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Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

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September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. | PSNet

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December 21, 2017 - Study Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Citation Text: Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/…

COVID-19: peer support and crisis communication strategies to promote institutional resilience. | PSNet

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February 03, 2021 - Commentary Classic COVID-19: peer support and crisis communication strategies to promote institutional resilience. Citation Text: Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Int…

Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet

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November 16, 2022 - Study Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. Citation Text: Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infe…

Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. | PSNet

psnet.ahrq.gov/issue/beyond-burnout-physician-wellness-hierarchy-designed-prioritize-interventions-systems-level

July 19, 2023 - Review Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. Citation Text: Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 20…

Incidence, patterns, and prevention of wrong-site surgery. | PSNet

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September 30, 2010 - Study Classic Incidence, patterns, and prevention of wrong-site surgery. Citation Text: Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. Copy Citation Format: Goog…

E-prescribing and medication safety in community settings: a rapid scoping review. | PSNet

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January 22, 2025 - Review E-prescribing and medication safety in community settings: a rapid scoping review. Citation Text: Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.r…

Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital. | PSNet

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November 29, 2023 - Study Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital. Citation Text: Cullati S, Le Du S, Raë A-C, et al. Is the Surgical Safety Checklist successfully conducted? An observational study …

Medical large language models are vulnerable to data-poisoning attacks. | PSNet

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November 16, 2022 - Study Medical large language models are vulnerable to data-poisoning attacks. Citation Text: Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. Copy Citation Format…

6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial

December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…

Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet

psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united

November 01, 2017 - Study Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. Citation Text: Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the U…

Positive approaches to safety: learning from what we do well. | PSNet

psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well

September 15, 2021 - Commentary Positive approaches to safety: learning from what we do well. Citation Text: Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509. Copy Citation Format: DOI Google Sch…

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health

March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. | PSNet

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September 23, 2020 - Study Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. Citation Text: Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25…

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. | PSNet

psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care

December 09, 2020 - Study Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Citation Text: Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…

Charter on Physician Well-being. | PSNet

psnet.ahrq.gov/issue/charter-physician-well-being

May 25, 2016 - Commentary Classic Charter on Physician Well-being. Citation Text: Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542. doi:10.1001/jama.2018.1331. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

Interventions for reducing wrong-site surgery and invasive procedures. | PSNet

psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures

September 07, 2011 - Review Interventions for reducing wrong-site surgery and invasive procedures. Citation Text: Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404…

Electronic health record reviews to measure diagnostic uncertainty in primary care. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care

August 20, 2018 - Study Electronic health record reviews to measure diagnostic uncertainty in primary care. Citation Text: Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. …

The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. | PSNet

psnet.ahrq.gov/issue/incidence-and-cost-unexpected-hospital-use-after-scheduled-outpatient-endoscopy

October 31, 2012 - Study The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Citation Text: Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/arc…

The challenges and opportunities for shared decision making highlighted by COVID-19. | PSNet

psnet.ahrq.gov/issue/challenges-and-opportunities-shared-decision-making-highlighted-covid-19

June 15, 2022 - Commentary The challenges and opportunities for shared decision making highlighted by COVID-19. Citation Text: Abrams EM, Shaker M, Oppenheimer J, et al. The challenges and opportunities for shared decision making highlighted by COVID-19. J Allergy Clin Immunol Pract. 2020;8(8):2474-2480…

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