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Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. | PSNet

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October 27, 2021 - Study Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. Citation Text: Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. …

A systematic review of patient safety measures in adult primary care. | PSNet

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March 15, 2016 - Review A systematic review of patient safety measures in adult primary care. Citation Text: Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328. Copy Citation Format…

Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". | PSNet

psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community

March 15, 2016 - Study Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". Citation Text: Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementati…

Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. | PSNet

psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older

November 15, 2023 - Study Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. Citation Text: Arbaje AI, Hughes A, Werner N, et al. Information management goa…

Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. | PSNet

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September 29, 2017 - Study Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. Citation Text: Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 201…

The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. | PSNet

psnet.ahrq.gov/issue/effects-hospital-safety-scores-total-price-out-pocket-cost-and-household-income-consumers

July 02, 2014 - Study The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. Citation Text: Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost, and Household Incom…

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. | PSNet

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April 09, 2013 - Study Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. Citation Text: Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…

The safety implications of missed test results for hospitalised patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/safety-implications-missed-test-results-hospitalised-patients-systematic-review

November 26, 2014 - Review Classic The safety implications of missed test results for hospitalised patients: a systematic review. Citation Text: Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a systematic review. BMJ Q…

Lessons learned in implementing a chronic opioid therapy management system. | PSNet

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July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. Citation Text: Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …

Frailty, gaps in care coordination, and preventable adverse events. | PSNet

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January 18, 2023 - Study Frailty, gaps in care coordination, and preventable adverse events. Citation Text: Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7. Copy Citation Form…

Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. | PSNet

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February 02, 2022 - Study Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. Citation Text: Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. | PSNet

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December 02, 2014 - Study Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. Citation Text: Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ …

Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. | PSNet

psnet.ahrq.gov/issue/speaking-about-care-concerns-icu-patient-and-family-experiences-attitudes-and-perceived

August 09, 2018 - Study Emerging Classic Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. Citation Text: Bell SK, Roche S, Mueller A, et al. Speaking up about care concerns in the ICU: patient and family experiences, at…

Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. | PSNet

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October 26, 2022 - Study Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. Citation Text: Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and a…

Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. | PSNet

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January 19, 2022 - Study Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. Citation Text: Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and comm…

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. | PSNet

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April 03, 2019 - Review Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. Citation Text: Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…

Medication errors in the outpatient setting: classification and root cause analysis. | PSNet

psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis

December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care. | PSNet

psnet.ahrq.gov/issue/medsafer-study-controlled-trial-electronic-decision-support-tool-deprescribing-acute-care

February 02, 2022 - Study The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care. Citation Text: McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision Support Tool for Deprescribing in Acute Care. J Am Ge…

Electronic health record adoption and rates of in-hospital adverse events. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-adoption-and-rates-hospital-adverse-events

August 02, 2023 - Study Electronic health record adoption and rates of in-hospital adverse events. Citation Text: Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257. Copy C…

Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. | PSNet

psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited

July 29, 2020 - Review Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. Citation Text: Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limi…

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