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Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet

psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data

March 15, 2017 - Study Missed diagnosis of cancer in primary care: insights from malpractice claims data. Citation Text: Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.…

Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet

psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients

July 16, 2015 - Study Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. Citation Text: Hsu C-C, Chou C-Y, Chou C-L, et al. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. PLoS One. 2…

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. | PSNet

psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs

July 08, 2020 - Review Emerging Classic Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. Citation Text: Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating room to inten…

Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality

September 08, 2021 - Study Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. Citation Text: Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…

Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. | PSNet

psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse

November 24, 2021 - Study Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. Citation Text: Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a quali…

Operating room to intensive care unit handoffs and the risks of patient harm. | PSNet

psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm

October 05, 2022 - Study Operating room to intensive care unit handoffs and the risks of patient harm. Citation Text: McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061. Copy …

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. | PSNet

psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis

December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. | PSNet

psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient

October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…

The $17.1 billion problem: the annual cost of measurable medical errors. | PSNet

psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors

May 26, 2021 - Study Classic The $17.1 billion problem: the annual cost of measurable medical errors. Citation Text: Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…

Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources. | PSNet

psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden-adverse-events

February 15, 2023 - Review Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources. Citation Text: Busch IM, Moretti F, Campagna I, et al. Promoting the psychological well-being of healthcare providers facing …

Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement

January 01, 2022 - Study Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. Citation Text: Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. | PSNet

psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality

September 13, 2023 - Commentary An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. Citation Text: Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second …

A systems approach to analyzing and preventing hospital adverse events. | PSNet

psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events

March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…

A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction. | PSNet

psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based

March 24, 2019 - Study A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction. Citation Text: Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept ex…

Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. | PSNet

psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy

November 10, 2015 - Review Emerging Classic Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Citation Text: Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…

Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes. | PSNet

psnet.ahrq.gov/issue/using-health-information-technology-residential-aged-care-homes-integrative-review-identify

July 06, 2022 - Review Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes. Citation Text: Bail K, Gibson D, Acharya P, et al. Using health information technology in residential aged care homes: an integrative review to ident…

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and

March 02, 2022 - Study Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. Citation Text: Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …

The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/psychological-and-mental-impact-coronavirus-disease-2019-covid-19-medical-staff-and-general

February 10, 2021 - Review The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis. Citation Text: Luo M, Guo L, Yu M, et al. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical s…

Impact of hospital-acquired pneumonia on the Medicare program. | PSNet

psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program

August 07, 2013 - Study Impact of hospital-acquired pneumonia on the Medicare program. Citation Text: Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221. Copy Citation F…

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. | PSNet

psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct

January 18, 2023 - Study Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…

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