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psnet.ahrq.gov/issue/its-two-worlds-apart-analysis-vulnerable-patient-handover-practices-discharge-hospital
January 15, 2025 - Study
"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.
Citation Text:
Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qu…
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - Study
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.
Citation Text:
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…
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psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Review
Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.
Citation Text:
Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …
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psnet.ahrq.gov/issue/understanding-hazards-adverse-drug-events-among-older-adults-after-hospital-discharge
September 21, 2022 - Study
Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.
Citation Text:
Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights…
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psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice
June 23, 2021 - Review
Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice?
Citation Text:
Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ …
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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns
January 21, 2019 - Study
Classic
An analysis of electronic health record–related patient safety concerns.
Citation Text:
Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1…
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psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
March 15, 2016 - Review
A systematic review of patient safety measures in adult primary care.
Citation Text:
Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328.
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psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
September 25, 2019 - Study
Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.
Citation Text:
Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…
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psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events
September 27, 2016 - Commentary
Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care.
Citation Text:
Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and…
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psnet.ahrq.gov/issue/frailty-gaps-care-coordination-and-preventable-adverse-events
January 18, 2023 - Study
Frailty, gaps in care coordination, and preventable adverse events.
Citation Text:
Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7.
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psnet.ahrq.gov/issue/multisite-study-interprofessional-teamwork-and-collaboration-general-medical-services
November 15, 2023 - Study
A multisite study of interprofessional teamwork and collaboration on general medical services.
Citation Text:
O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
July 24, 2017 - Study
Utilising improvement science methods to optimise medication reconciliation.
Citation Text:
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
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psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
February 16, 2022 - Study
Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.
Citation Text:
Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…
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psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
June 15, 2022 - Study
Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.
Citation Text:
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …
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psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety
August 12, 2020 - Study
Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories.
Citation Text:
Gilmartin HM, Hess E, Mueller C, et al. Learning environments, reliability enhancing work practices, employee engagement, …
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psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
July 22, 2020 - Study
Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.
Citation Text:
Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…
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psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal
September 23, 2020 - Study
The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic.
Citation Text:
Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…
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psnet.ahrq.gov/issue/stepped-wedge-cluster-rct-assess-effects-electronic-medication-system-medication
August 28, 2024 - Study
Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors.
Citation Text:
Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…
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psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
September 01, 2021 - Study
Association of primary care clinic appointment time with opioid prescribing.
Citation Text:
Neprash HT, Barnett ML. Association of Primary Care Clinic Appointment Time With Opioid Prescribing. JAMA Netw Open. 2019;2(8):e1910373. doi:10.1001/jamanetworkopen.2019.10373.
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psnet.ahrq.gov/issue/clinical-and-economic-impacts-explicit-tools-detecting-prescribing-errors-systematic-review
January 12, 2022 - Review
Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review.
Citation Text:
Farhat A, Al‐Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4)…