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Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. | PSNet

psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative

January 10, 2018 - Study Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Citation Text: Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …

Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active-incident

July 24, 2024 - Study Patient safety incidents are common in primary care: a national prospective active incident reporting survey. Citation Text: Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national prospective active incident reporting survey. PLoS On…

Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office

December 15, 2010 - Study Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. Citation Text: Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Proble…

Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. | PSNet

psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient

March 27, 2024 - Review Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. Citation Text: Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient…

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. | PSNet

psnet.ahrq.gov/issue/critical-care-nurses-physical-and-mental-health-worksite-wellness-support-and-medical-errors

March 21, 2018 - Study Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. Citation Text: Melnyk BM, Tan A, Hsieh AP, et al. Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. Am J Crit Care. 2021;30(3):176-184. do…

A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. | PSNet

psnet.ahrq.gov/issue/national-study-links-nurses-physical-and-mental-health-medical-errors-and-perceived-worksite

July 14, 2021 - Study A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. Citation Text: Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Envi…

National Patient Safety Foundation agenda for research and development in patient safety. | PSNet

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June 16, 2011 - Commentary Classic National Patient Safety Foundation agenda for research and development in patient safety. Citation Text: Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMe…

The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet

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February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. | PSNet

psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-canadian-regional

March 18, 2020 - Study Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. Citation Text: Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic…

Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals. | PSNet

psnet.ahrq.gov/issue/testing-association-between-patient-safety-indicators-and-hospital-structural-characteristics

April 01, 2010 - Study Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals. Citation Text: Rivard PE, Elixhauser A, Christiansen CL, et al. Testing the Association Between Patient Safety Indicators and Hospital Structural Char…

Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet

psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports

October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports. Citation Text: Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687…

Adoption factors associated with electronic health record among long-term care facilities: a systematic review. | PSNet

psnet.ahrq.gov/issue/adoption-factors-associated-electronic-health-record-among-long-term-care-facilities

March 17, 2021 - Review Adoption factors associated with electronic health record among long-term care facilities: a systematic review. Citation Text: Kruse CS, Mileski M, Alaytsev V, et al. Adoption factors associated with electronic health record among long-term care facilities: a systematic review. BM…

Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. | PSNet

psnet.ahrq.gov/issue/differences-between-managers-and-safety-professionals-perceptions-upwards-influence-attempts

December 08, 2021 - Study Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. Citation Text: Madigan C, Way KA, Johnstone K, et al. Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within s…

Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals. | PSNet

psnet.ahrq.gov/issue/full-implementation-computerized-physician-order-entry-and-medication-related-quality

September 07, 2011 - Study Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals. Citation Text: Yu FB, Menachemi N, Berner ES, et al. Full implementation of computerized physician order entry and medication-related quality outcomes: a …

Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. | PSNet

psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case

March 30, 2022 - Study Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. Citation Text: Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. BM…

Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training. | PSNet

psnet.ahrq.gov/issue/communication-interdisciplinary-teams-exploring-closed-loop-communication-during-situ-trauma

July 19, 2023 - Study Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training. Citation Text: Härgestam M, Lindkvist M, Brulin C, et al. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team tra…

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet

psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves

August 18, 2010 - Study Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. Citation Text: Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Tea…

A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. | PSNet

psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national

November 25, 2020 - Study A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. Citation Text: O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: nation…

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine

September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…

Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. | PSNet

psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient

April 19, 2017 - Study Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. Citation Text: Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality…

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