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Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet

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March 24, 2021 - Study Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. Citation Text: Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…

Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. | PSNet

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January 12, 2022 - Study Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Citation Text: Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…

Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. | PSNet

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July 19, 2023 - Review Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. Citation Text: Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitorin…

Prevalence of copied information by attendings and residents in critical care progress notes. | PSNet

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September 28, 2017 - Study Prevalence of copied information by attendings and residents in critical care progress notes. Citation Text: Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…

Clinical informatics team members' perspectives on health information technology safety after experiential learning and safety process development: qualitative descriptive study. | PSNet

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September 04, 2024 - Study Clinical informatics team members' perspectives on health information technology safety after experiential learning and safety process development: qualitative descriptive study. Citation Text: Recsky C, Rush KL, MacPhee M, et al. Clinical informatics team members' perspectives on …

Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. | PSNet

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July 22, 2020 - Study Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. Citation Text: Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualita…

Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations. | PSNet

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October 31, 2014 - Study Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations. Citation Text: Carayon P, Wetterneck TB, Cartmill R, et al. Medication Safety in Two Intensive …

Association of sleep and fatigue with decision regret among critical care nurses. | PSNet

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July 14, 2021 - Study Association of sleep and fatigue with decision regret among critical care nurses. Citation Text: Scott LD, Arslanian-Engoren C, Engoren MC. Association of sleep and fatigue with decision regret among critical care nurses. Am J Crit Care. 2014;23(1):13-23. doi:10.4037/ajcc2014191. …

Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. | PSNet

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October 06, 2010 - Review Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. Citation Text: Bae S‐H. Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic …

Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet

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August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet

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October 07, 2020 - Study Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. Citation Text: Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from P…

Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. | PSNet

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October 18, 2023 - Study Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. Citation Text: Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…

Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. | PSNet

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March 04, 2019 - Study Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. Citation Text: Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Un…

Clinical impact of intraoperative electronic health record downtime on surgical patients. | PSNet

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March 14, 2016 - Study Clinical impact of intraoperative electronic health record downtime on surgical patients. Citation Text: Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933.…

The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. | PSNet

psnet.ahrq.gov/issue/nature-magnitude-and-reporting-compliance-device-related-events-intravenous-patient

March 20, 2024 - Study The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. Citation Text: Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporti…

Multifaceted intervention to improve patient safety incident reporting in intensive care units. | PSNet

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January 18, 2023 - Study Multifaceted intervention to improve patient safety incident reporting in intensive care units. Citation Text: Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428.…

Medication event huddles: a tool for reducing adverse drug events. | PSNet

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December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. | PSNet

psnet.ahrq.gov/issue/hospitalwide-adverse-drug-events-and-after-limiting-weekly-work-hours-medical-residents-80

May 04, 2010 - Study Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Citation Text: Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Sys…

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. | PSNet

psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices

June 14, 2017 - Study He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Citation Text: Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identifica…

How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. | PSNet

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September 07, 2022 - Study How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. Citation Text: Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…

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