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

psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors

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…

Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. | PSNet

psnet.ahrq.gov/issue/assessing-content-validity-and-user-perspectives-team-check-tool-expert-survey-and-user-focus

January 02, 2017 - Study Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. Citation Text: Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. B…

Observing sources of system resilience using in situ alarm simulations. | PSNet

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August 30, 2023 - Study Observing sources of system resilience using in situ alarm simulations. Citation Text: McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. Copy Citation Form…

Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. | PSNet

psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology

November 16, 2016 - Study Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. Citation Text: Aldrich R, Finlayson P, Hill K, et al. Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology d…

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. | PSNet

psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration

August 21, 2024 - Study Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. Citation Text: Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…

Quality management and perceptions of teamwork and safety climate in European hospitals. | PSNet

psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals

May 26, 2014 - Study Quality management and perceptions of teamwork and safety climate in European hospitals. Citation Text: Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi…

Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis

May 17, 2017 - Study Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. Citation Text: Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101…

Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. | PSNet

psnet.ahrq.gov/issue/association-between-exposure-nonactionable-physiologic-monitor-alarms-and-response-time

August 20, 2014 - Study Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. Citation Text: Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospit…

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. | PSNet

psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept

February 16, 2022 - Study Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. Citation Text: Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…

Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/incidence-versus-prevalence-based-measures-inappropriate-prescribing-veterans-health

March 18, 2020 - Study Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. Citation Text: Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate Prescribing in the Veterans Health Administration. J Am G…

A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication

May 11, 2022 - Study A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. Citation Text: Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance rega…

Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. | PSNet

psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest

April 12, 2023 - Study Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. Citation Text: McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…

International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. | PSNet

psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert

February 14, 2018 - Study International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. Citation Text: Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…

Using statistical text classification to identify health information technology incidents. | PSNet

psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents

February 14, 2024 - Study Using statistical text classification to identify health information technology incidents. Citation Text: Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…

The effect of visitation restrictions on ED error. | PSNet

psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error

July 01, 2016 - Study The effect of visitation restrictions on ED error. Citation Text: Marks CM, Wolfe RE, Grossman SA. The effect of visitation restrictions on ED error. Intern Emerg Med. 2024;19(5):1425-1430. doi:10.1007/s11739-024-03537-3. Copy Citation Format: DOI Google Scholar BibTe…

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…

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

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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…

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

psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review

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: …

Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. | PSNet

psnet.ahrq.gov/issue/physician-perspectives-responding-clinician-perpetuated-interpersonal-racism-against-black

July 26, 2023 - Study Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. Citation Text: Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black p…

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