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Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. | PSNet

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May 22, 2019 - Study Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. Citation Text: Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and…

Learning from patient safety incidents: The Green Cross method. | PSNet

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June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. | PSNet

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March 24, 2019 - Study Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Citation Text: Wang H-F, Jin J-F,…

Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. | PSNet

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July 21, 2021 - Study Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. Citation Text: Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…

Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet

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March 01, 2023 - Study Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…

Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet

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July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…

Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

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January 23, 2017 - Study Understanding and responding when things go wrong: key principles for primary care educators. Citation Text: McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…

What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England. | PSNet

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December 07, 2022 - Study What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England. Citation Text: Averill P, Bowness B, Henderson C, et al. What does ‘safe care’ mean in t…

Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet

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May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

Medication event huddles: a tool for reducing adverse drug events. | PSNet

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December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. | PSNet

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August 17, 2018 - Study Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. Citation Text: Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…

Barcoded medication administration: a last line of defense. | PSNet

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November 06, 2015 - Commentary Barcoded medication administration: a last line of defense. Citation Text: Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200. Copy Citation Format: DOI Google Scholar PubMe…

Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet

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December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. | PSNet

psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care

August 04, 2010 - Study Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. Citation Text: Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence mi…

How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. | PSNet

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September 07, 2022 - Study How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. Citation Text: Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…

Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet

psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans

June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Citation Text: Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …

Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic

January 31, 2024 - Study Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. Citation Text: Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…

Impact of hospital-acquired pneumonia on the Medicare program. | PSNet

psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program

August 07, 2013 - Study Impact of hospital-acquired pneumonia on the Medicare program. Citation Text: Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221. Copy Citation F…

Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. | PSNet

psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united

February 03, 2021 - Study Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. Citation Text: Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in…

Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. | PSNet

psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder

February 20, 2019 - Study Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. Citation Text: Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder con…

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