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Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet

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December 02, 2020 - Study Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. Citation Text: Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …

Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet

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September 23, 2020 - Study Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. Citation Text: Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. | PSNet

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March 11, 2020 - Study Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. Citation Text: Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the preventio…

A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. | PSNet

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November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…

Automated identification of postoperative complications within an electronic medical record using natural language processing. | PSNet

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March 09, 2011 - Study Classic Automated identification of postoperative complications within an electronic medical record using natural language processing. Citation Text: Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within a…

Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation. | PSNet

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September 29, 2021 - Study Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation. Citation Text: Qureshi N, Kroger J, Zangwill KM, et al. Changes in perceptions of antibioti…

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet

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May 18, 2022 - Review Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. Citation Text: Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. | PSNet

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February 17, 2021 - Study Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Citation Text: Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135…

Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. | PSNet

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March 02, 2022 - Study Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. Citation Text: Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novic…

A multisite study of interprofessional teamwork and collaboration on general medical services. | PSNet

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November 15, 2023 - Study A multisite study of interprofessional teamwork and collaboration on general medical services. Citation Text: O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…

Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. | PSNet

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August 24, 2022 - Study Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. Citation Text: Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1…

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. | PSNet

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July 27, 2022 - Review Emerging Classic Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. Citation Text: Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic …

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. | PSNet

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July 22, 2020 - Study Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. Citation Text: Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…

How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet

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October 09, 2024 - Study How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? Citation Text: Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2…

Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. | PSNet

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January 31, 2024 - Study Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. Citation Text: McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports a…

Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. | PSNet

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August 28, 2024 - Study Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Citation Text: Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…

A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. | PSNet

psnet.ahrq.gov/issue/patient-and-family-reporting-system-perceived-ambulatory-note-mistakes-experience-3-us

June 06, 2018 - Study A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. Citation Text: Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcar…

Failures in the respectful care of critically ill patients. | PSNet

psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients

December 19, 2018 - Study Failures in the respectful care of critically ill patients. Citation Text: Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008. Copy Citation Format: …

Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. | PSNet

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April 12, 2019 - Study Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. Citation Text: Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night be…

Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. | PSNet

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December 29, 2014 - Study Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. Citation Text: Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hosp…

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