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The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety

November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action

March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

How event reporting by US hospitals has changed from 2005 to 2009. | PSNet

psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009

April 21, 2010 - Study How event reporting by US hospitals has changed from 2005 to 2009. Citation Text: Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. Copy Citation Format: D…

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. | PSNet

psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration

May 27, 2011 - Study The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Citation Text: Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med…

Multiple patient safety events within a single hospitalization: a national profile in US hospitals. | PSNet

psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals

November 13, 2009 - Study Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6)…

An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. | PSNet

psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications

November 08, 2012 - Study An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. Citation Text: McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …

The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/state-health-burnout-healthy-behaviors-workplace-wellness-support-and-concerns-medication

July 14, 2021 - Study The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic. Citation Text: Melnyk BM, Hsieh AP, Tan A, et al. The state of health, burnout, healthy behaviors, workplace wellness support,…

Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/improving-adherence-long-term-opioid-therapy-guidelines-reduce-opioid-misuse-primary-care

January 23, 2019 - Study Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. Citation Text: Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Ca…

Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. | PSNet

psnet.ahrq.gov/issue/unit-based-clinical-pharmacists-prevention-serious-medication-errors-pediatric-inpatients

March 04, 2015 - Study Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Citation Text: Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;…

Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward

September 27, 2017 - Commentary Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. Citation Text: Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…

Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. | PSNet

psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse

March 10, 2011 - Study Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. Citation Text: Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse pr…

Exploring nurses' attitudes, skills, and beliefs of medication safety practices. | PSNet

psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices

October 21, 2020 - Study Exploring nurses' attitudes, skills, and beliefs of medication safety practices. Citation Text: Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000…

Supplemental nurse staffing in hospitals and quality of care. | PSNet

psnet.ahrq.gov/issue/supplemental-nurse-staffing-hospitals-and-quality-care

February 09, 2011 - Study Supplemental nurse staffing in hospitals and quality of care. Citation Text: Aiken LH, Xue Y, Clarke SP, et al. Supplemental Nurse Staffing in Hospitals and Quality of Care. JONA: The Journal of Nursing Administration. 2007;37(7). doi:10.1097/01.nna.0000285119.53066.ae. Copy Ci…

Readmissions, observation, and the Hospital Readmissions Reduction Program. | PSNet

psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program

October 25, 2017 - Study Classic Readmissions, observation, and the Hospital Readmissions Reduction Program. Citation Text: Zuckerman RB, Sheingold SH, Orav J, et al. Readmissions, Observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016;374(16):1543-51. do…

Iatrogenic events in admitted neonates: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/iatrogenic-events-admitted-neonates-prospective-cohort-study

December 18, 2014 - Study Iatrogenic events in admitted neonates: a prospective cohort study. Citation Text: Ligi I, Arnaud F, Jouve E, et al. Iatrogenic events in admitted neonates: a prospective cohort study. Lancet. 2008;371(9610):404-10. doi:10.1016/S0140-6736(08)60204-4. Copy Citation Format: …

Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit

December 15, 2011 - Study Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry. Citation Text: Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of c…

Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units. | PSNet

psnet.ahrq.gov/issue/understanding-informal-aspects-medication-processes-maintain-patient-safety-hospitals

March 06, 2024 - Study Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units. Citation Text: Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to mainta…

Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management. | PSNet

psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and

December 31, 2014 - Study Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management. Citation Text: Hackl WO, Ammenwerth E, Marcilly R, et al. Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug e…

Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? | PSNet

psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care

March 20, 2019 - Commentary Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? Citation Text: Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):5…

Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. | PSNet

psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry

December 31, 2014 - Review Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. Citation Text: Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…

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