characteristics-and-patient-impact-boarding-pediatric-emergency-department-2018-2022

October 19, 2022 - Study Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. Citation Text: Kappy B, Berkowitz D, Isbey S, et al. Characteristics and patient impact of boarding in the pediatric emergency department, 2018–2022. Am J Emerg Med. 2023;77:139-146. do…

The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster

July 31, 2019 - Study The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. Citation Text: McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a …

Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. | PSNet

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January 07, 2015 - Study Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. Citation Text: Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …

Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange. | PSNet

psnet.ahrq.gov/issue/organizational-characteristics-and-perceptions-clinical-event-notification-services

December 02, 2020 - Study Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange. Citation Text: Wiley KK, Hilts KE, Ancker JS, et al. Organizational characteristics and perceptions of clinical event notification …

What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. | PSNet

psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study

June 16, 2021 - Study What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. Citation Text: Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. J Health Serv Res…

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. | PSNet

psnet.ahrq.gov/issue/higher-incidence-adverse-events-isolated-patients-compared-non-isolated-patients-cohort-study

June 01, 2022 - Study Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. Citation Text: Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse events in isolated patients compared with non-isolated pati…

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. | PSNet

psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients

April 24, 2018 - Study Classic Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. Citation Text: Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized …

Physician attitudes toward family-activated medical emergency teams for hospitalized children. | PSNet

psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children

April 06, 2012 - Study Physician attitudes toward family-activated medical emergency teams for hospitalized children. Citation Text: Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…

Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU. | PSNet

psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert

May 25, 2016 - Study Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU. Citation Text: Bates KE, Shea JA, Bird GL, et al. Development and Preliminary Testing of the…

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