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Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. | PSNet

psnet.ahrq.gov/issue/assessment-unintentional-duplicate-orders-emergency-department-clinicians-and-after

October 19, 2022 - Study Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. Citation Text: Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emerg…

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. | PSNet

psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient

December 16, 2020 - Study Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. Citation Text: Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…

CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. | PSNet

psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022

September 23, 2020 - Organizational Policy/Guidelines CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. Citation Text: Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep. 2022;71(3)…

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…

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. | PSNet

psnet.ahrq.gov/issue/medication-safety-emergency-department-study-serious-medication-errors-reported-101-hospitals

March 24, 2021 - Study Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. Citation Text: Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 20…

Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-systems-hospitals-improve-medication-safety-multi-methods-research

November 09, 2022 - Review Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. Citation Text: Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication safety: a multimethods research programme. Programm…

The associations between work–life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work–life climate scale, psychometric properties, benchmarking data and future directions. | PSNet

psnet.ahrq.gov/issue/associations-between-work-life-balance-behaviours-teamwork-climate-and-safety-climate-cross

January 21, 2019 - Study The associations between work–life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work–life climate scale, psychometric properties, benchmarking data and future directions. Citation Text: Sexton B, Schwartz SP, Chadwick WA, et al. Th…

Intraoperative deaths: who, why, and can we prevent them? | PSNet

psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them

November 04, 2020 - Study Intraoperative deaths: who, why, and can we prevent them? Citation Text: Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007. Copy Citation Format: DOI Go…

Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. | PSNet

psnet.ahrq.gov/issue/breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and

May 18, 2022 - Study Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. Citation Text: Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.…

Communication regarding adverse neonatal birth events: experiences of parents and clinicians. | PSNet

psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians

May 13, 2020 - Study Communication regarding adverse neonatal birth events: experiences of parents and clinicians. Citation Text: Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-…

Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. | PSNet

psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both

April 22, 2017 - Review Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. Citation Text: Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Pre…

Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. | PSNet

psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day

July 01, 2017 - Study Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. Citation Text: Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time o…

Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet

psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings

March 09, 2022 - Study Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Citation Text: Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.100…

Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-patterns-among-medical-providers-united-states-2003-17-retrospective

May 11, 2016 - Study Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. Citation Text: Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observati…

Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet

psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system

January 19, 2022 - Study Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Citation Text: Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). | PSNet

psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi

June 29, 2022 - Study Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). Citation Text: Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…

Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. | PSNet

psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid

August 11, 2021 - Study Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. Citation Text: Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patient…

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 …

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet

psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment

October 27, 2021 - Study Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals Citation Text: Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…

Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. | PSNet

psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events

November 08, 2023 - Study Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. Citation Text: Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and …

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