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psnet.ahrq.gov/node/74837/psn-pdf
February 16, 2022 - To what extent is the World Health Organization's
Medication Safety Challenge being addressed in English
hospital organizations? A descriptive study.
February 16, 2022
Garfield S, Teo V, Chan L, et al. To what extent is the World Health Organization's Medication Safety
Challenge being addressed in English hospital…
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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - Engaging patients and informal caregivers to improve
safety and facilitate person- and family-centered care
during transitions from hospital to home: a qualitative
descriptive study.
July 10, 2019
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate
person- and family…
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psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors
December 18, 2019 - Study
Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data.
Citation Text:
Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare…
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psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and
March 11, 2020 - Study
Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden.
Citation Text:
Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healt…
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psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional
July 22, 2020 - Study
From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions.
Citation Text:
Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description o…
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psnet.ahrq.gov/issue/use-electronic-clinical-decision-support-system-primary-care-assess-inappropriate
October 21, 2020 - Study
Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study
Citation Text:
Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an ele…
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psnet.ahrq.gov/node/73321/psn-pdf
May 26, 2021 - Support for healthcare professionals after surgical patient
safety incidents: a qualitative descriptive study in 5
teaching hospitals.
May 26, 2021
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety
incidents: a qualitative descriptive study in 5 teaching hos…
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psnet.ahrq.gov/node/841769/psn-pdf
December 21, 2022 - Negative emotions experienced by healthcare staff
following medication administration errors: a descriptive
study using text-mining and content analysis of incident
data.
December 21, 2022
Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare staff
following medication a…
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psnet.ahrq.gov/node/50832/psn-pdf
January 01, 2021 - Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A
quantitative descriptive study.
January 29, 2020
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A quant…
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psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
August 15, 2012 - Study
Emerging Classic
Description and factors associated with missed nursing care in an acute care community hospital.
Citation Text:
Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J…
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psnet.ahrq.gov/issue/description-and-yield-current-quality-and-safety-review-selected-us-academic-emergency
July 13, 2016 - Study
Description and yield of current quality and safety review in selected US academic emergency departments.
Citation Text:
Griffey RT, Schneider RM, Sharp BR, et al. Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments. J Patient Sa…
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis.
January 27, 2021
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
https://psnet.ahrq.gov/issue/sys…
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psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846
March 09, 2010 - Study
Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.
Citation Text:
Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…
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psnet.ahrq.gov/issue/insulin-pump-associated-adverse-events-qualitative-descriptive-study-clinical-consequences
May 19, 2018 - Study
Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes.
Citation Text:
Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and po…
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psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement
October 13, 2018 - Study
Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis.
Citation Text:
Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…
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psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using
August 18, 2017 - Study
Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments.
Citation Text:
Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…
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psnet.ahrq.gov/issue/descriptive-study-nurse-reported-missed-care-neonatal-intensive-care-units
January 27, 2019 - Study
A descriptive study of nurse-reported missed care in neonatal intensive care units.
Citation Text:
Tubbs-Cooley HL, Pickler RH, Younger JB, et al. A descriptive study of nurse-reported missed care in neonatal intensive care units. J Adv Nurs. 2015;71(4):813-24. doi:10.1111/jan.1257…
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psnet.ahrq.gov/issue/stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-multisite
March 13, 2019 - Study
Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study.
Citation Text:
DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary st…
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psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
September 28, 2010 - Study
A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1.
Citation Text:
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …
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psnet.ahrq.gov/issue/preventing-critical-failure-can-routinely-collected-data-be-repurposed-predict-avoidable
July 02, 2014 - Study
Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study.
Citation Text:
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict…