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Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. | PSNet

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June 22, 2022 - Study Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. Citation Text: Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. | PSNet

psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy

December 08, 2021 - Study Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. Citation Text: Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…

Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory

August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…

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…

How to scale up quality and safety program with the home care accreditation. | PSNet

psnet.ahrq.gov/issue/how-scale-quality-and-safety-program-home-care-accreditation

July 27, 2022 - Study How to scale up quality and safety program with the home care accreditation. Citation Text: Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698. Copy C…

A look into the nature and causes of human errors in the intensive care unit. | PSNet

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June 29, 2009 - Study Classic A look into the nature and causes of human errors in the intensive care unit. Citation Text: Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300. Co…

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. | PSNet

psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient

March 28, 2012 - Study The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. Citation Text: Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. J Nurs Adm. 2011;41(…

Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. | PSNet

psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and

July 06, 2022 - Study Emerging Classic Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. Citation Text: Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted…

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. | PSNet

psnet.ahrq.gov/issue/implementation-mandatory-checklist-protocols-and-objectives-improves-compliance-wide-range

September 22, 2010 - Study Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Citation Text: Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectiv…

Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/human-factors-and-ergonomics-improve-performance-intensive-care-units-during-covid-19

December 23, 2020 - Commentary Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic. Citation Text: Della Torre V, E. Nacul F, Rosseel P, et al. Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic. Anaes…

Effectiveness of communication interventions in obstetrics--a systematic review. | PSNet

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April 13, 2022 - Review Effectiveness of communication interventions in obstetrics--a systematic review. Citation Text: Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ije…

Organizational readiness to change as a leverage point for improving safety: a national nursing home survey. | PSNet

psnet.ahrq.gov/issue/organizational-readiness-change-leverage-point-improving-safety-national-nursing-home-survey

August 26, 2020 - Study Organizational readiness to change as a leverage point for improving safety: a national nursing home survey. Citation Text: Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving safety: a national nursing home survey. BMC Health Ser…

The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. | PSNet

psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-2009-consensus-development

November 16, 2022 - Commentary The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Citation Text: Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Hos…

Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet

psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety

July 07, 2021 - Study Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Citation Text: Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…

The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-dose-errors-among-paediatric-patients-hospital-wards-and-without-health

November 02, 2018 - Review The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. Citation Text: Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospi…

The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta

October 14, 2015 - Review Classic The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. Citation Text: Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX) Generators: A Systema…

Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach | PSNet

psnet.ahrq.gov/issue/never-events-uk-general-practice-survey-views-general-practitioners-their-frequency-and

June 30, 2021 - Study Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach Citation Text: Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General Practiti…

Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. | PSNet

psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme

September 09, 2020 - Study Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. Citation Text: Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative

July 31, 2019 - Review The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Citation Text: Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…

How to be a very safe maternity unit: an ethnographic study. | PSNet

psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnographic-study

October 21, 2020 - Study Emerging Classic How to be a very safe maternity unit: an ethnographic study. Citation Text: Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01…

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