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National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet

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September 12, 2016 - Study National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. Citation Text: Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…

Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. | PSNet

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November 28, 2018 - Study Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. Citation Text: Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…

Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. | PSNet

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June 08, 2022 - Study Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. Citation Text: Sun LY, Jones PM, Wijeysundera DN, et al. Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surger…

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. | PSNet

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April 05, 2016 - Study Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. Citation Text: Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new…

Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence | PSNet

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March 17, 2021 - Review Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence Citation Text: Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of t…

Emergency physician perceptions of patient safety risks. | PSNet

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September 15, 2011 - Study Emergency physician perceptions of patient safety risks. Citation Text: Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020. Copy Citation Format: DOI …

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. | PSNet

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January 17, 2024 - Review Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Prevalence, causes and severity of medication administration errors in the…

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. | PSNet

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April 06, 2022 - Study Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. Citation Text: Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased…

Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. | PSNet

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April 22, 2015 - Study Classic Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. Citation Text: Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP crit…

Predictors of serious opioid-related adverse drug events in hospitalized patients. | PSNet

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March 10, 2021 - Study Predictors of serious opioid-related adverse drug events in hospitalized patients. Citation Text: Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000…

Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. | PSNet

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January 12, 2022 - Study Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. Citation Text: Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…

Duplicate medication order errors: safety gaps and recommendations for improvement. | PSNet

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March 22, 2023 - Study Duplicate medication order errors: safety gaps and recommendations for improvement. Citation Text: Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. Co…

Patient feedback for safety improvement in primary care: results from a feasibility study. | PSNet

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December 02, 2020 - Study Patient feedback for safety improvement in primary care: results from a feasibility study. Citation Text: Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen…

Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. | PSNet

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July 29, 2020 - Study Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. Citation Text: Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty…

Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet

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April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…

Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital | PSNet

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September 23, 2020 - Study Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital Citation Text: Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospit…

The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency. | PSNet

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July 06, 2022 - Study The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency. Citation Text: Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact …

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. | PSNet

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April 13, 2022 - Study Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. Citation Text: Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …

Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. | PSNet

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October 27, 2021 - Study Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. Citation Text: Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association …

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. | PSNet

psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed

December 08, 2021 - Study Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. Citation Text: Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …

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