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Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands. | PSNet

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June 09, 2021 - Study Emerging Classic Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands. Citation Text: Vanhaecht K, Seys D, Schouten L, et al. Duration of…

Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. | PSNet

psnet.ahrq.gov/issue/tele-rapid-response-team-tele-rrt-effect-implementing-patient-safety-network-system-outcomes

March 24, 2021 - Study Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. Citation Text: Balshi AN, Al-Odat MA, Alharthy AM, et al. Tele-Rapid Response Team (Tele-RRT): The effect of implementing …

Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. | PSNet

psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats

November 30, 2011 - Study Classic Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Citation Text: Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurren…

Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet

psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review

June 23, 2015 - Study Classic Incidence and types of preventable adverse events in elderly patients: population based review of medical records. Citation Text: Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based revie…

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet

psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia

August 05, 2020 - Study Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. Citation Text: Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patient…

Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. | PSNet

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September 16, 2020 - Commentary Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. Citation Text: Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. | PSNet

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January 12, 2012 - Study Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. Citation Text: Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hosp…

Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. | PSNet

psnet.ahrq.gov/issue/checklists-reduce-diagnostic-error-systematic-review-literature-using-human-factors-framework

February 22, 2023 - Review Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. Citation Text: Al-Khafaji J, Townshend RF, Townsend W, et al. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.…

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency. | PSNet

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February 11, 2009 - Study Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency. Citation Text: Field T, Rochon P, Lee M, et al. Computerized clinical decision support during medication ordering for long-term care residents with renal insuf…

Using incident reports to assess communication failures and patient outcomes. | PSNet

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February 06, 2019 - Study Using incident reports to assess communication failures and patient outcomes. Citation Text: Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2…

Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. | PSNet

psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety

August 01, 2018 - Study Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. Citation Text: Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services | PSNet

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January 27, 2021 - Study Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services Citation Text: Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…

Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. | PSNet

psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated

April 23, 2014 - Review Classic Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Citation Text: Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infe…

Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. | PSNet

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October 12, 2022 - Review Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. Citation Text: Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students: does digital technology make a difference? A …

Evaluation of symptom checkers for self diagnosis and triage: audit study. | PSNet

psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study

December 08, 2021 - Study Classic Evaluation of symptom checkers for self diagnosis and triage: audit study. Citation Text: Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…

Rates of serious surgical errors in California and plans to prevent recurrence. | PSNet

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March 09, 2022 - Study Rates of serious surgical errors in California and plans to prevent recurrence. Citation Text: Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. …

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. | PSNet

psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy

December 08, 2021 - Study Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. Citation Text: Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…

Support from hospital to home for elders: a randomized trial. | PSNet

psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial

November 30, 2016 - Study Support from hospital to home for elders: a randomized trial. Citation Text: Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094. Copy Citation Format: DOI Google…

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

psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization

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…

Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. | PSNet

psnet.ahrq.gov/issue/assessing-patients-perceptions-safety-culture-hospital-setting-development-and-initial

June 09, 2021 - Study Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. Citation Text: Monaca C, Bestmann B, Kattein M, et al. Assessing Patients' Perceptions of Safety Culture in the Hospit…

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