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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…

Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. | PSNet

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November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…

Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-covid-19-pandemic-qualitative-study-perspectives-front-line-clinicians

May 15, 2024 - Study Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. Citation Text: Schulson L, Bandini J, Bialas A, et al. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. BMJ Open Qual. 2024…

Comparing VA and Non-VA quality of care: a systematic review. | PSNet

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May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

Preventable medication harm across health care settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review-and-meta-analysis

July 31, 2019 - Review Classic Preventable medication harm across health care settings: a systematic review and meta-analysis. Citation Text: Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis…

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. | PSNet

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May 08, 2017 - Study Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. Citation Text: Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Car…

Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. | PSNet

psnet.ahrq.gov/issue/effects-pharmacist-conducted-medication-reconciliation-discharge-30-day-readmission-rates

September 08, 2021 - Study Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. Citation Text: Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge on 30-d…

How to be a very safe maternity unit: an ethnographic study. | PSNet

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October 21, 2020 - Study Emerging Classic How to be a very safe maternity unit: an ethnographic study. Citation Text: Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01…

Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. | PSNet

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May 04, 2022 - Review Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review. Citation Text: Morin L, Laroche M-L, Texier G, et al. Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic r…

The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta

April 26, 2017 - Review The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta-analysis. Citation Text: Schreiber PW, Sax H, Wolfensberger A, et al. The preventable proportion of healthcare-associated infections 2005-2016: Systematic review and meta-analysis.…

Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach. | PSNet

psnet.ahrq.gov/issue/identifying-patient-and-practice-characteristics-associated-patient-reported-experiences

April 25, 2018 - Study Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach. Citation Text: Ricci-Cabello I, Reeves D, Bell BG, et al. Identifying patient and practice chara…

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. | PSNet

psnet.ahrq.gov/issue/reducing-surgical-mortality-scotland-use-who-surgical-safety-checklist

February 09, 2011 - Study Classic Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. Citation Text: Ramsay G, Haynes AB, Lipsitz SR, et al. Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. Br J Surg. 2019;106(8):…

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. | PSNet

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October 28, 2020 - Study Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. Citation Text: Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…

Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. | PSNet

psnet.ahrq.gov/issue/acting-between-guidelines-and-reality-interview-study-exploring-strategies-first-line

May 19, 2021 - Study Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. Citation Text: Hedsköld M, Sachs MA, Rosander T, et al. Acting between guidelines and reality- an interview study exploring the strategies of first line…

FDA drug prescribing warnings: is the black box half empty or half full? | PSNet

psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full

December 19, 2011 - Study FDA drug prescribing warnings: is the black box half empty or half full? Citation Text: Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86. Copy Citation Format: …

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. | PSNet

psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related

October 27, 2021 - Study Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. Citation Text: Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…

How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. | PSNet

psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure

June 16, 2021 - Review Emerging Classic How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Citation Text: Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…

Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. | PSNet

psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens

December 02, 2014 - Study Classic Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. Citation Text: Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outs…

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. | PSNet

psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire

April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…

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;…

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