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Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet

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June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…

Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. | PSNet

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August 18, 2021 - Study Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Citation Text: Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Public …

Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. | PSNet

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March 24, 2019 - Study Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. Citation Text: Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…

What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

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August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

Development of a measure of patient safety event learning responses. | PSNet

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June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…

Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. | PSNet

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February 17, 2021 - Study Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Citation Text: Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. …

We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. | PSNet

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October 17, 2018 - Study We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. Citation Text: Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…

Narrative review: do state laws make it easier to say "I'm sorry"? | PSNet

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June 16, 2010 - Review Narrative review: do state laws make it easier to say "I'm sorry"? Citation Text: McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816. Copy Citation Format: Google Scholar PubMed BibTeX En…

Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care. | PSNet

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November 23, 2016 - Study Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care. Citation Text: Jones D, Hansen M, Van Otterloo J, et al. Emergency Medical Services Provider Pediatric Adverse Event Rate Varies by Call Origin. Pediatr Emerg Care. 2018…

Potentially preventable 30-day hospital readmissions at a children's hospital. | PSNet

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July 11, 2017 - Study Potentially preventable 30-day hospital readmissions at a children's hospital. Citation Text: Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. Copy Citation …

The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. | PSNet

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July 24, 2019 - Review Emerging Classic The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. Citation Text: Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropri…

The impact of drug shortages on children with cancer—the example of mechlorethamine. | PSNet

psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine

February 15, 2023 - Study The impact of drug shortages on children with cancer—the example of mechlorethamine. Citation Text: Metzger ML, Billett A, Link MP. The impact of drug shortages on children with cancer--the example of mechlorethamine. N Engl J Med. 2012;367(26):2461-2463. doi:10.1056/NEJMp1212468. …

Parent willingness to remind health care workers to perform hand hygiene. | PSNet

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October 19, 2022 - Study Parent willingness to remind health care workers to perform hand hygiene. Citation Text: Buser GL, Fisher BT, Shea JA, et al. Parent willingness to remind health care workers to perform hand hygiene. Am J Infect Control. 2013;41(6):492-6. doi:10.1016/j.ajic.2012.08.006. Copy Cit…

Implementing computerized provider order entry with an existing clinical information system. | PSNet

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October 19, 2022 - Study Implementing computerized provider order entry with an existing clinical information system. Citation Text: Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-…

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet

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March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. Citation Text: van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…

The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. | PSNet

psnet.ahrq.gov/issue/impact-diagnostic-decision-support-system-consultation-perceptions-gps-and-patients

June 28, 2017 - Study The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. Citation Text: Porat T, Delaney B, Kostopoulou O. The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. BMC Med Inform Decis M…

Potentially inappropriate medication use among elderly home care patients in Europe. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-among-elderly-home-care-patients-europe

September 19, 2016 - Study Potentially inappropriate medication use among elderly home care patients in Europe. Citation Text: Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home care patients in Europe. JAMA. 2005;293(11):1348-58. Copy Citation Form…

Disclosing medical errors to patients: it's not what you say, it's what they hear. | PSNet

psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear

October 26, 2010 - Study Classic Disclosing medical errors to patients: it's not what you say, it's what they hear. Citation Text: Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…

Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations. | PSNet

psnet.ahrq.gov/issue/purchase-prescription-medicines-social-media-survey-based-study-prevalence-risk-perceptions

May 19, 2021 - Study Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations. Citation Text: Moureaud C, Hertig JB, Dong Y, et al. Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions…

Investigating the long-term consequences of adverse medical events among older adults. | PSNet

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March 24, 2019 - Study Investigating the long-term consequences of adverse medical events among older adults. Citation Text: Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-04…

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