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VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. | PSNet

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October 12, 2022 - Book/Report VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Citation Text: VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…

Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. | PSNet

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August 17, 2018 - Study Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. Citation Text: Mull HJ, Gellad ZF, Gupta RT, et al. Factors Associated With Emergency Department Visits and Hospital Admissions Af…

Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and satisfaction with care. | PSNet

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March 25, 2015 - Study Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and satisfaction with care. Citation Text: O'Leary KJ, Killarney A, Hansen LO, et al. Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and …

Innovation in practice: a multidisciplinary medication safety initiative. | PSNet

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August 15, 2018 - Newspaper/Magazine Article Innovation in practice: a multidisciplinary medication safety initiative. Citation Text: Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99. Copy Citation Fo…

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

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September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. | PSNet

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April 06, 2022 - Study Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. Citation Text: Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department patients…

Medication assessments by care managers reveal potential safety issues in homebound older adults. | PSNet

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August 18, 2021 - Study Medication assessments by care managers reveal potential safety issues in homebound older adults. Citation Text: Golden AG, Qiu D, Roos BA. Medication assessments by care managers reveal potential safety issues in homebound older adults. Ann Pharmacother. 2011;45(4):492-8. doi:10…

Evaluation and certification of computerized physician order entry systems. | PSNet

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May 27, 2011 - Review Evaluation and certification of computerized physician order entry systems. Citation Text: Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. Copy Citation Format: Google…

Please reconcile, not wait a while. | PSNet

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April 19, 2023 - Commentary Please reconcile, not wait a while. Citation Text: Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. Copy Citation Format: DOI Google Scholar BibTe…

High reliability pediatric heart centers: always working toward getting better. | PSNet

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September 18, 2024 - Commentary High reliability pediatric heart centers: always working toward getting better. Citation Text: Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. Copy C…

Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet

psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross

February 04, 2015 - Study Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. Citation Text: Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. BMC Health Serv R…

Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. | PSNet

psnet.ahrq.gov/issue/patient-assessments-hypothetical-medical-error-effects-health-outcome-disclosure-and-staff

February 24, 2011 - Study Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. Citation Text: Cleopas A, Villaveces A, Charvet A, et al. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff re…

Incidence and prevention of iatrogenic urethral injuries. | PSNet

psnet.ahrq.gov/issue/incidence-and-prevention-iatrogenic-urethral-injuries

August 02, 2015 - Study Incidence and prevention of iatrogenic urethral injuries. Citation Text: Kashefi C, Messer K, Barden R, et al. Incidence and prevention of iatrogenic urethral injuries. J Urol. 2008;179(6):2254-7; discussion 2257-8. doi:10.1016/j.juro.2008.01.108. Copy Citation Format: …

Patient safety and job-related stress: a focus group study. | PSNet

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December 05, 2012 - Study Patient safety and job-related stress: a focus group study. Citation Text: Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001. Copy Citation Format: …

Resident duty hours and medical education policy—raising the evidence bar. | PSNet

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August 20, 2018 - Commentary Resident duty hours and medical education policy—raising the evidence bar. Citation Text: Asch DA, Bilimoria KY, Desai S. Resident Duty Hours and Medical Education Policy - Raising the Evidence Bar. N Engl J Med. 2017;376(18):1704-1706. doi:10.1056/NEJMp1703690. Copy Citatio…

Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet

psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit

September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. Citation Text: Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…

Evidence summary and recommendations for improved communication during care transitions. | PSNet

psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions

October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…

Time out—charting a path for improving performance measurement. | PSNet

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March 06, 2005 - Commentary Classic Time out—charting a path for improving performance measurement. Citation Text: MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. C…

An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. | PSNet

psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative

October 15, 2014 - Study An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. Citation Text: Katz MG, Rockne WY, Braga R, et al. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. A…

The high cost of low-frequency events: the anatomy and economics of surgical mishaps. | PSNet

psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps

October 19, 2022 - Study Classic The high cost of low-frequency events: the anatomy and economics of surgical mishaps. Citation Text: Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;3…

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