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Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet

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January 18, 2013 - Study Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. Citation Text: Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. | PSNet

psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk

March 31, 2021 - Study A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. Citation Text: Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK men…

Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. | PSNet

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August 12, 2020 - Commentary Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. Citation Text: Wickner PG, Hartley T, Salmasian H, et al. Communication with health care workers regarding health care-associated exposur…

Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. | PSNet

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January 18, 2023 - Study Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. Citation Text: Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination …

Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? | PSNet

psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter

February 18, 2011 - Study Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Citation Text: Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…

A multisite study of interprofessional teamwork and collaboration on general medical services. | PSNet

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November 15, 2023 - Study A multisite study of interprofessional teamwork and collaboration on general medical services. Citation Text: O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…

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

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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…

Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. | PSNet

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January 15, 2025 - Study Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. Citation Text: Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. | PSNet

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July 27, 2022 - Review Emerging Classic Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. Citation Text: Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic …

A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. | PSNet

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October 19, 2012 - Study A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. Citation Text: Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…

Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet

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November 21, 2017 - Study Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. Citation Text: Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…

Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. | PSNet

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January 12, 2022 - Review Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. Citation Text: Farhat A, Al‐Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4)…

Adverse events related to accidental unintentional ingestions from cough and cold medications in children. | PSNet

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May 06, 2020 - Study Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Citation Text: Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …

Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet

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January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Citation Text: Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…

Lessons learned from a systems approach to engaging patients and families in patient safety transformation. | PSNet

psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

February 12, 2020 - Study Lessons learned from a systems approach to engaging patients and families in patient safety transformation. Citation Text: Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qua…

A program to provide clinicians with feedback on their diagnostic performance in a learning health system. | PSNet

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October 12, 2022 - Study A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Citation Text: Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J …

"At home, with care": lessons from New York City home-based primary care practices managing COVID-19. | PSNet

psnet.ahrq.gov/issue/home-care-lessons-new-york-city-home-based-primary-care-practices-managing-covid-19

December 16, 2020 - Study "At home, with care": lessons from New York City home-based primary care practices managing COVID-19. Citation Text: Franzosa E, Gorbenko K, Brody AA, et al. "At home, with care": lessons from New York City home-based primary care practices managing COVID-19. J Am Geriatr Soc. 2021…

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-…

The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet

psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk

October 18, 2023 - Study The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. Citation Text: Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computeri…

Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. | PSNet

psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness

September 04, 2013 - Study Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. Citation Text: Jha V, Buckley H, Gabe R, et al. Patients as teachers: a randomised controlled trial on the use of personal storie…

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