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The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. | PSNet

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September 09, 2020 - Study The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. Citation Text: Carthon MB, Lasater KB, Sloane DM, et al. The quality of hospital work environments and missed nursing care is linked t…

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. | PSNet

psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture

February 01, 2023 - Study Classic Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. Citation Text: Sexton B, Adair KC, Leonard MW, et al. Providing feedback following Leadership WalkRou…

An electronic health record–based real-time analytics program for patient safety surveillance and improvement. | PSNet

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May 19, 2018 - Study An electronic health record–based real-time analytics program for patient safety surveillance and improvement. Citation Text: Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …

Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. | PSNet

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June 14, 2017 - Study Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. Citation Text: Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of pre…

Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. | PSNet

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February 15, 2012 - Study Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. Citation Text: Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent g…

Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. | PSNet

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March 24, 2021 - Study Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. Citation Text: Harder VS, Plante TB, Koh I, et al. Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. J Gen Int…

Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. | PSNet

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February 07, 2022 - Review Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. Citation Text: Abbas M, Robalo Nunes T, Martischang R, et al. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both pa…

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet

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September 14, 2022 - Study Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. Citation Text: Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…

Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. | PSNet

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December 21, 2022 - Study Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. Citation Text: Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551…

Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. | PSNet

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August 10, 2022 - Study Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. Citation Text: Maierhofer CN, Ran…

Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet

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December 18, 2019 - Study Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. Citation Text: Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare…

National cluster-randomized trial of duty-hour flexibility in surgical training. | PSNet

psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training

September 09, 2015 - Study Classic National cluster-randomized trial of duty-hour flexibility in surgical training. Citation Text: Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. | PSNet

psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older

April 20, 2022 - Study Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. Citation Text: Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis…

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. | PSNet

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April 12, 2023 - EMERGING INNOVATIONS Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. Citation Text: Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratif…

Connie's Story: A Nurse's Personal Experience with MRSA | PSNet

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June 29, 2023 - Connie's Story: A Nurse's Personal Experience with MRSA April 1, 2008 View more articles from the same authors. Citation Text: Lehfeldt C. Connie's Story: A Nurse's Personal Experience with MRSA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and…

Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. | PSNet

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February 14, 2024 - Study Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. Citation Text: Klopotowska JE, Leopold J‐H, Bakker T, et al. Adverse drug events caused by three high‐risk drug–drug i…

Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. | PSNet

psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care

March 10, 2021 - Study Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. Citation Text: Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric inte…

A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. | PSNet

psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and

May 29, 2019 - Study A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. Citation Text: Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in electronic health records at hospital…

Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. | PSNet

psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency

December 15, 2021 - Study Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. Citation Text: Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors …

We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. | PSNet

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January 12, 2022 - Study We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. Citation Text: Fisher K, Smith KM, Gallagher TH, et al. We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. J Hosp Med. 2017;12(8):603-609. doi:10.12788/jhm.2783.…

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