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Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. | PSNet

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June 26, 2024 - Study Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. Citation Text: Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Admini…

A study of error reporting by nurses: the significant impact of nursing team dynamics. | PSNet

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April 12, 2014 - Study A study of error reporting by nurses: the significant impact of nursing team dynamics. Citation Text: Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194…

Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

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May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. | PSNet

psnet.ahrq.gov/issue/provider-bias-prescribing-opioid-analgesics-study-electronic-medical-records-hospital

September 30, 2020 - Study Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. Citation Text: Keister LA, Stecher C, Aronson B, et al. Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emer…

The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet

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October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet

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October 08, 2013 - Study A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Citation Text: Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…

A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. | PSNet

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July 07, 2021 - Commentary A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. Citation Text: Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy…

Systematic review of the impact of physician implicit racial bias on clinical decision making. | PSNet

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May 18, 2022 - Review Systematic review of the impact of physician implicit racial bias on clinical decision making. Citation Text: Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10…

COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. | PSNet

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June 29, 2009 - Commentary COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. Citation Text: Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal in health care: a …

Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet

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November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. | PSNet

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February 07, 2022 - Organizational Policy/Guidelines Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Citation Text: Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: …

Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool. | PSNet

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April 03, 2019 - Study Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool. Citation Text: Merrell SB, Gaba DM, Agarwala A, et al. Use of an Emergency Manual During an Intraoperative Cardiac Arrest by…

Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized

December 31, 2014 - Study Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…

Laboratory safety monitoring of chronic medications in ambulatory care settings. | PSNet

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January 06, 2017 - Study Laboratory safety monitoring of chronic medications in ambulatory care settings. Citation Text: Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525…

Outpatient adverse drug events identified by screening electronic health records. | PSNet

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June 08, 2016 - Study Outpatient adverse drug events identified by screening electronic health records. Citation Text: Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…

A trigger tool to identify adverse events in the intensive care unit. | PSNet

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April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit. Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. | PSNet

psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship

October 10, 2012 - Study Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. Citation Text: Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship Wit…

Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. | PSNet

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March 11, 2011 - Study Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. Citation Text: Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. J Biomed Inform. 2005;38(3):…

Decisions about critical events in device-related scenarios as a function of expertise. | PSNet

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January 02, 2017 - Study Decisions about critical events in device-related scenarios as a function of expertise. Citation Text: Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. Copy Citat…

Educational levels of hospital nurses and surgical patient mortality. | PSNet

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February 09, 2011 - Study Classic Educational levels of hospital nurses and surgical patient mortality. Citation Text: Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623. Copy Citation For…

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