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A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. | PSNet

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May 20, 2020 - Study Classic A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. Citation Text: Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events:…

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. | PSNet

psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving

March 03, 2021 - Review Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. Citation Text: Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…

The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal

September 23, 2020 - Study The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. Citation Text: Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…

Classification of medication incidents associated with information technology. | PSNet

psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology

November 23, 2012 - Study Classification of medication incidents associated with information technology. Citation Text: Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…

Dedicated teams to optimize quality and safety of surgery: a systematic review. | PSNet

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October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…

Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet

psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide

November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…

Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. | PSNet

psnet.ahrq.gov/issue/workplace-verbal-abuse-nurse-reported-quality-care-and-patient-safety-outcomes-among-early

July 10, 2019 - Study Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. Citation Text: Cho H, Pavek K, Steege LM. Workplace verbal abuse, nurse‐reported quality of care and patient safety outcomes among early‐career hospital nurses. …

Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. | PSNet

psnet.ahrq.gov/issue/impact-full-personal-protective-equipment-alertness-healthcare-workers-prospective-study

August 24, 2022 - Study Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. Citation Text: Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1…

COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. | PSNet

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September 30, 2020 - Commentary COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Citation Text: Ingrassia PL, Capogna G, Diaz-Navarro C, et al. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Adv Simul (Lond). 2020;5:13. d…

Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. | PSNet

psnet.ahrq.gov/issue/are-more-experienced-clinicians-better-able-tolerate-uncertainty-and-manage-risks-vignette

March 08, 2023 - Study Emerging Classic Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. Citation Text: Lawton R, Robinson O, Harrison R, et al. Are more experienced c…

Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. | PSNet

psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events-after-hospital

April 27, 2022 - Study Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. Citation Text: Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. Res S…

Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. | PSNet

psnet.ahrq.gov/issue/severe-illness-getting-noticed-sooner-signs-kids-developing-illness-recognition-tool-connect

September 23, 2020 - Study Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. Citation Text: Gilleland J, Bayfield D, Bayliss A, et al. Severe illness getting noticed sooner – SIGNS-for-Kids: developing an illness recognition tool to c…

Patient activation related to fall prevention: a multisite study | PSNet

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February 01, 2023 - Study Patient activation related to fall prevention: a multisite study Citation Text: Christiansen TL, Lipsitz S, Scanlan M, et al. Patient activation related to fall prevention: a multisite study . Jt Comm J Qual Patient Saf. 2020. doi:10.1016/j.jcjq.2019.11.010. Copy Citation Fo…

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet

psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events

October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Citation Text: Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…

Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effectiveness-continuous-or-intermittent-vital-signs-monitoring-preventing-adverse-events

July 19, 2023 - Review Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. Citation Text: Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitorin…

When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. | PSNet

psnet.ahrq.gov/issue/when-illegitimate-tasks-threaten-patient-safety-culture-cross-sectional-survey-tertiary

February 19, 2020 - Study When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. Citation Text: Cullati S, Semmer NK, Tschan F, et al. When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. Int J Public Hea…

Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital. | PSNet

psnet.ahrq.gov/issue/effect-medication-reconciliation-and-without-patient-counseling-number-pharmaceutical

May 26, 2021 - Study Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital. Citation Text: Karapinar-Carkit F, Borgsteede SD, Zoer J, et al. Effect of medication reconciliation with and without p…

Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. | PSNet

psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure

September 16, 2020 - Commentary Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. Citation Text: Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…

Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-mobile-app-prehospital-medication-errors-during-simulated-pediatric-resuscitation

October 06, 2021 - Study Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. Citation Text: Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitatio…

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during

November 16, 2022 - Commentary Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. Citation Text: Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…

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