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Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. | PSNet

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October 21, 2020 - Commentary Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. Citation Text: Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …

Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. | PSNet

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April 05, 2017 - Study Classic Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. Citation Text: Oliva EM, Bowe T, Manhapra A, et al. Associations between stopping prescrip…

Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. | PSNet

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June 15, 2022 - Study Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. Citation Text: Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patie…

The missing evidence: a systematic review of patients' experiences of adverse events in health care. | PSNet

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September 06, 2017 - Review Classic The missing evidence: a systematic review of patients' experiences of adverse events in health care. Citation Text: Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in heal…

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. | PSNet

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February 10, 2021 - Study Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Citation Text: Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis …

Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet

psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92

September 01, 2021 - Study Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Citation Text: Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Patien…

Patient safety measurement tools used in nursing homes: a systematic literature review. | PSNet

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January 11, 2023 - Review Patient safety measurement tools used in nursing homes: a systematic literature review. Citation Text: Kim K-A, Lee J, Kim D, et al. Patient safety measurement tools used in nursing homes: a systematic literature review. BMC Health Serv Res. 2022;22(1):1376. doi:10.1186/s12913-022…

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. | PSNet

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December 16, 2020 - Study Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. Citation Text: Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

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January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study. | PSNet

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January 27, 2021 - Study Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study. Citation Text: Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriat…

Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet

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February 22, 2019 - Study Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis Citation Text: Dinnen T, Williams H, Yardley S, et al. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Support Palliat Care. 2019. do…

Effect of illness severity and comorbidity on patient safety and adverse events. | PSNet

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December 01, 2011 - Study Effect of illness severity and comorbidity on patient safety and adverse events. Citation Text: Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…

Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. | PSNet

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November 13, 2024 - Study Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. Citation Text: Allegranzi B, Conway L, Larson EL, et al. Status of the implementation of the World Health Organization multimodal hand …

The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet

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October 18, 2023 - Study The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. Citation Text: Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computeri…

Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. | PSNet

psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners

October 03, 2012 - Study Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. Citation Text: Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…

Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united

October 09, 2019 - Study Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. Citation Text: Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…

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…

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet

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October 20, 2021 - Study Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. Citation Text: Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life study. Basic…

Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation. | PSNet

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September 09, 2020 - Study Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation. Citation Text: Lohmeyer Q, Schiess C, Wendel Garcia PD, et al. Effects of tall man lettering on the visual behaviour of critical car…

Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. | PSNet

psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized

May 18, 2022 - Study Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. Citation Text: McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…

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