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Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. | PSNet

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October 19, 2022 - Study Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. Citation Text: Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …

Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. | PSNet

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July 18, 2018 - Study Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. Citation Text: Borgundvaag B, McLeod S, Khuu W, et al. Opioid prescribing and adverse events in opioid-naive patients treated by…

Hospital-readmission risk--isolating hospital effects from patient effects. | PSNet

psnet.ahrq.gov/issue/hospital-readmission-risk-isolating-hospital-effects-patient-effects

August 15, 2018 - Study Classic Hospital-readmission risk--isolating hospital effects from patient effects. Citation Text: Krumholz HM, Wang K, Lin Z, et al. Hospital-Readmission Risk - Isolating Hospital Effects from Patient Effects. N Engl J Med. 2017;377(11):1055-1064. doi:10.…

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. | PSNet

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June 09, 2011 - Study Classic Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. Citation Text: Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…

Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. | PSNet

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March 09, 2022 - Study Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. Citation Text: Péculo-Carrasco J-A, Rodríguez-Ruiz H-J, Puerta-Córdoba A, et al. Factors influencing witnesses’ percept…

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet

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September 28, 2016 - Study Classic An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Citation Text: Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…

Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. | PSNet

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March 11, 2020 - Study Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. Citation Text: Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at Out-of-Hours Primary Care. J Patient Saf. 2022…

Home health agency patient experience measures and their relationship to Joint Commission accreditation. | PSNet

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July 10, 2024 - Study Home health agency patient experience measures and their relationship to Joint Commission accreditation. Citation Text: Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …

Learning from errors: analysis of medication order voiding in CPOE systems. | PSNet

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May 29, 2019 - Study Learning from errors: analysis of medication order voiding in CPOE systems. Citation Text: Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw18…

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. | PSNet

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February 09, 2011 - Study Classic Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. Citation Text: Ramsay G, Haynes AB, Lipsitz SR, et al. Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. Br J Surg. 2019;106(8):…

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. | PSNet

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October 28, 2020 - Study Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. Citation Text: Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…

High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet

psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing

May 18, 2022 - Study High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? Citation Text: Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. | PSNet

psnet.ahrq.gov/issue/user-testing-guidelines-improve-safety-intravenous-medicines-administration-randomised-situ

November 16, 2022 - Study User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. Citation Text: Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised i…

What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. | PSNet

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February 21, 2024 - Study What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. Citation Text: Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for healt…

Patient handovers within the hospital: translating knowledge from motor racing to healthcare. | PSNet

psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare

April 01, 2015 - Study Classic Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Citation Text: Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…

Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet

psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective

November 12, 2014 - Study Classic Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. Citation Text: Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…

Observing sources of system resilience using in situ alarm simulations. | PSNet

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August 30, 2023 - Study Observing sources of system resilience using in situ alarm simulations. Citation Text: McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. Copy Citation Form…

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. | PSNet

psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration

August 21, 2024 - Study Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. Citation Text: Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…

Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis

May 17, 2017 - Study Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. Citation Text: Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101…

Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial. | PSNet

psnet.ahrq.gov/issue/activating-pharmacists-reduce-frequency-medication-related-problems-actmed-stepped-wedge

January 08, 2025 - Study Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial. Citation Text: Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication‐related problems (ACTMed): a stepped…

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