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Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for veterans — Los Angeles, California, 2020. | PSNet

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November 16, 2022 - Commentary Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for veterans — Los Angeles, California, 2020. Citation Text: Dora AV, Winnett A, Jatt LP, et al. Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skill…

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. | PSNet

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March 29, 2023 - Study Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Citation Text: Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…

I-PASS handoff program: use of a campaign to effect transformational change. | PSNet

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April 24, 2018 - Study I-PASS handoff program: use of a campaign to effect transformational change. Citation Text: Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. Co…

"At home, with care": lessons from New York City home-based primary care practices managing COVID-19. | PSNet

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December 16, 2020 - Study "At home, with care": lessons from New York City home-based primary care practices managing COVID-19. Citation Text: Franzosa E, Gorbenko K, Brody AA, et al. "At home, with care": lessons from New York City home-based primary care practices managing COVID-19. J Am Geriatr Soc. 2021…

Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period. | PSNet

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February 16, 2022 - Study Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period. Citation Text: Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen‐yea…

Introduction of surgical safety checklists in Ontario, Canada. | PSNet

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June 21, 2016 - Study Classic Introduction of surgical safety checklists in Ontario, Canada. Citation Text: Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa13082…

Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet

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March 09, 2022 - Study Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Citation Text: Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.100…

Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. | PSNet

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October 27, 2021 - Study Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. Citation Text: Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions to coprod…

Association of note quality and quality of care: a cross-sectional study. | PSNet

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June 05, 2018 - Study Association of note quality and quality of care: a cross-sectional study. Citation Text: Edwards ST, Neri PM, Volk LA, et al. Association of note quality and quality of care: a cross-sectional study. BMJ Qual Saf. 2014;23(5):406-13. doi:10.1136/bmjqs-2013-002194. Copy Citation …

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. | PSNet

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April 12, 2023 - Study Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. Citation Text: Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…

Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. | PSNet

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September 20, 2011 - Study Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. Citation Text: de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/…

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. | PSNet

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April 24, 2018 - Study Emerging Classic Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Citation Text: Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and B…

Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. | PSNet

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February 14, 2024 - Study Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. Citation Text: King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…

Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet

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May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…

Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. | PSNet

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November 13, 2019 - Study Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. Citation Text: Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note …

We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. | PSNet

psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address

October 17, 2018 - Study We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. Citation Text: Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…

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 …

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. | PSNet

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October 07, 2020 - Study The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. Citation Text: Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time se…

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet

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December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …

Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet

psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury

June 23, 2021 - Study Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. Citation Text: Strid EN, Wåhlin C, Ros A, et al. Health care workers’ experiences of workplace incidents that posed a risk of patient and …

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