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The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. | PSNet

psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration

May 27, 2011 - Study The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Citation Text: Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med…

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet

psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients

September 11, 2019 - Study Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. Citation Text: Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059…

Night-time communication at Stanford University Hospital: perceptions, reality and solutions. | PSNet

psnet.ahrq.gov/issue/night-time-communication-stanford-university-hospital-perceptions-reality-and-solutions

March 24, 2019 - Study Night-time communication at Stanford University Hospital: perceptions, reality and solutions. Citation Text: Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjq…

Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

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March 04, 2020 - Study Identifying unintended consequences of quality indicators: a qualitative study. Citation Text: Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. Cop…

Language proficiency and adverse events in US hospitals: a pilot study. | PSNet

psnet.ahrq.gov/issue/language-proficiency-and-adverse-events-us-hospitals-pilot-study

January 23, 2012 - Study Language proficiency and adverse events in US hospitals: a pilot study. Citation Text: Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069. Copy Citation…

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. | PSNet

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July 06, 2022 - Study Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Citation Text: Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…

Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet

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February 12, 2020 - Commentary Patient safety and quality improvement adaptation during the COVID-19 pandemic. Citation Text: Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…

A usability and safety analysis of electronic health records: a multi-center study. | PSNet

psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study

October 13, 2018 - Study Emerging Classic A usability and safety analysis of electronic health records: a multi-center study. Citation Text: Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-center study. J Am Med Inform Ass…

The Quality in Australian Health Care Study. | PSNet

psnet.ahrq.gov/issue/quality-australian-health-care-study

February 02, 2022 - Study Classic The Quality in Australian Health Care Study. Citation Text: Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x. Copy Citation Forma…

A trigger tool to identify adverse events in the intensive care unit. | PSNet

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April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit. Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…

Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). | PSNet

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April 13, 2016 - Study Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). Citation Text: Fleming CA, Humm G, Wild JR, et al. Supporting doctors as healthcare quality and safety advocates: Recommendations from the Association…

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. | PSNet

psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary

January 19, 2011 - Study The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Citation Text: de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …

Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. | PSNet

psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals

April 24, 2018 - Study Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. Citation Text: Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors commo…

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. | PSNet

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February 15, 2017 - Study High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. Citation Text: Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particular…

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. | PSNet

psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary-paradigm-mitigating

January 02, 2017 - Study A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. Citation Text: Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidiscipli…

Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. | PSNet

psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-patient-safety-events-hospitalized-children

August 14, 2018 - Study Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. Citation Text: Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1…

Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers

December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. | PSNet

psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis

October 21, 2020 - Study Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. Citation Text: Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…

Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. | PSNet

psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing

September 23, 2020 - Study Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. Citation Text: Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…

Association of safety culture with surgical site infection outcomes. | PSNet

psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes

October 23, 2024 - Study Classic Association of safety culture with surgical site infection outcomes. Citation Text: Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…

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