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Interventions to increase patient safety in long-term care facilities-umbrella review. | PSNet

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September 01, 2021 - Review Interventions to increase patient safety in long-term care facilities-umbrella review. Citation Text: Świtalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities-umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. do…

How health care systems let our patients down: a systematic review into suicide deaths. | PSNet

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October 19, 2022 - Review How health care systems let our patients down: a systematic review into suicide deaths. Citation Text: Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…

Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. | PSNet

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November 18, 2016 - Commentary Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. Citation Text: Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the S…

Enhancing patient safety: a national standard for cyber resiliency in healthcare. | PSNet

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September 23, 2020 - Commentary Enhancing patient safety: a national standard for cyber resiliency in healthcare. Citation Text: Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.…

Measuring the rate of manual transcription error in outpatient point-of-care testing. | PSNet

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August 20, 2018 - Study Measuring the rate of manual transcription error in outpatient point-of-care testing. Citation Text: Mays JA, Mathias PC. Measuring the rate of manual transcription error in outpatient point-of-care testing. J Am Med Inform Assoc. 2019;26(3):269-272. doi:10.1093/jamia/ocy170. Cop…

Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident

October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated-their-reporting

December 14, 2022 - Study Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Nurses’ perception of medication administration errors and factors associated with …

An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. | PSNet

psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent

March 25, 2021 - Study An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. Citation Text: Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. | PSNet

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September 27, 2016 - Review Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. Citation Text: Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. J Am Med Dir Assoc. 202…

A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet

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October 26, 2022 - Study A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. Citation Text: Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. | PSNet

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June 24, 2020 - Study Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. Citation Text: Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safe…

Patient safety in complementary medicine through the application of clinical risk management in the public health system. | PSNet

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February 15, 2023 - Study Patient safety in complementary medicine through the application of clinical risk management in the public health system. Citation Text: Rossi EG, Bellandi T, Picchi M, et al. Patient Safety in Complementary Medicine through the Application of Clinical Risk Management in the Public…

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. | PSNet

psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital

November 10, 2015 - Commentary Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. Citation Text: Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication administration standard to address hospit…

It’s time to consider national culture when designing team training initiatives in healthcare. | PSNet

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January 26, 2022 - Commentary It’s time to consider national culture when designing team training initiatives in healthcare. Citation Text: Rice JC, Daouk-Öyry L, Hitti E. It’s time to consider national culture when designing team training initiatives in healthcare. BMJ Qual Saf. 2021;30(5):412-417. doi:10…

Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. | PSNet

psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health

August 04, 2021 - Study Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. Citation Text: Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the…

Can we rely on patients' reports of adverse events? | PSNet

psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events

December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates

February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. | PSNet

psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico

April 16, 2019 - Study Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. Citation Text: Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed …

Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet

psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes

December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. Citation Text: Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. Copy Citation …

The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care

November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

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