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Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. | PSNet

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April 25, 2016 - Study Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. Citation Text: Brenner S, Detz A, Lopez A, et al. Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. B…

A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet

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September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…

Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. | PSNet

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July 31, 2013 - Study Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. Citation Text: Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient or where re…

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. | PSNet

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September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. Citation Text: Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2018. Am J Health Syst …

Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. | PSNet

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September 29, 2017 - Study Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. Citation Text: Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes…

Primary care closed claims experience of Massachusetts malpractice insurers. | PSNet

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August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…

Systems analysis of adverse drug events. | PSNet

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February 10, 2011 - Study Classic Systems analysis of adverse drug events. Citation Text: Leape L, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. Copy Citation Format: Google Scholar PubMed B…

Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. | PSNet

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July 08, 2020 - Study Classic Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. Citation Text: Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…

Negligent care and malpractice claiming behavior in Utah and Colorado. | PSNet

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June 23, 2015 - Study Classic Negligent care and malpractice claiming behavior in Utah and Colorado. Citation Text: Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38(3):250-60. Copy Citation …

Patients' experience of patient safety information and participation in care during a hospital stay. | PSNet

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April 05, 2023 - Study Patients' experience of patient safety information and participation in care during a hospital stay. Citation Text: Tubic B, Finizia C, Zainal Kamil A, et al. Patients' experience of patient safety information and participation in care during a hospital stay. Nurs Open. 2023;10(3):…

Determinants of adverse events in vascular surgery. | PSNet

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March 21, 2012 - Study Determinants of adverse events in vascular surgery. Citation Text: Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045. Copy Citation Format: …

Using a potentially aggressive/violent patient huddle to improve health care safety. | PSNet

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November 16, 2022 - Commentary Using a potentially aggressive/violent patient huddle to improve health care safety. Citation Text: Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…

Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. | PSNet

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October 11, 2023 - Study Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Citation Text: Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;29…

Exploring relationships between patient safety culture and patients' assessments of hospital care. | PSNet

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December 15, 2010 - Study Exploring relationships between patient safety culture and patients' assessments of hospital care. Citation Text: Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients' assessments of hospital care. J Patient Saf. 2012;8(3):131-9. d…

Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. | PSNet

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December 20, 2023 - Study Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. Citation Text: Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…

Health care-associated infections among critically ill children in the US, 2007-2012. | PSNet

psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2007-2012

April 05, 2013 - Study Health care-associated infections among critically ill children in the US, 2007-2012. Citation Text: Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014…

Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. | PSNet

psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and

February 05, 2020 - Study Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. Citation Text: Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication opt…

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. | PSNet

psnet.ahrq.gov/issue/examination-impact-after-hours-admissions-hospital-resource-use-patient-outcomes-and-costs

November 30, 2022 - Study Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Citation Text: Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Crit Care Res Pract. 2022…

Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries. | PSNet

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September 29, 2017 - Study Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries. Citation Text: Blumenthal DM, Olenski AR, Tsugawa Y, et al. Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-D…

Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. | PSNet

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April 19, 2023 - Study Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. Citation Text: McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…

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