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Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. | PSNet

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September 15, 2021 - Study Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. Citation Text: Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…

'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. | PSNet

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October 05, 2022 - Study 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. Citation Text: Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on s…

Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. | PSNet

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December 21, 2022 - Study Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. Citation Text: Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. | PSNet

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October 05, 2022 - Review Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. Citation Text: Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a syste…

Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. | PSNet

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March 09, 2022 - Study Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Citation Text: Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Farm Hos…

Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet

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May 04, 2022 - Study Collaborative case review: a systems-based approach to patient safety event investigation and analysis. Citation Text: Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…

Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. | PSNet

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September 28, 2010 - Commentary Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. Citation Text: Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervisi…

Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet

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February 14, 2024 - Study Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. Citation Text: Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…

The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. | PSNet

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September 23, 2020 - Study The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. Citation Text: Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…

Reducing medication errors for adults in hospital settings. | PSNet

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March 09, 2022 - Review Reducing medication errors for adults in hospital settings. Citation Text: Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. Copy Cita…

Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. | PSNet

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May 25, 2011 - Study Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. Citation Text: Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…

Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. | PSNet

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July 19, 2019 - Book/Report Emerging Classic Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. Citation Text: Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hos…

Drug shortage-associated increase in catheter-related blood stream infection in children. | PSNet

psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children

April 24, 2018 - Study Drug shortage-associated increase in catheter-related blood stream infection in children. Citation Text: Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/…

Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. | PSNet

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August 04, 2021 - Study Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. Citation Text: Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medicat…

Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream

September 23, 2020 - Study Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Citation Text: Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …

Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. | PSNet

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August 18, 2021 - Study Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. Citation Text: George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Ev…

Meaningful use of health information technology and declines in in-hospital adverse drug events. | PSNet

psnet.ahrq.gov/issue/meaningful-use-health-information-technology-and-declines-hospital-adverse-drug-events

November 28, 2012 - Study Meaningful use of health information technology and declines in in-hospital adverse drug events. Citation Text: Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;…

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. | PSNet

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October 27, 2021 - Study Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Citation Text: Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):4…

Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. | PSNet

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August 04, 2021 - Study Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. Citation Text: Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affair…

Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. | PSNet

psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation

May 15, 2013 - Study Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. Citation Text: Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge: development and validation of a prediction …

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