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Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. | PSNet

psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety

June 03, 2020 - Study Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. Citation Text: Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…

Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. | PSNet

psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case

March 30, 2022 - Study Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. Citation Text: Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. BM…

Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. | PSNet

psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments

September 02, 2015 - Review Emerging Classic Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. Citation Text: Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…

Mixed results in the safety performance of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry

May 04, 2022 - Study Classic Mixed results in the safety performance of computerized physician order entry. Citation Text: Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…

The vulnerabilities of computerized physician order entry systems: a qualitative study. | PSNet

psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study

July 02, 2019 - Study The vulnerabilities of computerized physician order entry systems: a qualitative study. Citation Text: Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. d…

An integrative total worker health framework for keeping workers safe and healthy during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/integrative-total-worker-health-framework-keeping-workers-safe-and-healthy-during-covid-19

October 19, 2022 - Commentary Emerging Classic An integrative total worker health framework for keeping workers safe and healthy during the COVID-19 pandemic. Citation Text: Dennerlein JT, Burke L, Sabbath EL, et al. An Integrative Total Worker Health Framework for Keeping Workers…

Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. | PSNet

psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental

March 18, 2020 - Study Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Citation Text: van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …

The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. | PSNet

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August 01, 2018 - Study The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. Citation Text: Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational rout…

Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. | PSNet

psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day

July 01, 2017 - Study Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. Citation Text: Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time o…

Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. | PSNet

psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication

January 07, 2015 - Study Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. Citation Text: Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …

Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. | PSNet

psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line

February 18, 2011 - Study Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. Citation Text: Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line provi…

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. | PSNet

psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led

February 17, 2021 - Study Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. Citation Text: Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…

Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists. | PSNet

psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences

November 03, 2021 - Study Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists. Citation Text: Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool to examine second victim experiences o…

A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. | PSNet

psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary

December 21, 2016 - Study Classic A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. Citation Text: Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relat…

Effect of reducing interns' work hours on serious medical errors in intensive care units. | PSNet

psnet.ahrq.gov/issue/effect-reducing-interns-work-hours-serious-medical-errors-intensive-care-units

June 29, 2009 - Study Classic Effect of reducing interns' work hours on serious medical errors in intensive care units. Citation Text: Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N En…

Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. | PSNet

psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits

September 23, 2020 - Study Classic Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Citation Text: Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEV…

Effect of patient- and medication-related factors on inpatient medication reconciliation errors. | PSNet

psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors

May 08, 2017 - Study Effect of patient- and medication-related factors on inpatient medication reconciliation errors. Citation Text: Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8…

Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. | PSNet

psnet.ahrq.gov/issue/using-global-trigger-tool-surgical-and-neurosurgical-patients-feasibility-study

June 09, 2021 - Study Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. Citation Text: Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/…

Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative

October 30, 2024 - Study Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. Citation Text: Hattingh HL, Edmunds C, Gillespie BM. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. J Pharm Pol…

Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance

May 07, 2014 - Study Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. Citation Text: Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the …

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