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Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. | PSNet

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October 21, 2015 - Government Resource Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. Citation Text: Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. Washington, DC: US Department of Health and Human S…

Creating a just culture in the perioperative setting. | PSNet

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July 13, 2009 - Commentary Creating a just culture in the perioperative setting. Citation Text: Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

The effect of an organizational network for patient safety on safety event reporting. | PSNet

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October 16, 2013 - Study The effect of an organizational network for patient safety on safety event reporting. Citation Text: Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/016327871349…

Capturing essential information to achieve safe interoperability. | PSNet

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February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. | PSNet

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July 22, 2015 - Review Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. Citation Text: Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scop…

Operationalizing Patient Safety at Academic Medical Centers | PSNet

psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers

August 01, 2010 - them—because arguably at an academic level, where you publish this stuff could be an equally important consideration

The Unintended Consequences of Florida Medical Liability Legislation | PSNet

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February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation Paul Barach, MD, MPH | December 1, 2005 View more articles from the same authors. Citation Text: Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…

National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. | PSNet

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September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…

Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. | PSNet

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August 25, 2021 - Study Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. Citation Text: Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self‐reported quality of patient care and adv…

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients. | PSNet

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May 12, 2021 - Study The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients. Citation Text: Lee G, Clough OT, Walker JA, et al. The perception of patient safety in an alte…

Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. | PSNet

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November 16, 2022 - Review Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Citation Text: Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(1…

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet

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September 14, 2022 - Study Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. Citation Text: Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…

Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. | PSNet

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March 24, 2021 - Study Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. Citation Text: Harper A, Kukielka E, Jones RM. Process failures that increase the risk of infection through respiratory dro…

Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic. | PSNet

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June 29, 2022 - Study Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic. Citation Text: Mahomedradja RF, van den Beukel TO, van den Bos M, et al. Prescribing errors in post - COVID-19 patients: prevalence, severity…

Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. | PSNet

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December 02, 2020 - EMERGING INNOVATIONS Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. Citation Text: Hayes M, Wheeling D, Kaul-Connolly S. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofes…

Surveillance of medical device-related hazards and adverse events in hospitalized patients. | PSNet

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March 11, 2011 - Study Classic Surveillance of medical device-related hazards and adverse events in hospitalized patients. Citation Text: Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…

Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet

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June 28, 2017 - Study Drug and opioid-involved overdose deaths- United States, 2013-2017. Citation Text: Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. Copy Citat…

EHR-related medication errors in two ICUs. | PSNet

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March 15, 2017 - Study EHR-related medication errors in two ICUs. Citation Text: Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. | PSNet

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November 03, 2010 - Commentary Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. Citation Text: Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Jo…

A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. | PSNet

psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and

January 03, 2017 - Study A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. Citation Text: Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…

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