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Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. | PSNet

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April 29, 2018 - Study Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. Citation Text: Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…

The extent and importance of unintended consequences related to computerized provider order entry. | PSNet

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May 27, 2011 - Study Classic The extent and importance of unintended consequences related to computerized provider order entry. Citation Text: Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…

Preventability and causes of readmissions in a national cohort of general medicine patients. | PSNet

psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients

January 25, 2017 - Study Classic Preventability and causes of readmissions in a national cohort of general medicine patients. Citation Text: Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…

Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. | PSNet

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January 07, 2015 - Study Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. Citation Text: Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681…

Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet

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August 11, 2021 - Study Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. Citation Text: Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug ad…

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic

February 02, 2022 - Review Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. Citation Text: Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a syste…

Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. | PSNet

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May 18, 2022 - Study Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. Citation Text: Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international qualitative study based upon a positive …

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? | PSNet

psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know

February 03, 2011 - Study Classic Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? Citation Text: Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with…

We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. | PSNet

psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address

October 17, 2018 - Study We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. Citation Text: Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…

Missed nursing care during the COVID-19 pandemic: a comparative observational study. | PSNet

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June 22, 2022 - Study Missed nursing care during the COVID-19 pandemic: a comparative observational study. Citation Text: von Vogelsang A‐C, Göransson KE, Falk A‐C, et al. Missed nursing care during the COVID‐19 pandemic: a comparative observational study. J Nurs Manag. 2021;29(8):2343-2352. doi:10.1111…

Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/compliance-and-barriers-implementing-surgical-safety-checklist-mixed-methods-study

October 06, 2021 - Study Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. Citation Text: Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:…

Incorrect surgical procedures within and outside of the operating room: a follow-up report. | PSNet

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April 30, 2014 - Study Incorrect surgical procedures within and outside of the operating room: a follow-up report. Citation Text: Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room: a follow-up report. Arch Surg. 2011;146(11):1235-9. doi:10.1001…

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. | PSNet

psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse

March 17, 2021 - Study Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. Citation Text: Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…

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

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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…

Preliminary study of patient safety and quality use cases for ICD-11 MMS. | PSNet

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July 22, 2020 - Study Preliminary study of patient safety and quality use cases for ICD-11 MMS. Citation Text: Fenton SH, Giannangelo KL, Stanfill MH. Preliminary study of patient safety and quality use cases for ICD-11 MMS. J Am Med Inform Assoc. 2021;28(11):2346-2353. doi:10.1093/jamia/ocab163. Copy…

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

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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…

Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. | PSNet

psnet.ahrq.gov/issue/prevalence-patterns-and-predictors-nursing-care-left-undone-european-hospitals-results

January 04, 2015 - Study Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. Citation Text: Ausserhofer D, Zander B, Busse R, et al. Prevalence, patterns and predictors of nursing care left undone in European h…

Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet

psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data

March 15, 2017 - Study Missed diagnosis of cancer in primary care: insights from malpractice claims data. Citation Text: Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.…

Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. | PSNet

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August 26, 2020 - Study Classic Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. Citation Text: van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication adm…

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. | PSNet

psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics

April 08, 2008 - Study To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Citation Text: Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…

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