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Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. | PSNet

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March 24, 2021 - Study Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. Citation Text: McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their famil…

Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. | PSNet

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September 26, 2012 - Study Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. Citation Text: Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…

A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. | PSNet

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July 24, 2024 - Study A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. Citation Text: Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration error…

Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. | PSNet

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December 21, 2022 - Review Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. Citation Text: Schiavo G, Forgerini M, Lucchetta RC, et al. Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. J Am Pharm Assoc …

The extent and importance of unintended consequences related to computerized provider order entry. | PSNet

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May 27, 2011 - Study Classic The extent and importance of unintended consequences related to computerized provider order entry. Citation Text: Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…

Improving the specificity of drug-drug interaction alerts: can it be done? | PSNet

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September 07, 2022 - Study Improving the specificity of drug-drug interaction alerts: can it be done? Citation Text: Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. Copy Cita…

Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. | PSNet

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January 07, 2015 - Study Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. Citation Text: Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681…

Incidence and preventability of adverse drug events among older persons in the ambulatory setting. | PSNet

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March 11, 2011 - Study Classic Incidence and preventability of adverse drug events among older persons in the ambulatory setting. Citation Text: Gurwitz JH, Field T, Harrold LR, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Se…

Transforming the medication regimen review process using telemedicine to prevent adverse events. | PSNet

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November 11, 2015 - Study Transforming the medication regimen review process using telemedicine to prevent adverse events. Citation Text: Kane‐Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-…

Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet

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August 11, 2021 - Study Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. Citation Text: Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug ad…

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. | PSNet

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February 02, 2022 - Review Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. Citation Text: Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a syste…

How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods

November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Citation Text: de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 202…

Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities. | PSNet

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October 20, 2021 - Study Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities. Citation Text: Latimer S, Hewitt J, de Wet C, et al. Medication reconciliation at hospital discharge: A qualitative exploration of acute…

Standardized assessment of medication reconciliation in post-acute care. | PSNet

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December 16, 2020 - Study Standardized assessment of medication reconciliation in post-acute care. Citation Text: Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post‐acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655. Copy Citation …

Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. | PSNet

psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient

October 13, 2021 - Study Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. Citation Text: Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. | PSNet

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October 07, 2020 - Study Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Citation Text: Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…

Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. | PSNet

psnet.ahrq.gov/issue/handling-polypharmacy-qualitative-study-using-focus-group-interviews-older-patients-their

August 03, 2022 - Study Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. Citation Text: Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus group interviews with olde…

How can never event data be used to reflect or improve hospital safety performance? | PSNet

psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance

March 30, 2022 - Study How can never event data be used to reflect or improve hospital safety performance? Citation Text: Olivarius‐McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/a…

Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. | PSNet

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February 17, 2021 - Study Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Citation Text: Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. …

Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers

June 14, 2017 - Review Classic Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. Citation Text: Winters BD, Bharmal A, Wilson RF, et…

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