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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

psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious

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…

Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. | PSNet

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May 27, 2011 - Commentary Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. Citation Text: Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order ent…

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…

Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: a systematic review. | PSNet

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October 10, 2018 - Review Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: a systematic review. Citation Text: Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process:…

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

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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

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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

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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

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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…

Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. | PSNet

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October 01, 2014 - Commentary Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. Citation Text: Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…

Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. | PSNet

psnet.ahrq.gov/issue/using-sociotechnical-theory-understand-medication-safety-work-primary-care-and-prescribers

November 09, 2022 - Study Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. Citation Text: Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primar…

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? | PSNet

psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety

June 01, 2022 - Study Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? Citation Text: Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 202…

When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet

psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety

December 16, 2015 - Commentary When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. Citation Text: Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee s…

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. | PSNet

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March 11, 2020 - Review Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. Citation Text: Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…

A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. | PSNet

psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial

December 22, 2018 - Study A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. Citation Text: Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…

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