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Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. | PSNet

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March 28, 2011 - Study Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. Citation Text: Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…

Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. | PSNet

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December 21, 2017 - Study Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. Citation Text: van Galen LS, Struik PW, Driesen BEJM, et al. Delayed Recognition of Deterioration of Patients …

Differences in the rates of patient safety events by payer: implications for providers and policymakers. | PSNet

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November 16, 2022 - Study Differences in the rates of patient safety events by payer: implications for providers and policymakers. Citation Text: Spencer CS, Roberts ET, Gaskin DJ. Differences in the rates of patient safety events by payer: implications for providers and policymakers. Med Care. 2015;53(6):5…

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. | PSNet

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December 15, 2021 - Study Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. Citation Text: Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster…

Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet

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March 09, 2022 - Study Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Citation Text: Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.100…

When disasters strike the emergency department: a case series and narrative review. | PSNet

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September 30, 2020 - Commentary When disasters strike the emergency department: a case series and narrative review. Citation Text: Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. | PSNet

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August 02, 2010 - Study Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. Citation Text: Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescr…

Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). | PSNet

psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit

August 03, 2022 - Study Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). Citation Text: Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet

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April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. | PSNet

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July 11, 2012 - Study High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. Citation Text: Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…

Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. | PSNet

psnet.ahrq.gov/issue/patient-safety-remote-primary-care-encounters-multimethod-qualitative-study-combining-safety

March 23, 2022 - Study Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. Citation Text: Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety…

Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. | PSNet

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May 11, 2022 - Study Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. Citation Text: Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method qualitat…

Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. | PSNet

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December 21, 2018 - Study Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. Citation Text: Djukic M, Stimpfel AW, Kovner C. Bachelor's Degree Nurse Graduates Report Better Quality and Safety Educational Preparedness than Associate De…

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. | PSNet

psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes

May 19, 2021 - Study Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. Citation Text: Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…

Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. | PSNet

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December 21, 2018 - Review Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. Citation Text: Boylen S, Cherian S, Gill FJ, et al. Impact of professional interpreters on outcomes for hospitalized c…

Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report. | PSNet

psnet.ahrq.gov/issue/response-practicing-chiropractors-during-early-phase-covid-19-pandemic-descriptive-report

September 23, 2020 - Commentary Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report. Citation Text: Johnson CD, Green BN, Konarski-Hart KK, et al. Response of Practicing Chiropractors during the Early Phase of the COVID-19 Pandemic: A Descriptive Report.…

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. | PSNet

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March 05, 2025 - Study Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. Citation Text: Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. | PSNet

psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter

December 01, 2021 - Study Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Citation Text: Calder LA, Perry J, Yan JW, et al. Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Ann Emerg Med. 2021;77(6…

Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication

May 25, 2022 - Review Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. Citation Text: Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry (CPOE) on the incidence of chemothe…

Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. | PSNet

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October 19, 2022 - Study Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. Citation Text: Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-Acquired Condition Reduction Program. Am J Med Qual. 2017;32…

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