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Reducing potential errors associated with insulin administration: an integrative review. | PSNet

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March 31, 2021 - Review Reducing potential errors associated with insulin administration: an integrative review. Citation Text: Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. Copy Cita…

It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. | PSNet

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August 05, 2020 - Study It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. Citation Text: Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthca…

Hospital computerized provider order entry adoption and quality: an examination of the United States. | PSNet

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May 20, 2020 - Study Hospital computerized provider order entry adoption and quality: an examination of the United States. Citation Text: Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage Rev. 2011;36(1):86-94…

Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. | PSNet

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June 13, 2011 - Commentary Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Citation Text: Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2…

Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. | PSNet

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March 04, 2015 - Study Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Citation Text: Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;…

Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. | PSNet

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December 14, 2016 - Study Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. Citation Text: Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. BMJ Open. 2015;5(9):e00812…

Adverse events in patients transitioning from the emergency department to the inpatient setting. | PSNet

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September 07, 2022 - Study Adverse events in patients transitioning from the emergency department to the inpatient setting. Citation Text: Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…

Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. | PSNet

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April 24, 2018 - Study Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. Citation Text: Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-…

Exploring perinatal shift-to-shift handover communication and process: an observational study. | PSNet

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April 04, 2018 - Study Exploring perinatal shift-to-shift handover communication and process: an observational study. Citation Text: Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…

The effect of work hours on adverse events and errors in health care. | PSNet

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August 20, 2014 - Study The effect of work hours on adverse events and errors in health care. Citation Text: Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002. Copy Citation Format: DOI Go…

A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." | PSNet

psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors

April 24, 2019 - Study A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." Citation Text: Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …

Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. | PSNet

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March 03, 2019 - Study Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. Citation Text: Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…

Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. | PSNet

psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai

May 18, 2022 - Commentary Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Citation Text: Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp…

A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. | PSNet

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February 01, 2023 - Study A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Citation Text: Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safe…

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. | PSNet

psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions

December 16, 2020 - Study Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Citation Text: Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):62…

It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. | PSNet

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December 02, 2020 - Study It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. Citation Text: Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…

Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. | PSNet

psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention

February 19, 2020 - Study Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. Citation Text: Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…

How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? | PSNet

psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19

June 14, 2017 - Commentary How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? Citation Text: Chopra V, Toner E, Waldhorn R, et al. How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)? Ann Intern Med. 2020;172(9):621-622. doi:10.7326/m20-0907. Copy Citation…

International comparability of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary diagnoses. | PSNet

psnet.ahrq.gov/issue/international-comparability-patient-safety-indicators-15-oecd-member-countries-methodological

June 28, 2011 - Study International comparability of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary diagnoses. Citation Text: Drösler SE, Romano PS, Tancredi DJ, et al. International comparability of patient safety indicators in 15 OECD memb…

Does health care role and experience influence perception of safety culture related to preventing infections? | PSNet

psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing

July 19, 2023 - Study Does health care role and experience influence perception of safety culture related to preventing infections? Citation Text: Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …

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