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Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. | PSNet

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February 08, 2017 - Study Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. Citation Text: Cooper JB, Singer SJ, Hayes J, et al. Design and evaluation of simulation scenarios for a program…

Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. | PSNet

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March 24, 2021 - Study Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. Citation Text: Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.…

Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. | PSNet

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October 09, 2024 - Study Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. Citation Text: Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US h…

Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. | PSNet

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July 29, 2020 - Review Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. Citation Text: McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …

Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. | PSNet

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May 18, 2022 - Study Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. Citation Text: Graudins LV, Ingram C, Smith BT, et al. Multicentre study to develop a medication safety package for decreasing inpatient harm from omis…

Prescribers' responses to alerts during medication ordering in the long term care setting. | PSNet

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February 26, 2009 - Study Prescribers' responses to alerts during medication ordering in the long term care setting. Citation Text: Judge J, Field T, DeFlorio M, et al. Prescribers' responses to alerts during medication ordering in the long term care setting. J Am Med Inform Assoc. 2006;13(4):385-90. Co…

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. | PSNet

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June 29, 2022 - Study Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. Citation Text: Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Ped…

Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital | PSNet

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September 23, 2020 - Study Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital Citation Text: Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospit…

Electronic prescribing in an ambulatory care setting: a cluster randomized trial. | PSNet

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October 31, 2011 - Study Electronic prescribing in an ambulatory care setting: a cluster randomized trial. Citation Text: Dainty KN, Adhikari NKJ, Kiss A, et al. Electronic prescribing in an ambulatory care setting: a cluster randomized trial. J Eval Clin Pract. 2012;18(4):761-7. doi:10.1111/j.1365-2753.…

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. | PSNet

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October 27, 2021 - Study Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Citation Text: Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):4…

Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. | PSNet

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March 13, 2019 - Study Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. Citation Text: Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order en…

Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. | PSNet

psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure

November 02, 2016 - Study Classic Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. Citation Text: Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualit…

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet

psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study

May 05, 2021 - Study Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Citation Text: Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. | PSNet

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March 10, 2021 - Study Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. Citation Text: Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. | PSNet

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February 12, 2020 - Study Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. Citation Text: Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Saf…

Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. | PSNet

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November 16, 2022 - Study Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. Citation Text: Scott GPT, Shah P, Wyatt JC, et al. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. J Am Med Inform Ass…

Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. | PSNet

psnet.ahrq.gov/issue/estimating-impact-patient-safety-enabling-digital-transfer-patients-prescription-information

May 24, 2023 - Study Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. Citation Text: Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription…

Academic half day improves resident perception of education without compromising patient safety. | PSNet

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April 10, 2024 - Study Academic half day improves resident perception of education without compromising patient safety. Citation Text: Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016.…

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. | PSNet

psnet.ahrq.gov/issue/tracking-rates-patient-safety-indicators-over-time-lessons-veterans-administration

July 14, 2009 - Study Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. Citation Text: Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Med Care. 2006;44(9):850-61. Copy…

A new safety event reporting system improves physician reporting in the surgical intensive care unit. | PSNet

psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit

August 02, 2011 - Study A new safety event reporting system improves physician reporting in the surgical intensive care unit. Citation Text: Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006…

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