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Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. | PSNet

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September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…

EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? | PSNet

psnet.ahrq.gov/issue/ems-non-conveyance-safe-practice-decrease-ed-crowding-or-threat-patient-safety

January 12, 2022 - Study EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? Citation Text: Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12…

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports. | PSNet

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May 11, 2022 - Study Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports. Citation Text: Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…

For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. | PSNet

psnet.ahrq.gov/issue/profit-long-term-care-homes-and-risk-covid-19-outbreaks-and-resident-deaths

October 28, 2020 - Study For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. Citation Text: Stall NM, Jones A, Brown KA, et al. For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. CMAJ. 2020;192(33):e946-e955 . doi:10.1503/cmaj.201197.…

An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. | PSNet

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November 21, 2021 - Study An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. Citation Text: Kozasa EH, Lacerda SS, Polissici MA, et al. An Intervention to Increase Situation…

Association of primary care clinic appointment time with opioid prescribing. | PSNet

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September 01, 2021 - Study Association of primary care clinic appointment time with opioid prescribing. Citation Text: Neprash HT, Barnett ML. Association of Primary Care Clinic Appointment Time With Opioid Prescribing. JAMA Netw Open. 2019;2(8):e1910373. doi:10.1001/jamanetworkopen.2019.10373. Copy Citati…

A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. | PSNet

psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial

December 22, 2018 - Study A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. Citation Text: Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…

Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. | PSNet

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November 24, 2021 - Commentary Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. Citation Text: List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social n…

Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. | PSNet

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October 20, 2021 - Study Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. Citation Text: Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…

Paediatric family activated rapid response interventions; qualitative systematic review. | PSNet

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November 24, 2021 - Review Paediatric family activated rapid response interventions; qualitative systematic review. Citation Text: Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):1033…

The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study. | PSNet

psnet.ahrq.gov/issue/effects-three-consecutive-12-hour-shifts-cognition-sleepiness-and-domains-nursing-performance

December 01, 2021 - Study The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study. Citation Text: James L, Elkins-Brown N, Wilson M, et al. The effects of three consecutive 12-hour shifts on cognit…

Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. | PSNet

psnet.ahrq.gov/issue/evaluation-reasons-why-surgical-residents-exceeded-2011-duty-hour-requirements-when-offered

September 02, 2020 - Study Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. Citation Text: Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011 Duty Hour Requirements When Offered Flexibility: A FIRST Tri…

Lessons learned from a national hospital antibiotic stewardship implementation project. | PSNet

psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project

July 20, 2022 - Study Lessons learned from a national hospital antibiotic stewardship implementation project. Citation Text: Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…

'Care left undone' during nursing shifts: associations with workload and perceived quality of care. | PSNet

psnet.ahrq.gov/issue/care-left-undone-during-nursing-shifts-associations-workload-and-perceived-quality-care

July 19, 2019 - Study 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. Citation Text: Ball JE, Murrells T, Rafferty AM, et al. 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2014;23(2)…

Impact of computerized physician order entry alerts on prescribing in older patients. | PSNet

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September 23, 2020 - Study Impact of computerized physician order entry alerts on prescribing in older patients. Citation Text: Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015…

Free-text computerized provider order entry orders used as workaround for communicating medication information. | PSNet

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July 29, 2020 - Study Free-text computerized provider order entry orders used as workaround for communicating medication information. Citation Text: Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J…

Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. | PSNet

psnet.ahrq.gov/issue/developing-strategic-recommendations-implementing-smart-pumps-advanced-healthcare-systems

August 24, 2022 - Commentary Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. Citation Text: Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart pumps in advanced hea…

The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample

November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

"We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. | PSNet

psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis

September 23, 2020 - Study "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. Citation Text: Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of cr…

Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase

April 24, 2019 - Study Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. Citation Text: Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…

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