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psnet.ahrq.gov/issue/adverse-events-italian-nursing-homes-during-covid-19-epidemic-national-survey
December 16, 2020 - Study
Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey.
Citation Text:
Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465.
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psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
July 13, 2022 - Study
Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.
Citation Text:
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involveme…
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psnet.ahrq.gov/issue/diagnostic-trajectories-primary-care-12-months-observational-cohort-study
December 02, 2020 - Study
Diagnostic trajectories in primary care at 12 months: an observational cohort study.
Citation Text:
Fontil V, Khoong EC, Lyles C, et al. Diagnostic trajectories in primary care at 12 months: an observational cohort study. Jt Comm J Qual Patient Saf. 2022;48(8):395-402. doi:10.1016/…
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psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care
February 28, 2024 - Study
Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…
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psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
December 14, 2022 - Study
Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future.
Citation Text:
Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTE…
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psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience
September 23, 2020 - Commentary
Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.
Citation Text:
Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - Study
Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis.
Citation Text:
Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transiti…
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Study
Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.
Citation Text:
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…
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psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
March 17, 2021 - Study
Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates.
Citation Text:
Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…
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psnet.ahrq.gov/issue/7-year-analysis-attributable-costs-healthcare-associated-infections-network-community
April 24, 2018 - Study
A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States.
Citation Text:
Zhang HL, Crane L, Cromer AL, et al. A 7-year analysis of attributable costs of healthcare-associated infections in a ne…
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - Study
When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.
Citation Text:
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…
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psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors
May 27, 2011 - Study
How useful are voluntary medication error reports? The case of warfarin-related medication errors.
Citation Text:
Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis.
Citation Text:
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
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psnet.ahrq.gov/issue/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community
July 21, 2021 - Study
Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff.
Citation Text:
Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staf…
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psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
November 16, 2022 - Commentary
Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.
Citation Text:
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…
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psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
October 09, 2024 - Review
Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature.
Citation Text:
Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv …
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psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
January 08, 2025 - Study
Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.
Citation Text:
Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…
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psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
August 03, 2022 - Study
Electronic approaches to making sense of the text in the adverse event reporting system.
Citation Text:
Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…
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psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative
January 18, 2023 - Study
Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study.
Citation Text:
Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual S…
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psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic
May 01, 2024 - Study
Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study.
Citation Text:
Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…