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Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. | PSNet

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April 12, 2023 - Study Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. Citation Text: Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…

A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. | PSNet

psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers

September 20, 2023 - Study A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. Citation Text: Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…

The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. | PSNet

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February 28, 2024 - Study The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. Citation Text: Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…

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…

Increased patient safety-related incidents following the transition into Daylight Savings Time. | PSNet

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May 19, 2021 - Study Increased patient safety-related incidents following the transition into Daylight Savings Time. Citation Text: Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…

Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. | PSNet

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March 29, 2010 - Review Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. Citation Text: Subramanian S, Hoover S, Gilman BH, et al. Computerized physician order entry with clinical decision support in long-term care fac…

Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet

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May 01, 2015 - Study Classic Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Citation Text: Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…

Intraoperative deaths: who, why, and can we prevent them? | PSNet

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November 04, 2020 - Study Intraoperative deaths: who, why, and can we prevent them? Citation Text: Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007. Copy Citation Format: DOI Go…

Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. | PSNet

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September 01, 2016 - Study Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. Citation Text: Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction…

Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet

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January 19, 2022 - Study Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Citation Text: Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…

Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. | PSNet

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January 20, 2021 - Study Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. Citation Text: Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a re…

Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. | PSNet

psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care

April 13, 2022 - Study Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. Citation Text: de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient …

Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled

March 09, 2022 - Study Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. Citation Text: Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA…

The association of nursing home characteristics and quality with adverse events after a hospitalization. | PSNet

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August 07, 2019 - Study The association of nursing home characteristics and quality with adverse events after a hospitalization. Citation Text: Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Asso…

Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. | PSNet

psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies

February 22, 2017 - Study Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. Citation Text: Badr S, Nahle T, Rahman S, et al. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. J Gen Intern Med. 2025;40(3):525-…

Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction. | PSNet

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November 07, 2018 - Study Classic Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction. Citation Text: Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and clinicia…

Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet

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March 05, 2025 - Study Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. Citation Text: Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing…

Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. | PSNet

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May 12, 2021 - Study Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. Citation Text: Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a quali…

Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. | PSNet

psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators

June 02, 2010 - Study Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Citation Text: Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.…

Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. | PSNet

psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative

August 24, 2022 - Study Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. Citation Text: Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualita…

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