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A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet

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May 25, 2022 - Commentary A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Citation Text: Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …

Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet

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July 29, 2020 - Commentary Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. Citation Text: Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…

Potentially inappropriate medication use among elderly home care patients in Europe. | PSNet

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September 19, 2016 - Study Potentially inappropriate medication use among elderly home care patients in Europe. Citation Text: Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home care patients in Europe. JAMA. 2005;293(11):1348-58. Copy Citation Form…

Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. | PSNet

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October 18, 2023 - Study Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. Citation Text: Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…

Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet

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August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…

Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. | PSNet

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March 24, 2019 - Study Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. Citation Text: Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…

Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. | PSNet

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August 19, 2020 - Study Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. Citation Text: Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…

A report of information technology and health deficiencies in U.S. nursing homes. | PSNet

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October 28, 2020 - Study A report of information technology and health deficiencies in U.S. nursing homes. Citation Text: Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. Copy …

Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. | PSNet

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August 23, 2023 - Study Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. Citation Text: Jensen JF, Ramos J, Ørom M‐L, et al. Improving patients' intensive care admission through multidisciplinary simulation‐based crisi…

Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. | PSNet

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April 06, 2022 - Study Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. Citation Text: Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…

Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. | PSNet

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January 25, 2023 - Study Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. Citation Text: Zińczuk A, Rorat M, Simon K, et al. Unpacking the complexity of COVID-19 fatalities: adverse event…

Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet

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August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …

Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. | PSNet

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September 26, 2012 - Study Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. Citation Text: Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:…

Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. | PSNet

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June 03, 2020 - Study Classic Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Citation Text: Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…

Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. | PSNet

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November 07, 2018 - Commentary Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. Citation Text: Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more…

Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. | PSNet

psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients

March 09, 2022 - Study Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. Citation Text: Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…

Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet

psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events

February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety events? Citation Text: Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…

Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. | PSNet

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January 08, 2020 - Commentary Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. Citation Text: Kemper T, van Haperen M, Eberl S, et al.…

Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. | PSNet

psnet.ahrq.gov/issue/evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition

April 13, 2022 - Study Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. Citation Text: Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by o…

A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. | PSNet

psnet.ahrq.gov/issue/smartphone-app-designed-empower-patients-contribute-toward-safer-surgical-care-community

February 12, 2020 - Study A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. Citation Text: Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Car…

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