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Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. | PSNet

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September 27, 2016 - Commentary Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. Citation Text: Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and…

Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? | PSNet

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February 18, 2011 - Study Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Citation Text: Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…

Utilising improvement science methods to optimise medication reconciliation. | PSNet

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July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. | PSNet

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December 02, 2014 - Study Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. Citation Text: Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ …

Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet

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November 21, 2017 - Study Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. Citation Text: Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…

Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. | PSNet

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August 28, 2024 - Study Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…

Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet

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June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…

Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. | PSNet

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October 16, 2024 - Study Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. Citation Text: Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well-being during the COVID-19 pandemi…

Engaging hospital patients in the medication reconciliation process using tablet computers. | PSNet

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January 07, 2015 - Study Engaging hospital patients in the medication reconciliation process using tablet computers. Citation Text: Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…

Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. | PSNet

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September 23, 2020 - Review Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. Citation Text: Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-analy…

Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. | PSNet

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February 10, 2011 - Study Classic Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. Citation Text: Bates DW, Leape L, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on preventio…

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. | PSNet

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November 16, 2022 - Study Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. Citation Text: Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…

Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. | PSNet

psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety

August 01, 2018 - Study Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. Citation Text: Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…

Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals | PSNet

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July 20, 2022 - Study Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals Citation Text: Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with an…

Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement. | PSNet

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July 03, 2016 - Study Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement. Citation Text: Calderwood MS, Kawai AT, …

Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. | PSNet

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July 31, 2013 - Study Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. Citation Text: Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JA…

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. | PSNet

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August 04, 2021 - Study A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Citation Text: Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. Copy …

Preventability and causes of readmissions in a national cohort of general medicine patients. | PSNet

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January 25, 2017 - Study Classic Preventability and causes of readmissions in a national cohort of general medicine patients. Citation Text: Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…

Exploring situational awareness in diagnostic errors in primary care. | PSNet

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September 20, 2011 - Study Exploring situational awareness in diagnostic errors in primary care. Citation Text: Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310. Copy Citation Fo…

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. | PSNet

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June 22, 2022 - Study Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. Citation Text: Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…

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