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The systems approach at the sharp end. | PSNet

psnet.ahrq.gov/issue/systems-approach-sharp-end

April 21, 2021 - Commentary The systems approach at the sharp end. Citation Text: Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

Medical harm: patient perceptions and follow-up actions. | PSNet

psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follow-actions

September 27, 2017 - Study Medical harm: patient perceptions and follow-up actions. Citation Text: Lyu HG, Cooper M, Mayer-Blackwell B, et al. Medical Harm: Patient Perceptions and Follow-up Actions. J Patient Saf. 2017;13(4):199-201. doi:10.1097/PTS.0000000000000136. Copy Citation Format: DOI …

Safety through redundancy: a case study of in-hospital patient transfers. | PSNet

psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers

November 03, 2015 - Study Safety through redundancy: a case study of in-hospital patient transfers. Citation Text: Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. Copy Citation Format: …

Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet

psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge

November 03, 2015 - Study Last orders: follow-up of tests ordered on the day of hospital discharge. Citation Text: Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. Copy C…

A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). | PSNet

psnet.ahrq.gov/issue/toolkit-disseminate-best-practices-inpatient-medication-reconciliation-multi-center

January 23, 2019 - Commentary A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). Citation Text: Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medicatio…

Automated identification of extreme-risk events in clinical incident reports. | PSNet

psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports

November 03, 2015 - Study Automated identification of extreme-risk events in clinical incident reports. Citation Text: Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8. Copy Citation Format: Go…

The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet

psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure

October 12, 2022 - Review The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. Citation Text: Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…

Essential activities for electronic health record safety: a qualitative study. | PSNet

psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study

April 29, 2018 - Study Essential activities for electronic health record safety: a qualitative study. Citation Text: Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. …

Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. | PSNet

psnet.ahrq.gov/issue/recognizing-our-biases-understanding-evidence-and-responding-equitably-application

April 05, 2023 - Commentary Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. Citation Text: McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application…

Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues

February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments | PSNet

psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments

June 12, 2024 - Study Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments Citation Text: Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc…

Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. | PSNet

psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication

June 29, 2011 - Study Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. Citation Text: Graves K, Symes L, Cesario SK, et al. Is There Light? Well It Depends--A Grounded Theory Study of Nurses, Lighting, and Medication Administration. Nurs Forum. …

A health system–wide initiative to decrease opioid-related morbidity and mortality. | PSNet

psnet.ahrq.gov/issue/health-system-wide-initiative-decrease-opioid-related-morbidity-and-mortality

November 16, 2022 - Commentary Emerging Classic A health system–wide initiative to decrease opioid-related morbidity and mortality. Citation Text: Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qu…

Information loss in emergency medical services handover of trauma patients. | PSNet

psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients

August 04, 2021 - Study Information loss in emergency medical services handover of trauma patients. Citation Text: Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260. Copy …

Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. | PSNet

psnet.ahrq.gov/issue/conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient

January 07, 2015 - Study Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. Citation Text: Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safet…

Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and

September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. | PSNet

psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist

May 04, 2012 - Study Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Citation Text: Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Int J Pharm P…

Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-reducing-risk-medication-misadventure-during-transition-hospital

April 24, 2018 - Study Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. Citation Text: Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted…

Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. | PSNet

psnet.ahrq.gov/issue/investigating-patient-safety-culture-across-health-system-multilevel-modelling-differences

November 12, 2014 - Study Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. Citation Text: Gallego B, Westbrook MT, Dunn AG, et al. Investigating patient safety culture across a health system: multilevel mod…

"You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety. | PSNet

psnet.ahrq.gov/issue/you-just-want-feel-safe-when-you-go-healthcare-professional-intimate-partner-violence-and

January 27, 2019 - Study "You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety. Citation Text: Maras SA. “You just want to feel safe when you go to a healthcare professional:” Intimate partner violence and patient safety. Soc Sci Med. 2023;331:1…

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