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Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. | PSNet

psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration

January 21, 2019 - Commentary Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. Citation Text: Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…

National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. | PSNet

psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality

February 22, 2023 - Study National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. Citation Text: Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The qua…

A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge. | PSNet

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July 22, 2020 - Study A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge. Citation Text: Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to…

Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. | PSNet

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September 23, 2020 - Study Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. Citation Text: Bose S, Groat D, Dinglas VD, et al. Association between unmet nonmedication needs after …

From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. | PSNet

psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional

July 22, 2020 - Study From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. Citation Text: Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description o…

Empowering informal caregivers with health information: OpenNotes as a safety strategy. | PSNet

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June 06, 2018 - Study Empowering informal caregivers with health information: OpenNotes as a safety strategy. Citation Text: Chimowitz H, Gerard M, Fossa A, et al. Empowering Informal Caregivers with Health Information: OpenNotes as a Safety Strategy. Jt Comm J Qual Saf. 2018;44(3):130-136. doi:10.1016/…

Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. | PSNet

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December 06, 2023 - Study Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. Citation Text: Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of …

Association between end-of-rotation resident transition in care and mortality among hospitalized patients. | PSNet

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August 15, 2018 - Study Association between end-of-rotation resident transition in care and mortality among hospitalized patients. Citation Text: Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…

Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet

psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient

June 02, 2021 - Study Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? Citation Text: Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…

The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. | PSNet

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April 12, 2011 - Study The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Citation Text: Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but…

A prospective controlled trial of an electronic hand hygiene reminder system. | PSNet

psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system

April 07, 2021 - Study A prospective controlled trial of an electronic hand hygiene reminder system. Citation Text: Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/…

Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. | PSNet

psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands

January 07, 2015 - Study Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. Citation Text: van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands. Jt Comm J Q…

Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study. | PSNet

psnet.ahrq.gov/issue/prevalence-nature-and-predictors-omitted-medication-doses-mental-health-hospitals-multi

August 11, 2021 - Study Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study. Citation Text: Keers RN, Hann M, Alshehri GH, et al. Prevalence, nature and predictors of omitted medication doses in mental health hospitals: A multi-centre study. PLoS …

National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. | PSNet

psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council

September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…

A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. | PSNet

psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre

January 11, 2023 - Study Classic A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. Citation Text: Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led info…

In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. | PSNet

psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured

June 08, 2022 - Study In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. Citation Text: Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitud…

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet

psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and

September 14, 2022 - Study Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. Citation Text: Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…

National cluster-randomized trial of duty-hour flexibility in surgical training. | PSNet

psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training

September 09, 2015 - Study Classic National cluster-randomized trial of duty-hour flexibility in surgical training. Citation Text: Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…

Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. | PSNet

psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units

November 11, 2020 - Study Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. Citation Text: Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely …

July Syndrome | PSNet

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July 01, 2011 - trainee workload (e.g., through lower admission caps or panel sizes and use of physician extenders), enhance

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