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Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. | PSNet

psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation

August 19, 2020 - Study Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. Citation Text: Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…

Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational

June 16, 2021 - Study Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. Citation Text: Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-home interface: an observational retrosp…

Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. | PSNet

psnet.ahrq.gov/issue/improving-patients-intensive-care-admission-through-multidisciplinary-simulation-based-crisis

August 23, 2023 - Study Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. Citation Text: Jensen JF, Ramos J, Ørom M‐L, et al. Improving patients' intensive care admission through multidisciplinary simulation‐based crisi…

The impact of perioperative catastrophes on anesthesiologists: results of a national survey. | PSNet

psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey

August 27, 2009 - Study The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Citation Text: Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…

Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet

psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events

February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety events? Citation Text: Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…

Weekend hospitalization and additional risk of death: an analysis of inpatient data. | PSNet

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September 23, 2015 - Study Weekend hospitalization and additional risk of death: an analysis of inpatient data. Citation Text: Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.1200…

Assessing the relationship between patient safety culture and EHR strategy. | PSNet

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December 21, 2018 - Study Assessing the relationship between patient safety culture and EHR strategy. Citation Text: Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0…

Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. | PSNet

psnet.ahrq.gov/issue/evaluating-ambulatory-practice-safety-promises-project-administrators-and-practice-staff

August 14, 2017 - Study Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. Citation Text: Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care. 2015;53(2):141…

Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet

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December 18, 2019 - Study Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. Citation Text: Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…

Using clinical simulation to study how to improve quality and safety in healthcare. | PSNet

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March 31, 2021 - Review Classic Using clinical simulation to study how to improve quality and safety in healthcare. Citation Text: Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2)…

Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. | PSNet

psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach

November 09, 2022 - Study Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. Citation Text: Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for imp…

The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. | PSNet

psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results

November 23, 2016 - Study Classic The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. Citation Text: Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life comm…

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. | PSNet

psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association

August 07, 2013 - Study Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. Citation Text: Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient…

The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. | PSNet

psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and

September 01, 2018 - Study The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. Citation Text: Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes. He…

Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. | PSNet

psnet.ahrq.gov/issue/exploring-attitudes-and-opinions-pharmacists-toward-delivering-prescribing-error-feedback

January 16, 2019 - Study Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing …

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. | PSNet

psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality

September 13, 2023 - Commentary An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. Citation Text: Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second …

Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. | PSNet

psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory

April 01, 2020 - Study Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information tech…

Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources. | PSNet

psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden-adverse-events

February 15, 2023 - Review Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources. Citation Text: Busch IM, Moretti F, Campagna I, et al. Promoting the psychological well-being of healthcare providers facing …

Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. | PSNet

psnet.ahrq.gov/issue/using-sociotechnical-theory-understand-medication-safety-work-primary-care-and-prescribers

November 09, 2022 - Study Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. Citation Text: Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primar…

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. | PSNet

psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce

September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…

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