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Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. | PSNet

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March 05, 2008 - Study Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. Citation Text: de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…

How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. | PSNet

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April 21, 2015 - Study How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. Citation Text: Martin G, Ozieranski P, Leslie M, et al. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. J Heal…

Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet

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April 17, 2024 - Study Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. Citation Text: Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…

Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet

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October 25, 2023 - Study Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Citation Text: Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…

Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. | PSNet

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July 19, 2023 - Review Emerging Classic Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. Citation Text: Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Olde…

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. | PSNet

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January 03, 2017 - Study A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. Citation Text: Hanson CC, Randolph GD, Erickson JA, et al. A reduction in cardiac arrests and duration of clinical instability after implementation of a…

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

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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/…

'Care left undone' during nursing shifts: associations with workload and perceived quality of care. | PSNet

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July 19, 2019 - Study 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. Citation Text: Ball JE, Murrells T, Rafferty AM, et al. 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2014;23(2)…

Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. | PSNet

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March 22, 2017 - Study Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. Citation Text: Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative. J Pediatr. 2015;167(5):…

Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet

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May 04, 2022 - Study Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. Citation Text: Riblet N, Shiner B, Watts B, et al. Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports. J Nerv Ment Dis…

Rates of serious surgical errors in California and plans to prevent recurrence. | PSNet

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March 09, 2022 - Study Rates of serious surgical errors in California and plans to prevent recurrence. Citation Text: Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. …

Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet

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July 20, 2022 - Study Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Citation Text: Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…

Classifying and predicting errors of inpatient medication reconciliation. | PSNet

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February 15, 2011 - Study Classifying and predicting errors of inpatient medication reconciliation. Citation Text: Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9. Copy C…

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. | PSNet

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August 24, 2016 - Study Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. Citation Text: Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an elec…

Relationship between call light use and response time and inpatient falls in acute care settings. | PSNet

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March 13, 2008 - Study Relationship between call light use and response time and inpatient falls in acute care settings. Citation Text: Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1…

Criteria for the selection of paediatric patients susceptible to reconciliation error. | PSNet

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December 12, 2021 - Study Criteria for the selection of paediatric patients susceptible to reconciliation error. Citation Text: Iturgoyen Fuentes DP, Meneses Mangas C, Cuervas Mons Vendrell M. Criteria for the selection of paediatric patients susceptible to reconciliation error. Eur J Hosp Pharm. 2024;31(3…

Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. | PSNet

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July 22, 2020 - Study Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. Citation Text: Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualita…

A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. | PSNet

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May 01, 2019 - Review A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. Citation Text: Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…

Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. | PSNet

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September 07, 2016 - Study Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. Citation Text: van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. | PSNet

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March 23, 2022 - Review Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. Citation Text: Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings…

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