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Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet

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November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…

Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review. | PSNet

psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings

March 02, 2022 - Review Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review. Citation Text: Louch G, Albutt AK, Harlow-Trigg J, et al. Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a sco…

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. | PSNet

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March 03, 2021 - Review Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. Citation Text: Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…

Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. | PSNet

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January 15, 2025 - Study Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. Citation Text: Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…

Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. | PSNet

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March 03, 2021 - Study Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. Citation Text: Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. J Am Me…

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. | PSNet

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October 26, 2022 - Review Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. Citation Text: Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixe…

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

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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

psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis

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

psnet.ahrq.gov/issue/understanding-hazards-adverse-drug-events-among-older-adults-after-hospital-discharge

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

psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation

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:…

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