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Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. | PSNet

psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry

November 26, 2014 - Study Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. Citation Text: Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. J …

Drug shortage-associated increase in catheter-related blood stream infection in children. | PSNet

psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children

April 24, 2018 - Study Drug shortage-associated increase in catheter-related blood stream infection in children. Citation Text: Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/…

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. | PSNet

psnet.ahrq.gov/issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary

June 07, 2023 - Study Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. Citation Text: Singh R, McLean-Plunckett EA, Kee R, et al. Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary …

Do safety culture scores in nursing homes depend on job role and ownership? Results from a national survey. | PSNet

psnet.ahrq.gov/issue/do-safety-culture-scores-nursing-homes-depend-job-role-and-ownership-results-national-survey

April 05, 2017 - Study Do safety culture scores in nursing homes depend on job role and ownership? Results from a national survey. Citation Text: Banaszak-Holl J, Reichert H, Greene T, et al. Do Safety Culture Scores in Nursing Homes Depend on Job Role and Ownership? Results from a National Survey. J Am …

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. | PSNet

psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously

February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable

February 10, 2011 - Study Classic Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. Citation Text: Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra cos…

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. | PSNet

psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative

August 25, 2021 - Review Emerging Classic Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. Citation Text: O’Neill SM, Clyne B, Bell M, et al. Why do h…

Overdose risk in young children of women prescribed opioids. | PSNet

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September 07, 2016 - Study Overdose risk in young children of women prescribed opioids. Citation Text: Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887. Copy Citation Format: DOI Goog…

Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. | PSNet

psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency

February 28, 2024 - Review Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Citation Text: Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency departme…

Impact of rapid response system implementation on critical deterioration events in children. | PSNet

psnet.ahrq.gov/issue/impact-rapid-response-system-implementation-critical-deterioration-events-children

November 06, 2015 - Study Impact of rapid response system implementation on critical deterioration events in children. Citation Text: Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:1…

Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. | PSNet

psnet.ahrq.gov/issue/defining-impact-rapid-response-team-qualitative-study-nurses-physicians-and-hospital

September 26, 2012 - Study Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. Citation Text: Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.…

Ethical issues in patient safety research: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature

April 21, 2021 - Review Ethical issues in patient safety research: a systematic review of the literature. Citation Text: Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000…

Medical teamwork and the evolution of safety science: a critical review. | PSNet

psnet.ahrq.gov/issue/medical-teamwork-and-evolution-safety-science-critical-review

January 26, 2022 - Review Medical teamwork and the evolution of safety science: a critical review. Citation Text: Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8. Copy Citation …

Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. | PSNet

psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and

July 06, 2022 - Study Emerging Classic Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. Citation Text: Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted…

Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-space-social-struggle-understanding-infection-prevention-practice-and

November 30, 2022 - Study Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study. Citation Text: Hunt J, Gammon J, Williams S, et al. Patient safety culture as a space of social str…

Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. | PSNet

psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts

February 25, 2015 - Study Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…

Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet

psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors

June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency. | PSNet

psnet.ahrq.gov/issue/computerized-clinical-decision-support-during-medication-ordering-long-term-care-residents

February 11, 2009 - Study Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency. Citation Text: Field T, Rochon P, Lee M, et al. Computerized clinical decision support during medication ordering for long-term care residents with renal insuf…

The vulnerabilities of computerized physician order entry systems: a qualitative study. | PSNet

psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study

July 02, 2019 - Study The vulnerabilities of computerized physician order entry systems: a qualitative study. Citation Text: Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. d…

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…

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