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High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. | PSNet

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March 09, 2022 - Study High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. Citation Text: Edrees H, Amato MG, Wong A, et al. High-priority drug-drug interactio…

Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. | PSNet

psnet.ahrq.gov/issue/using-sociotechnical-theory-understand-medication-safety-work-primary-care-and-prescribers

November 09, 2022 - Study Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. Citation Text: Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primar…

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

psnet.ahrq.gov/issue/testing-intervention-improve-health-care-worker-well-being-during-covid-19-pandemic-cluster

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…

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. | PSNet

psnet.ahrq.gov/issue/association-implementation-and-social-network-factors-patient-safety-culture-medical-homes

September 28, 2022 - Study Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. Citation Text: Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient safety culture in medical homes: a co…

Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-deterioration-and-hospital-acquired-complications-adult-patients-isolation

September 23, 2020 - Review Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. Citation Text: Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital‐acquired complications in adult patients wi…

Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet

psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice

December 21, 2017 - Study Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. Citation Text: Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information technology in general practice: an an…

Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. | PSNet

psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety

December 31, 2014 - Study Classic Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Citation Text: Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …

Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. | PSNet

psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting

April 12, 2017 - Study Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. Citation Text: Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …

When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet

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December 16, 2015 - Commentary When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. Citation Text: Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee s…

Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. | PSNet

psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping

September 01, 2021 - Review Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. Citation Text: Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…

Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. | PSNet

psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization

December 02, 2020 - Study Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. Citation Text: Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on morta…

Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. | PSNet

psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and

July 08, 2015 - Review Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. Citation Text: Polisena J, Gagliardi AR, Urbach DR, et al. Factors that influence the recognition, reporting and resolut…

Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. | PSNet

psnet.ahrq.gov/issue/systematic-review-prevalence-frequency-and-comparative-value-adverse-events-data-social-media

October 06, 2021 - Review Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Citation Text: Golder S, Norman G, Loke YK. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Br J Clin Pharmacol…

The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. | PSNet

psnet.ahrq.gov/issue/2017-acgme-common-work-hour-standards-promoting-physician-learning-and-professional

October 19, 2022 - Commentary The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. Citation Text: Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Profess…

Targeted versus universal decolonization to prevent ICU infection. | PSNet

psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection

November 16, 2022 - Study Classic Targeted versus universal decolonization to prevent ICU infection. Citation Text: Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet

psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports

July 06, 2022 - Study Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Citation Text: Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. C…

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. | PSNet

psnet.ahrq.gov/issue/understanding-second-victim-experience-among-multidisciplinary-providers-obstetrics-and

December 23, 2020 - Study Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. Citation Text: Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Pat…

Emotionally evocative patients in the emergency department: a mixed methods investigation of providers' reported emotions and implications for patient safety | PSNet

psnet.ahrq.gov/issue/emotionally-evocative-patients-emergency-department-mixed-methods-investigation-providers

December 20, 2023 - Study Emotionally evocative patients in the emergency department: a mixed methods investigation of providers' reported emotions and implications for patient safety Citation Text: Isbell LM, Tager J, Beals K, et al. Emotionally evocative patients in the emergency department: a mixed metho…

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge

August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…

Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet

psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients

July 16, 2015 - Study Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. Citation Text: Hsu C-C, Chou C-Y, Chou C-L, et al. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. PLoS One. 2…

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