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Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. | PSNet

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July 20, 2022 - Review Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. Citation Text: Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and eva…

Variation in electronic test results management and its implications for patient safety: a multisite investigation. | PSNet

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June 02, 2021 - Study Variation in electronic test results management and its implications for patient safety: a multisite investigation. Citation Text: Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J A…

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet

psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant

November 25, 2009 - Study Classic Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Text: Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

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February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …

Changes in medical errors after implementation of a handoff program. | PSNet

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April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

Medication discrepancies in resident sign-outs and their potential to harm. | PSNet

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March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. | PSNet

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December 30, 2014 - Study Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. Citation Text: Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation…

Engaging hospital patients in the medication reconciliation process using tablet computers. | PSNet

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January 07, 2015 - Study Engaging hospital patients in the medication reconciliation process using tablet computers. Citation Text: Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…

Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. | PSNet

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September 23, 2020 - Review Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. Citation Text: Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-analy…

Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. | PSNet

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October 20, 2021 - Study Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. Citation Text: Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. | PSNet

psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial

September 15, 2011 - Study Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. Citation Text: Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. Copy…

Inadequate hand-off communication. | PSNet

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April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. | PSNet

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December 21, 2017 - Commentary Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. Citation Text: Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. JAMA Ne…

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. | PSNet

psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best

March 01, 2023 - Organizational Policy/Guidelines Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. Citation Text: Cicero MX, Adelgais K, Hoyle JD, et al.…

Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. | PSNet

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August 26, 2020 - Study Classic Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. Citation Text: van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication adm…

Electronic health record-based surveillance of diagnostic errors in primary care. | PSNet

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April 09, 2013 - Study Electronic health record-based surveillance of diagnostic errors in primary care. Citation Text: Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-0003…

Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. | PSNet

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October 19, 2022 - Study Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. Citation Text: Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …

Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet

psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults

July 06, 2022 - Study Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. Citation Text: Sterling MR, Lau J, Rajan M, et al. Self‐reported gaps in care coordination and preventable adverse outcomes among older adults receiving home heal…

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. | PSNet

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April 14, 2021 - Review Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. Citation Text: Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic…

Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. | PSNet

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February 14, 2024 - Study Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. Citation Text: King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…

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