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Impact of medication reconciliation for improving transitions of care. | PSNet

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June 19, 2019 - Review Emerging Classic Impact of medication reconciliation for improving transitions of care. Citation Text: Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):C…

Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. | PSNet

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June 22, 2022 - Study Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Citation Text: DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…

Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. | PSNet

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May 18, 2022 - Study Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. Citation Text: Adelani MA, Hong Z, Miller AN. Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. J Am Acad Orthop Surg. 2023;31(16):893-9…

The Harvard Medical Practice Study trigger system performance in deceased patients. | PSNet

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March 02, 2022 - Study The Harvard Medical Practice Study trigger system performance in deceased patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…

Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. | PSNet

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June 07, 2023 - Study Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Citation Text: Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…

Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. | PSNet

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March 24, 2019 - Study Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. Citation Text: Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…

Estimating the hospital costs of inpatient harms. | PSNet

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February 07, 2024 - Study Estimating the hospital costs of inpatient harms. Citation Text: Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. | PSNet

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March 15, 2017 - Study Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. Citation Text: Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk asses…

Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet

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April 12, 2011 - Study Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. Citation Text: Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related …

Measuring the overall development of patient safety in a new hospital using trigger tools. | PSNet

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April 12, 2019 - Study Measuring the overall development of patient safety in a new hospital using trigger tools. Citation Text: Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10…

Emergency department visits for medical device–associated adverse events among children. | PSNet

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March 03, 2019 - Study Emergency department visits for medical device–associated adverse events among children. Citation Text: Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-…

Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. | PSNet

psnet.ahrq.gov/issue/six-habits-enhance-met-performance-under-stress-discussion-paper-reviewing-team-mechanisms

December 12, 2018 - Commentary Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. Citation Text: Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechan…

Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet

psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents

January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. | PSNet

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December 02, 2020 - Study Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. Citation Text: Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a S…

Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet

psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national

October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. Citation Text: Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…

A target to achieve zero preventable trauma deaths through quality improvement. | PSNet

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March 03, 2011 - Study A target to achieve zero preventable trauma deaths through quality improvement. Citation Text: Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. Copy…

Safe surgery: how accurate are we at predicting intra-operative blood loss? | PSNet

psnet.ahrq.gov/issue/safe-surgery-how-accurate-are-we-predicting-intra-operative-blood-loss

March 21, 2018 - Study Safe surgery: how accurate are we at predicting intra-operative blood loss? Citation Text: Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x. Copy …

Combined SNA and LDA methods to understand adverse medical events | PSNet

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November 15, 2023 - Journal Article Combined SNA and LDA methods to understand adverse medical events Citation Text: Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. Copy Citation Form…

Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. | PSNet

psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information

May 31, 2017 - Study Emerging Classic Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. Citation Text: Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure …

Designing a critical care nurse–led rapid response team using only available resources: 6 years later. | PSNet

psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years

December 21, 2014 - Study Designing a critical care nurse–led rapid response team using only available resources: 6 years later. Citation Text: Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):…

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