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Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). | PSNet

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September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…

Chronic hospital nurse understaffing meets COVID-19: an observational study. | PSNet

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September 27, 2017 - Study Emerging Classic Chronic hospital nurse understaffing meets COVID-19: an observational study. Citation Text: Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an observational study. BMJ Qual Saf. 2021;8(8):639-64…

Measuring safety in older adult care homes: a scoping review of the international literature. | PSNet

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June 30, 2021 - Review Measuring safety in older adult care homes: a scoping review of the international literature. Citation Text: Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. | PSNet

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August 20, 2018 - Study Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. Citation Text: Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency…

Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. | PSNet

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December 31, 2014 - Study Classic Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Citation Text: Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. | PSNet

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September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…

Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. | PSNet

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June 16, 2011 - Study Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. Citation Text: Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care…

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. | PSNet

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February 09, 2011 - Study Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. Citation Text: Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to a…

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

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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…

Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. | PSNet

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April 07, 2021 - Review Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. Citation Text: Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how the…

A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. | PSNet

psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial

December 22, 2018 - Study A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. Citation Text: Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…

Physician specialty differences in unprofessional behaviors observed and reported by coworkers. | PSNet

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June 27, 2018 - Study Physician specialty differences in unprofessional behaviors observed and reported by coworkers. Citation Text: Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e241…

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. | PSNet

psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies

April 09, 2013 - Study Classic The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. Citation Text: Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…

Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer. | PSNet

psnet.ahrq.gov/issue/diagnostic-assessment-deep-learning-algorithms-detection-lymph-node-metastases-women-breast

June 27, 2018 - Study Classic Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer. Citation Text: Bejnordi BE, Veta M, van Diest PJ, et al. Diagnostic Assessment of Deep Learning Algorithms for Detection of Lymph …

Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. | PSNet

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May 18, 2022 - Study Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. Citation Text: Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility using electronic me…

Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet

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February 20, 2019 - Study Using Safety-II and resilient healthcare principles to learn from Never Events. Citation Text: Anderson JE, Watt AJ. Using Safety-II and resilient healthcare principles to learn from Never Events. Int J Qual Health Care. 2020;32(3):196-203. doi:10.1093/intqhc/mzaa009. Copy Citati…

Racial inequality in receipt of medications for opioid use disorder. | PSNet

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April 24, 2018 - Study Racial inequality in receipt of medications for opioid use disorder. Citation Text: Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412. Copy Citation Fo…

Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. | PSNet

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September 02, 2020 - Study Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. Citation Text: Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011 Duty Hour Requirements When Offered Flexibility: A FIRST Tri…

Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk. | PSNet

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November 29, 2023 - Review Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk. Citation Text: Weaver MD, Sullivan JP, Landrigan CP, et al. Systematic review of the impact of physician work schedules on patient safety with meta-analyses of morta…

Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. | PSNet

psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review

July 16, 2019 - Review Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Citation Text: Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:1…

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