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A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. | PSNet

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February 16, 2022 - Commentary Emerging Classic A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Citation Text: Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…

Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. | PSNet

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May 26, 2021 - Book/Report Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. Citation Text: Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a…

Inpatient suicide and suicide attempts in Veterans Affairs hospitals. | PSNet

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January 02, 2017 - Study Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Citation Text: Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. Copy Citation Format: Go…

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. | PSNet

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July 19, 2023 - Commentary Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. Citation Text: Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety Course for Health Professio…

Implementation of patient safety structures and processes in the patient-centered medical home. | PSNet

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September 28, 2022 - Study Implementation of patient safety structures and processes in the patient-centered medical home. Citation Text: Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet

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November 30, 2022 - Study Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Citation Text: Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…

Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. | PSNet

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November 11, 2020 - Study Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. Citation Text: Turner K, Staggs V, Potter C, et al. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Qual Saf. 2020;29(12):10…

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet

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January 11, 2017 - Study Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. Citation Text: Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. | PSNet

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August 18, 2021 - Study A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. Citation Text: Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. | PSNet

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July 27, 2016 - Review Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. Citation Text: Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc.…

Using FDA reports to inform a classification for health information technology safety problems. | PSNet

psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety-problems

November 03, 2015 - Study Using FDA reports to inform a classification for health information technology safety problems. Citation Text: Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health information technology safety problems. J Am Med Inform Assoc. 2012;19(1):4…

Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. | PSNet

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May 04, 2022 - Commentary Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Citation Text: Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-…

Body of evidence: do autopsy findings impact medical malpractice claim outcomes? | PSNet

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August 19, 2020 - Study Body of evidence: do autopsy findings impact medical malpractice claim outcomes? Citation Text: Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.000000000…

Leveraging a safety event management system to improve organizational learning and safety culture. | PSNet

psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture

August 01, 2018 - Study Leveraging a safety event management system to improve organizational learning and safety culture. Citation Text: Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407…

African American COVID-19 mortality: a sentinel event. | PSNet

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November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality: a sentinel event. Citation Text: Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040. Copy Cit…

Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds

October 19, 2022 - Study Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Citation Text: Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…

Analysis of risk factors for patient safety events occurring in the emergency department. | PSNet

psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department

January 26, 2022 - Study Analysis of risk factors for patient safety events occurring in the emergency department. Citation Text: Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…

Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. | PSNet

psnet.ahrq.gov/issue/sustained-improvement-quality-patient-handoffs-after-orthopaedic-surgery-i-pass-intervention

June 15, 2022 - Study Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. Citation Text: Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Gl…

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary

November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. | PSNet

psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event

October 07, 2020 - Commentary The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. Citation Text: Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. …

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