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Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. | PSNet

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June 21, 2016 - Study Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. Citation Text: Simon M, Maben J, Murrells T, et al. Is single room hospital accommod…

Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. | PSNet

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November 16, 2022 - Study Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. Citation Text: Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recogni…

Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. | PSNet

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February 06, 2019 - Study Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. Citation Text: Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients…

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

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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/…

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

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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

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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…

The relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis. | PSNet

psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-intentions-nursing-staff-report-near-miss

September 15, 2021 - Study The relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis. Citation Text: Idilbi N, Dokhi M, Malka-Zeevi H, et al. The relationship between patient safety culture and the intentions of the nursing …

Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet

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December 21, 2022 - Study Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. Citation Text: Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences o…

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…

Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. | PSNet

psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections

July 28, 2023 - Study Emerging Classic Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. Citation Text: Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…

Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. | PSNet

psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review

July 20, 2022 - Study Classic Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. Citation Text: Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospect…

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

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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…

Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. | PSNet

psnet.ahrq.gov/issue/burnout-and-its-relationship-self-reported-quality-patient-care-and-adverse-events-during

August 25, 2021 - Study Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. Citation Text: Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self‐reported quality of patient care and adv…

Implicit bias and patient care: mitigating bias, preventing harm. | PSNet

psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm

September 22, 2021 - EMERGING INNOVATIONS Implicit bias and patient care: mitigating bias, preventing harm. Citation Text: Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343. Copy Citation …

PSNet How-to Videos | PSNet

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August 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed PSNet How-to Videos Download Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: November 30, 2022…

An electronic health record–based real-time analytics program for patient safety surveillance and improvement. | PSNet

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May 19, 2018 - Study An electronic health record–based real-time analytics program for patient safety surveillance and improvement. Citation Text: Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …

Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. | PSNet

psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient

December 21, 2016 - Study Classic Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. Citation Text: Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve…

Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. | PSNet

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March 20, 2017 - Study Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. Citation Text: Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Pati…

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