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Assessment of patient retention of inpatient care information post-hospitalization. | PSNet

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June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…

Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review. | PSNet

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December 02, 2020 - Review Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review. Citation Text: Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools aimed at healthcare pro…

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet

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June 23, 2021 - Study Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. Citation Text: Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…

X-ray Flip | PSNet

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August 10, 2019 - X-ray Flip Citation Text: Shapiro MJ. X-ray Flip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet

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October 09, 2024 - Study How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? Citation Text: Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2…

A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. | PSNet

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July 24, 2024 - Study A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. Citation Text: Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration error…

Improving medication reconciliation in the outpatient setting. | PSNet

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August 31, 2011 - Study Improving medication reconciliation in the outpatient setting. Citation Text: Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. Copy Citation Format: Google Scholar PubMed B…

Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. | PSNet

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August 18, 2010 - Study Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Citation Text: Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…

Implementing SBAR across a large multihospital health system. | PSNet

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November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. | PSNet

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September 02, 2020 - Study Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Citation Text: Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25. Copy Citation …

Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. | PSNet

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January 12, 2022 - Study Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. Citation Text: Rowily AA, Jalal Z, Paudyal V. Contributory factors…

Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. | PSNet

psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety

April 01, 2020 - Commentary Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. Citation Text: Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…

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…

Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. | PSNet

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August 10, 2022 - Study Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. Citation Text: Weenink J-W, Wallenburg I, Leistikow I, et al. Publication of inspection frameworks: a qualitative study exploring the i…

Implicit bias in healthcare: clinical practice, research and decision making. | PSNet

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May 25, 2022 - Review Classic Implicit bias in healthcare: clinical practice, research and decision making. Citation Text: Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. d…

Patient Allergies and Electronic Health Records | PSNet

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August 21, 2005 - June 15, 2022 WebM&M Cases Correct Treatment Plan for

Clinical decision support in the era of artificial intelligence. | PSNet

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November 06, 2015 - Commentary Classic Clinical decision support in the era of artificial intelligence. Citation Text: Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. Copy Cit…

Supplement on Deepening our Understanding of Quality in Australia (DUQuA). | PSNet

psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua

February 04, 2009 - Special or Theme Issue Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Citation Text: Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Int J Qual Health Care. 2020;32(Supp1):1-105. Copy Citation Save Save t…

Should patients have a role in patient safety? A safety engineering view. | PSNet

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June 10, 2009 - Commentary Should patients have a role in patient safety? A safety engineering view. Citation Text: Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2. Copy Citation Format: Google Scholar PubMed BibTe…

Missing clinical information during primary care visits. | PSNet

psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits

March 28, 2011 - Study Missing clinical information during primary care visits. Citation Text: Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

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