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Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. | PSNet

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July 01, 2009 - Study Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. Citation Text: Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…

Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. | PSNet

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March 04, 2011 - Commentary Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. Citation Text: Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet

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September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. | PSNet

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December 29, 2014 - Study Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Citation Text: López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. | PSNet

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July 08, 2008 - Study Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. Citation Text: Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…

A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet

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May 25, 2022 - Commentary A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Citation Text: Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …

Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet

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August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. Citation Text: Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…

Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. | PSNet

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November 03, 2021 - Study Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Citation Text: Davidson JE, Chechel L, Chavez J, et al. Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Am…

Morning handover of on-call issues: opportunities for improvement. | PSNet

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September 26, 2012 - Study Morning handover of on-call issues: opportunities for improvement. Citation Text: Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033. Copy Citation Fo…

Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. | PSNet

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March 04, 2019 - Study Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. Citation Text: Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Un…

Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. | PSNet

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August 04, 2021 - Study Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. Citation Text: Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of…

Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet

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October 19, 2022 - Study Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. Citation Text: Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …

Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. | PSNet

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February 10, 2012 - Organizational Policy/Guidelines Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. Citation Text: Nak…

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. | PSNet

psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices

June 11, 2008 - Study Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. Citation Text: Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and conseq…

The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. | PSNet

psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week

May 04, 2016 - Study The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. Citation Text: Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…

Clinical impact of intraoperative electronic health record downtime on surgical patients. | PSNet

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March 14, 2016 - Study Clinical impact of intraoperative electronic health record downtime on surgical patients. Citation Text: Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933.…

A contemporary medicolegal analysis of outpatient medication management in chronic pain. | PSNet

psnet.ahrq.gov/issue/contemporary-medicolegal-analysis-outpatient-medication-management-chronic-pain

September 28, 2017 - Study A contemporary medicolegal analysis of outpatient medication management in chronic pain. Citation Text: Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1…

Discontinuity of chronic medications in patients discharged from the intensive care unit. | PSNet

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November 03, 2015 - Study Discontinuity of chronic medications in patients discharged from the intensive care unit. Citation Text: Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. Copy Cita…

A team-based approach to reducing cardiac monitor alarms. | PSNet

psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alarms

October 19, 2022 - Study A team-based approach to reducing cardiac monitor alarms. Citation Text: Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. Copy Citation Format: DOI Google …

Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet

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December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Citation Text: Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 202…

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