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Perceptions of U.S. and U.K. incident reporting systems: a scoping review. | PSNet

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January 19, 2022 - Review Perceptions of U.S. and U.K. incident reporting systems: a scoping review. Citation Text: Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. Copy Citat…

Double checking the administration of medicines: what is the evidence? A systematic review. | PSNet

psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review

June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…

The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. | PSNet

psnet.ahrq.gov/issue/national-healthcare-safety-networks-digital-quality-measures-cdcs-automated-measures

September 23, 2020 - Study The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. Citation Text: Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for …

The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. | PSNet

psnet.ahrq.gov/issue/occurrence-adverse-events-potentially-attributable-nursing-care-medical-units-cross-sectional

December 29, 2014 - Study The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. Citation Text: D'Amour D, Dubois C-A, Tchouaket E, et al. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sec…

One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. | PSNet

psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse

May 16, 2018 - Study One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. Citation Text: Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…

Health care providers’ negative implicit attitudes and stereotypes of American Indians. | PSNet

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January 18, 2023 - Study Health care providers’ negative implicit attitudes and stereotypes of American Indians. Citation Text: Zestcott CA, Spece L, McDermott D, et al. Health care providers’ negative implicit attitudes and stereotypes of American Indians. J Racial Ethn Health Disparities. 2021;8(1):230-2…

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet

psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers

October 08, 2013 - Study A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Citation Text: Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…

Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet

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November 30, 2022 - Commentary Humanizing harm: using a restorative approach to heal and learn from adverse events. Citation Text: Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/he…

Safety participation at the direct care level: results of a patient questionnaire. | PSNet

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August 26, 2020 - Study Safety participation at the direct care level: results of a patient questionnaire. Citation Text: Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506. Copy Cita…

Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. | PSNet

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October 16, 2012 - Study Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. Citation Text: Stall NM, Fischer HD, Wu F, et al. Unintentional Discontinuation of …

Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/impact-rounding-checklists-outcomes-patients-admitted-icus-systematic-review-and-meta

July 03, 2016 - Review Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. Citation Text: MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-a…

Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial

January 18, 2011 - Study Classic Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Citation Text: Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. L…

Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. | PSNet

psnet.ahrq.gov/issue/impact-national-multimodal-intervention-prevent-catheter-related-bloodstream-infection-icu

September 13, 2023 - Study Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. Citation Text: Palomar M, Álvarez-Lerma F, Riera A, et al. Impact of a national multimodal intervention to prevent catheter-related bloodstream infec…

Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. | PSNet

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February 07, 2022 - Study Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. Citation Text: Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanic…

Intravenous smart pumps at the point of care: a descriptive, observational study. | PSNet

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February 24, 2021 - Study Intravenous smart pumps at the point of care: a descriptive, observational study. Citation Text: Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.000000000…

Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. | PSNet

psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review

August 14, 2019 - Review Classic Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. Citation Text: Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…

The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. | PSNet

psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study

July 13, 2010 - Study The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Citation Text: Jones D, Bagshaw SM, Barrett J, et al. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Crit Car…

The effect of emergency department boarding on order completion. | PSNet

psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion

January 29, 2018 - Study The effect of emergency department boarding on order completion. Citation Text: Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018. Copy Citation For…

Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. | PSNet

psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors

September 20, 2011 - Study Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. Citation Text: Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…

The evolving role of medical scribe: variation and implications for organizational effectiveness and safety. | PSNet

psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and

October 24, 2018 - Study The evolving role of medical scribe: variation and implications for organizational effectiveness and safety. Citation Text: Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety. Stud Hea…

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