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Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. | PSNet

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March 09, 2022 - Study Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. Citation Text: Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…

A novel ICU hand-over tool: the glass door of the patient room. | PSNet

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October 12, 2009 - Commentary A novel ICU hand-over tool: the glass door of the patient room. Citation Text: Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. Copy Citation Format: …

The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. | PSNet

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October 19, 2022 - Commentary The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. Citation Text: Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Profess…

The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. | PSNet

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October 20, 2021 - Review The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. Citation Text: Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health …

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. | PSNet

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October 21, 2020 - Study Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. Citation Text: Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med …

An intervention model that promotes accountability: peer messengers and patient/family complaints. | PSNet

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June 27, 2018 - Study An intervention model that promotes accountability: peer messengers and patient/family complaints. Citation Text: Pichert JW, Moore IN, Karrass J, et al. An intervention model that promotes accountability: peer messengers and patient/family complaints. Jt Comm J Qual Patient Saf.…

What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. | PSNet

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February 07, 2024 - Study What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Citation Text: Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitativ…

What is the role of individual accountability in patient safety? A multi-site ethnographic study. | PSNet

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June 16, 2021 - Study What is the role of individual accountability in patient safety? A multi-site ethnographic study. Citation Text: Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):21…

Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet

psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015

January 23, 2019 - Study Classic Increases in drug and opioid overdose deaths—United States, 2000–2015. Citation Text: Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…

Association of interruptions with an increased risk and severity of medication administration errors. | PSNet

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August 26, 2020 - Study Classic Association of interruptions with an increased risk and severity of medication administration errors. Citation Text: Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…

A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. | PSNet

psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient

December 29, 2014 - Study A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. Citation Text: Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…

Prevention of prescription opioid misuse and projected overdose deaths in the United States. | PSNet

psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states

August 04, 2021 - Study Classic Prevention of prescription opioid misuse and projected overdose deaths in the United States. Citation Text: Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA N…

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. | PSNet

psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources

August 04, 2021 - Review Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. Citation Text: De Oliveira GS, Castro-Alves LJ, Kendall MC, et al. Effectiveness of Pharmacist Int…

Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. | PSNet

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May 01, 2015 - Study Classic Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. Citation Text: Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of les…

Clinical practice guideline: safe medication use in the ICU. | PSNet

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February 19, 2014 - Review Clinical practice guideline: safe medication use in the ICU. Citation Text: Kane-Gill SL, Dasta JF, Buckley MS, et al. Clinical Practice Guideline: Safe Medication Use in the ICU. Crit Care Med. 2017;45(9):e877-e915. doi:10.1097/CCM.0000000000002533. Copy Citation Format: …

The association between nurse staffing and quality of care in emergency departments: a systematic review. | PSNet

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June 16, 2021 - Review The association between nurse staffing and quality of care in emergency departments: a systematic review. Citation Text: Drennan J, Murphy A, McCarthy VJC, et al. The association between nurse staffing and quality of care in emergency departments: a systematic review. Int J Nurs S…

Systematic biases in group decision-making: implications for patient safety. | PSNet

psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety

July 24, 2024 - Study Systematic biases in group decision-making: implications for patient safety. Citation Text: Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083. Copy Citation …

Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. | PSNet

psnet.ahrq.gov/issue/elder-abuse-and-neglect-overlooked-patient-safety-issue-focus-group-study-nursing-home

March 20, 2019 - Study Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. Citation Text: Myhre J, Saga S, Malmedal W, et al. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of n…

Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model. | PSNet

psnet.ahrq.gov/issue/can-preventable-adverse-events-be-predicted-among-hospitalized-older-patients-development-and

March 18, 2013 - Study Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model. Citation Text: Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among hospitalized older patients? The development …

A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. | PSNet

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August 03, 2011 - Study A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. Citation Text: Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management after hospital disc…

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