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Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes

October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. | PSNet

psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses

March 28, 2012 - Study Classic Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Citation Text: Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…

Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet

psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice

December 21, 2017 - Study Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. Citation Text: Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information technology in general practice: an an…

The social cost of adverse medical events, and what we can do about it. | PSNet

psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it

February 10, 2015 - Commentary The social cost of adverse medical events, and what we can do about it. Citation Text: Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. Copy Ci…

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic

October 07, 2020 - Study Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Citation Text: Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. | PSNet

psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled

July 02, 2014 - Study Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. Citation Text: Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…

Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? | PSNet

psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and

June 16, 2021 - Study Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? Citation Text: Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualita…

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. | PSNet

psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study

April 24, 2018 - Study Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. Citation Text: van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. …

Improving communication with primary care physicians at the time of hospital discharge. | PSNet

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November 16, 2022 - Study Improving communication with primary care physicians at the time of hospital discharge. Citation Text: Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…

Overdose risk in young children of women prescribed opioids. | PSNet

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September 07, 2016 - Study Overdose risk in young children of women prescribed opioids. Citation Text: Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887. Copy Citation Format: DOI Goog…

Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. | PSNet

psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk

June 22, 2016 - Study Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. Citation Text: Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…

Patient voices in hospital safety during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/patient-voices-hospital-safety-during-covid-19-pandemic

March 17, 2021 - Study Patient voices in hospital safety during the COVID-19 pandemic. Citation Text: Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19 pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711. Copy Citation Format: …

Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet

psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care

January 12, 2022 - Study Getting the whole story: integrating patient complaints and staff reports of unsafe care. Citation Text: van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …

Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-through-involvement-patients-development-and-evaluation-novel

October 12, 2016 - Book/Report Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. Citation Text: Wright J, Lawton R, O’Hara J, et al. Improving…

Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. | PSNet

psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care

October 27, 2021 - Review Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. Citation Text: Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial

February 14, 2017 - Study Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Citation Text: Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…

A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/comprehensive-pharmacist-intervention-reduce-morbidity-patients-80-years-or-older-randomized

October 28, 2020 - Study A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. Citation Text: Gillespie U, Alassaad A, Henrohn D, et al. A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomi…

Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. | PSNet

psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study-based-focus-group

July 29, 2020 - Study Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. Citation Text: Silverglow A, Johansson L, Lidén E, et al. Perceptions of providing safe care for frail older people at home: a qualitative st…

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

psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs

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…

Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. | PSNet

psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand

September 09, 2020 - Study Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. Citation Text: Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of t…

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