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The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet

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April 01, 2005 - Development Process The development process includes selecting a diagnosis, creating a review team, and developing

The Perils of Cross Coverage | PSNet

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September 22, 2010 - As a result, programs are currently developing new handoff curricula.( 4 ) Because programs must also

Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. | PSNet

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July 20, 2022 - Study Classic Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. Citation Text: Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospect…

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet

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September 14, 2022 - Study Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. Citation Text: Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…

Clinician collaboration to improve clinical decision support: the Clickbusters initiative. | PSNet

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October 21, 2020 - EMERGING INNOVATIONS Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Citation Text: Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clini…

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. | PSNet

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April 12, 2023 - EMERGING INNOVATIONS Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. Citation Text: Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratif…

Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. | PSNet

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September 13, 2023 - Study Classic Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Citation Text: Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…

Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. | PSNet

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March 24, 2019 - Study Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. Citation Text: Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 20…

Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. | PSNet

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May 27, 2020 - Review Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. Citation Text: Michael YL, Whitlock EP, Lin JS, et al. Primary care-relevant interventions to prevent falling in older adults: a syst…

Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet

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December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. Citation Text: Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…

Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. | PSNet

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March 24, 2021 - Study Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. Citation Text: Harper A, Kukielka E, Jones RM. Process failures that increase the risk of infection through respiratory dro…

Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. | PSNet

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October 31, 2011 - Study Classic Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. Citation Text: Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-risk pa…

Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. | PSNet

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January 19, 2022 - Study Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. Citation Text: Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. J…

Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). | PSNet

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August 14, 2019 - Study Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). Citation Text: Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…

Patient safety climate strength: a concept that requires more attention. | PSNet

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March 04, 2011 - Study Patient safety climate strength: a concept that requires more attention. Citation Text: Ginsburg LR, Oore DG. Patient safety climate strength: a concept that requires more attention. BMJ Qual Saf. 2016;25(9):680-7. doi:10.1136/bmjqs-2015-004150. Copy Citation Format: …

Identifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire. | PSNet

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April 25, 2018 - Study Identifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire. Citation Text: Ric…

The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events. | PSNet

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July 13, 2010 - Study The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events. Citation Text: White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using Nonmedical Personnel to Capture Less Serious Safety …

Association of off-label drug use and adverse drug events in an adult population. | PSNet

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February 03, 2011 - Study Classic Association of off-label drug use and adverse drug events in an adult population. Citation Text: Eguale T, Buckeridge DL, Verma A, et al. Association of Off-label Drug Use and Adverse Drug Events in an Adult Population. JAMA Intern Med. 2016;176(1)…

Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. | PSNet

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January 07, 2015 - Study Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. Citation Text: van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands. Jt Comm J Q…

Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet

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August 21, 2005 - June 1, 2007 Developing a process to measure actual harm from medication errors

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