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Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. | PSNet

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March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. | PSNet

psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13

September 06, 2023 - Study Classic Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. Citation Text: Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strat…

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. | PSNet

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June 16, 2021 - Study Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. Citation Text: Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. | PSNet

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April 09, 2013 - Study Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. Citation Text: Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…

Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. | PSNet

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January 18, 2023 - Study Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. Citation Text: Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination …

Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet

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May 04, 2022 - Study Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. Citation Text: Riblet N, Shiner B, Watts B, et al. Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports. J Nerv Ment Dis…

Influencing a culture of quality and safety through huddles. | PSNet

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April 05, 2023 - Study Influencing a culture of quality and safety through huddles. Citation Text: McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. Copy Citation Format:…

Unsafe care in residential settings for older adults. A content analysis of accreditation reports. | PSNet

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August 16, 2023 - Study Unsafe care in residential settings for older adults. A content analysis of accreditation reports. Citation Text: Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(…

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet

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July 07, 2021 - Review Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. Citation Text: Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. | PSNet

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September 21, 2022 - Study Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. Citation Text: Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights…

Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-geriatric-unit-impact-maintenance-post-hospitalization

December 01, 2021 - Study Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. Citation Text: Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescrip…

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

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May 11, 2022 - Study Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. Citation Text: Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…

Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. | PSNet

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November 26, 2014 - Study Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. Citation Text: Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedura…

Evaluation of communication and safety behaviors during hospital-wide code response simulation. | PSNet

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February 23, 2022 - Study Evaluation of communication and safety behaviors during hospital-wide code response simulation. Citation Text: Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…

Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. | PSNet

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November 02, 2022 - Study Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. Citation Text: Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin ca…

The impact of health information technology on the management and follow-up of test results—a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-health-information-technology-management-and-follow-test-results-systematic-review

August 19, 2020 - Review The impact of health information technology on the management and follow-up of test results—a systematic review. Citation Text: Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J A…

The safety implications of missed test results for hospitalised patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/safety-implications-missed-test-results-hospitalised-patients-systematic-review

November 26, 2014 - Review Classic The safety implications of missed test results for hospitalised patients: a systematic review. Citation Text: Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a systematic review. BMJ Q…

Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. | PSNet

psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen

September 27, 2023 - Study Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. Citation Text: Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…

Association of registered nurse and nursing support staffing with inpatient hospital mortality. | PSNet

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September 09, 2011 - Study Emerging Classic Association of registered nurse and nursing support staffing with inpatient hospital mortality. Citation Text: Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with inpatient hospital mortali…

Hand hygiene among physicians: performance, beliefs, and perceptions. | PSNet

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January 14, 2011 - Study Classic Hand hygiene among physicians: performance, beliefs, and perceptions. Citation Text: Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. Copy Citation …

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