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Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. | PSNet

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December 23, 2020 - Study Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. Citation Text: Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventi…

Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis

May 05, 2021 - Review Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. Citation Text: Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi…

Overrides of medication alerts in ambulatory care. | PSNet

psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care

September 01, 2016 - Study Overrides of medication alerts in ambulatory care. Citation Text: Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med. 2009;169(3):305-311. doi:10.1001/archinternmed.2008.551. Copy Citation Format: DOI Google Schol…

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. | PSNet

psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple

June 22, 2022 - Study A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. Citation Text: Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…

Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/drug-related-problems-and-polypharmacy-nursing-home-residents-cross-sectional-study

May 25, 2022 - Study Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. Citation Text: Díez R, Cadenas R, Susperregui J, et al. Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. Int J Environ Res Public Health. 2022;19(7):…

Narrative review: do state laws make it easier to say "I'm sorry"? | PSNet

psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry

June 16, 2010 - Review Narrative review: do state laws make it easier to say "I'm sorry"? Citation Text: McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816. Copy Citation Format: Google Scholar PubMed BibTeX En…

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. | PSNet

psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians

March 11, 2020 - Study Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. Citation Text: Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. BMJ Qual Sa…

Working conditions in primary care: physician reactions and care quality. | PSNet

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July 13, 2010 - Study Working conditions in primary care: physician reactions and care quality. Citation Text: Linzer M, Manwell LB, Williams E, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med. 2009;151(1):28-36, W6-9. Copy Citation Format: G…

A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. | PSNet

psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient

December 29, 2014 - Study A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. Citation Text: Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…

Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study. | PSNet

psnet.ahrq.gov/issue/medication-opioid-use-disorder-after-nonfatal-opioid-overdose-and-association-mortality

October 03, 2018 - Study Classic Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study. Citation Text: Larochelle MR, Bernson D, Land T, et al. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Associat…

Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. | PSNet

psnet.ahrq.gov/issue/opportunities-and-challenges-quality-and-safety-applications-icd-11-international-survey

February 17, 2017 - Study Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. Citation Text: Southern DA, Hall M, White DE, et al. Opportunities and challenges for quality and safety applications in ICD-11: an international surve…

Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet

psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis

August 15, 2012 - Book/Report Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Citation Text: Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…

The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. | PSNet

psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging

June 16, 2011 - Study Classic The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. Citation Text: Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and…

Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. | PSNet

psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and

January 15, 2014 - Study Classic Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Citation Text: Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…

A strategic solution to preventing the harm associated with ambulance handover delays. | PSNet

psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays

July 22, 2020 - Study A strategic solution to preventing the harm associated with ambulance handover delays. Citation Text: Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. Copy C…

Development of a measure of patient safety event learning responses. | PSNet

psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses

June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…

Failures in the respectful care of critically ill patients. | PSNet

psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients

December 19, 2018 - Study Failures in the respectful care of critically ill patients. Citation Text: Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008. Copy Citation Format: …

Cost implications of reduced work hours and workloads for resident physicians. | PSNet

psnet.ahrq.gov/issue/cost-implications-reduced-work-hours-and-workloads-resident-physicians

August 05, 2015 - Study Cost implications of reduced work hours and workloads for resident physicians. Citation Text: Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251…

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? | PSNet

psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make-serious-prescribing

June 30, 2011 - Study Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? Citation Text: Coleman JJ, Hemming K, Nightingale PG, et al. Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? J…

Medication discrepancies in resident sign-outs and their potential to harm. | PSNet

psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm

March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

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