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Comparison of medication safety effectiveness among nine critical access hospitals. | PSNet

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September 07, 2022 - Study Comparison of medication safety effectiveness among nine critical access hospitals. Citation Text: Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067. Co…

Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. | PSNet

psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days

October 16, 2019 - Study Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Citation Text: Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Hea…

Psychological safety and error reporting within Veterans Health Administration hospitals. | PSNet

psnet.ahrq.gov/issue/psychological-safety-and-error-reporting-within-veterans-health-administration-hospitals

November 24, 2021 - Study Psychological safety and error reporting within Veterans Health Administration hospitals. Citation Text: Derickson R, Fishman J, Osatuke K, et al. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf. 2015;11(1):60-66. doi:10.1097/…

Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. | PSNet

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January 26, 2022 - Study Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. Citation Text: Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). | PSNet

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February 04, 2015 - Study Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). Citation Text: Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…

Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. | PSNet

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October 19, 2022 - Study Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. Citation Text: Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…

The association between nurse staffing and quality of care in emergency departments: a systematic review. | PSNet

psnet.ahrq.gov/issue/association-between-nurse-staffing-and-quality-care-emergency-departments-systematic-review

June 16, 2021 - Review The association between nurse staffing and quality of care in emergency departments: a systematic review. Citation Text: Drennan J, Murphy A, McCarthy VJC, et al. The association between nurse staffing and quality of care in emergency departments: a systematic review. Int J Nurs S…

Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study. | PSNet

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February 03, 2021 - Study Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study. Citation Text: Olin K, Klinga C, Ekstedt M, et al. Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperati…

Medication errors in the outpatient setting: classification and root cause analysis. | PSNet

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December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. | PSNet

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September 25, 2013 - Study A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. Citation Text: Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting Among …

Comparing VA and Non-VA quality of care: a systematic review. | PSNet

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May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs

March 24, 2021 - Review Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Citation Text: Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Healt…

Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet

psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety

October 23, 2013 - Study Classic Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? Citation Text: Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…

Working conditions in primary care: physician reactions and care quality. | PSNet

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July 13, 2010 - Study Working conditions in primary care: physician reactions and care quality. Citation Text: Linzer M, Manwell LB, Williams E, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med. 2009;151(1):28-36, W6-9. Copy Citation Format: G…

Potentially preventable 30-day hospital readmissions at a children's hospital. | PSNet

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July 11, 2017 - Study Potentially preventable 30-day hospital readmissions at a children's hospital. Citation Text: Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. Copy Citation …

Readiness of US general surgery residents for independent practice. | PSNet

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April 24, 2018 - Study Classic Readiness of US general surgery residents for independent practice. Citation Text: George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…

The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. | PSNet

psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study

May 20, 2020 - Study The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. Citation Text: Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;9…

The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. | PSNet

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January 23, 2020 - Study The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. Citation Text: Vedam S, Stoll K, Taiwo TK, et al. The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. Re…

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. | PSNet

psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and

September 23, 2020 - Study Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. Citation Text: Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 201…

Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. | PSNet

psnet.ahrq.gov/issue/are-interventions-reduce-interruptions-and-errors-during-medication-administration-effective

August 28, 2024 - Review Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. Citation Text: Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. BMJ …

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