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Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? | PSNet

psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice

June 23, 2021 - Review Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Citation Text: Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ …

Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care

November 06, 2019 - Review Emerging Classic Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. Citation Text: Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementa…

Risk reduction strategy to decrease incidence of retained surgical items. | PSNet

psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items

July 06, 2022 - Study Risk reduction strategy to decrease incidence of retained surgical items. Citation Text: Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. Copy …

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet

psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers

June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. | PSNet

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February 28, 2024 - Review Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Citation Text: Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency departme…

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. | PSNet

psnet.ahrq.gov/issue/determination-unnecessary-blood-transfusion-comprehensive-15-hospital-record-review

October 27, 2021 - Study Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Citation Text: Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):4…

Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. | PSNet

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May 15, 2013 - Study Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. Citation Text: Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge: development and validation of a prediction …

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. | PSNet

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December 01, 2021 - Study Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevale…

Prevalence and Economic Burden of Medication Errors in the NHS England. | PSNet

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September 11, 2018 - Book/Report Prevalence and Economic Burden of Medication Errors in the NHS England. Citation Text: Prevalence and Economic Burden of Medication Errors in the NHS England. Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Intervention…

Evaluation of the effectiveness of a surgical checklist in Medicare patients. | PSNet

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January 13, 2016 - Study Evaluation of the effectiveness of a surgical checklist in Medicare patients. Citation Text: Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277. Copy Ci…

Outcomes of emergency department patients presenting with adverse drug events. | PSNet

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April 22, 2011 - Study Outcomes of emergency department patients presenting with adverse drug events. Citation Text: Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.0…

Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet

psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs

October 17, 2018 - Study Making patient safety event data actionable: understanding patient safety analyst needs. Citation Text: Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…

How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. | PSNet

psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents

May 06, 2015 - Study How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. Citation Text: Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution …

Assessing the relationship between patient safety culture and EHR strategy. | PSNet

psnet.ahrq.gov/issue/assessing-relationship-between-patient-safety-culture-and-ehr-strategy

December 21, 2018 - Study Assessing the relationship between patient safety culture and EHR strategy. Citation Text: Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0…

A team-based approach to reducing cardiac monitor alarms. | PSNet

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October 19, 2022 - Study A team-based approach to reducing cardiac monitor alarms. Citation Text: Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. Copy Citation Format: DOI Google …

Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. | PSNet

psnet.ahrq.gov/issue/inter-professional-clinical-handover-post-anaesthetic-care-units-tools-improve-quality-and

April 24, 2013 - Study Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Citation Text: Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health…

Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. | PSNet

psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug-event

February 15, 2011 - Study Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. Citation Text: Ferranti J, Horvath MM, Cozart H, et al. Reevaluating the safety profile of pediatrics: a comparison of…

Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. | PSNet

psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care

August 04, 2010 - Study Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. Citation Text: Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence mi…

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet

psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study

April 19, 2017 - Study Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. Citation Text: Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…

Housestaff and medical student attitudes toward medical errors and adverse events. | PSNet

psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events

March 06, 2013 - Study Housestaff and medical student attitudes toward medical errors and adverse events. Citation Text: Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. Copy Cita…

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