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Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability

October 19, 2022 - Study Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. Citation Text: Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in he…

Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition

October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. | PSNet

psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment

October 28, 2020 - Study Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. Citation Text: Roope LSJ, Buchanan J, Morrell L, et al. Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. …

Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet

psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury

June 23, 2021 - Study Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. Citation Text: Strid EN, Wåhlin C, Ros A, et al. Health care workers’ experiences of workplace incidents that posed a risk of patient and …

Home health agency patient experience measures and their relationship to Joint Commission accreditation. | PSNet

psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission

July 10, 2024 - Study Home health agency patient experience measures and their relationship to Joint Commission accreditation. Citation Text: Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. | PSNet

psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration

August 21, 2024 - Study Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. Citation Text: Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. | PSNet

psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical

June 08, 2022 - Study A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Citation Text: Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Australas Emerg C…

A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. | PSNet

psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers

September 20, 2023 - Study A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. Citation Text: Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…

Observing sources of system resilience using in situ alarm simulations. | PSNet

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August 30, 2023 - Study Observing sources of system resilience using in situ alarm simulations. Citation Text: McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. Copy Citation Form…

Impact of adverse events on outcomes in intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/impact-adverse-events-outcomes-intensive-care-unit-patients

April 18, 2012 - Study Impact of adverse events on outcomes in intensive care unit patients. Citation Text: Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients. Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c. Copy Citation…

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. | PSNet

psnet.ahrq.gov/issue/avoiding-med-wreck-structured-medication-reconciliation-framework-and-standardized-auditing

May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …

The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. | PSNet

psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver

September 19, 2016 - Study The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. Citation Text: Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes:…

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors

July 14, 2021 - Study The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. Citation Text: Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:…

The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual

May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…

Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. | PSNet

psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study-based-focus-group

July 29, 2020 - Study Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. Citation Text: Silverglow A, Johansson L, Lidén E, et al. Perceptions of providing safe care for frail older people at home: a qualitative st…

Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. | PSNet

psnet.ahrq.gov/issue/effects-multicentre-teamwork-and-communication-programme-patient-outcomes-results-triad

January 16, 2013 - Study Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. Citation Text: Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient o…

A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. | PSNet

psnet.ahrq.gov/issue/nationwide-study-july-effect-concerning-postpartum-hemorrhage-and-its-risk-factors-teaching

September 25, 2019 - Study A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. Citation Text: Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk …

Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. | PSNet

psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes

June 04, 2014 - Study Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Citation Text: Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…

Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. | PSNet

psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods

November 14, 2018 - Study Classic Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. Citation Text: Szymczak JE, Smathers S, Hoegg C, et al. Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Anal…

A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? | PSNet

psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-leaving-hospital

December 16, 2020 - Review A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? Citation Text: Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: …

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