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Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. | PSNet

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April 12, 2023 - Study Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. Citation Text: Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…

Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean

October 19, 2022 - Study Classic Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Citation Text: Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton ver…

Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system. | PSNet

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March 12, 2014 - Study Classic Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system. Citation Text: Shafi S, Collinsworth AW, Copeland LA, et al. Association of Opioid-Related …

Interprofessional and intraprofessional communication about older people's medications across transitions of care. | PSNet

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June 26, 2019 - Study Interprofessional and intraprofessional communication about older people's medications across transitions of care. Citation Text: Manias E, Bucknall T, Woodward-Kron R, et al. Interprofessional and intraprofessional communication about older people's medications across transitions …

Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review

August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

Design and impact of a novel surgery-specific second victim peer support program. | PSNet

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March 09, 2022 - Study Emerging Classic Design and impact of a novel surgery-specific second victim peer support program. Citation Text: El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…

Patient-clinician diagnostic concordance upon hospital admission. | PSNet

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October 16, 2024 - Study Patient-clinician diagnostic concordance upon hospital admission. Citation Text: Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. Copy Citation Format: …

Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals. | PSNet

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July 31, 2019 - Study Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals. Citation Text: Giuliano KK, Su W-T, Degnan DD, et al. Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals. J Patient Saf. 2018;14(4):e76-e82. doi:10.1097/PTS.0000000…

Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. | PSNet

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October 27, 2021 - Study Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. Citation Text: Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of intervi…

"It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. | PSNet

psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study

March 24, 2019 - Study "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. …

Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit

June 29, 2011 - Commentary Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Citation Text: Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. | PSNet

psnet.ahrq.gov/issue/multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious

July 20, 2022 - Study Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. Citation Text: Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identifi…

Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet

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June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. | PSNet

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July 24, 2019 - Study Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. Citation Text: Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a s…

In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. | PSNet

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September 13, 2023 - Study In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. Citation Text: Stærk M, Lauridsen KG, Johnsen J, et al. In-situ simulations to detect patient safety threats during in-hospital cardiac arrest. Resusc Plus. 2023;14:100410. doi:10.1016/j.resplu.…

Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet

psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and

April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. Citation Text: de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…

Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. | PSNet

psnet.ahrq.gov/issue/interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults

August 14, 2024 - Review Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. Citation Text: Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Communi…

Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. | PSNet

psnet.ahrq.gov/issue/raising-barcode-improving-medication-safety-behaviours-through-behavioural-science-informed

November 01, 2023 - Study Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. Citation Text: Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving med…

Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. | PSNet

psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric

January 31, 2024 - Study Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. Citation Text: Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and…

Assessing experiences of racism among Black and White patients in the emergency department. | PSNet

psnet.ahrq.gov/issue/assessing-experiences-racism-among-black-and-white-patients-emergency-department

December 14, 2022 - Study Assessing experiences of racism among Black and White patients in the emergency department. Citation Text: Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):…

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