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The effects of physical environments in medical wards on medication communication processes affecting patient safety. | PSNet

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November 17, 2021 - Study The effects of physical environments in medical wards on medication communication processes affecting patient safety. Citation Text: Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Heal…

Operating room traffic as a modifiable risk factor for surgical site infection. | PSNet

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April 24, 2018 - Study Operating room traffic as a modifiable risk factor for surgical site infection. Citation Text: Wanta BT, Glasgow AE, Habermann EB, et al. Operating Room Traffic as a Modifiable Risk Factor for Surgical Site Infection. Surg Infect (Larchmt). 2016;17(6):755-760. Copy Citation F…

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet

psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice

August 12, 2020 - Commentary "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Citation Text: Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerati…

Improvement of medication event interventions through use of an electronic database. | PSNet

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December 19, 2014 - Study Improvement of medication event interventions through use of an electronic database. Citation Text: Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajh…

Increased mortality associated with weekend hospital admission: a case for expanded seven day services? | PSNet

psnet.ahrq.gov/issue/increased-mortality-associated-weekend-hospital-admission-case-expanded-seven-day-services

March 02, 2012 - Study Increased mortality associated with weekend hospital admission: a case for expanded seven day services? Citation Text: Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596.…

Do faculty and resident physicians discuss their medical errors? | PSNet

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February 15, 2011 - Study Do faculty and resident physicians discuss their medical errors? Citation Text: Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713. Copy Citation For…

Using root cause analysis to reduce falls with injury in the psychiatric unit. | PSNet

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September 18, 2019 - Study Using root cause analysis to reduce falls with injury in the psychiatric unit. Citation Text: Lee A, Mills PD, Watts B. Using root cause analysis to reduce falls with injury in the psychiatric unit. Gen Hosp Psychiatry. 2012;34(3):304-11. doi:10.1016/j.genhosppsych.2011.12.007. …

Relationship between patient safety culture and patient experience in hospital settings: a scoping review. | PSNet

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November 17, 2014 - Review Relationship between patient safety culture and patient experience in hospital settings: a scoping review. Citation Text: Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Healt…

Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/outcomes-missed-diagnosis-pediatric-appendicitis-new-onset-diabetic-ketoacidosis-and-sepsis

September 29, 2021 - Study Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. Citation Text: Michelson KA, Bachur RG, Grubenhoff JA, et al. Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, an…

Mindful workarounds in bar code medication administration. | PSNet

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July 20, 2022 - Commentary Mindful workarounds in bar code medication administration. Citation Text: Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi:10.3233/shti220575. Copy Citation Format: DOI Google Scho…

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report

May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…

Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and

April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-comparing-customized-medication-history-form-standard-medication

September 23, 2020 - Study Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). Citation Text: Ryan GJ, Caudle JM, Rhee MK, et al. Medication reconciliation: comparing a customized medication history form to a standard medi…

Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. | PSNet

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October 06, 2016 - Study Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. Citation Text: Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-6…

Quality gaps identified through mortality review. | PSNet

psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review

November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Adverse events detected by clinical surveillance on an obstetric service. | PSNet

psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service

September 11, 2009 - Study Adverse events detected by clinical surveillance on an obstetric service. Citation Text: Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108(5):1073-83. Copy Citation Format: Google…

The role of language barriers on efficacy of rapid response teams. | PSNet

psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-response-teams

April 13, 2022 - Study The role of language barriers on efficacy of rapid response teams. Citation Text: Raff L, Moore C, Raff E. The role of language barriers on efficacy of rapid response teams. Hosp Pract (1995). 2023;51(1):29-34. doi:10.1080/21548331.2022.2150416. Copy Citation Format: …

Hospital system barriers to rapid response team activation: a cognitive work analysis. | PSNet

psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis

September 09, 2015 - Study Hospital system barriers to rapid response team activation: a cognitive work analysis. Citation Text: Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.…

Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. | PSNet

psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-academic-medical

October 19, 2022 - Study Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. Citation Text: Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical cen…

Project BOOST implementation: lessons learned. | PSNet

psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned

August 21, 2013 - Study Project BOOST implementation: lessons learned. Citation Text: Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

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