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Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. | PSNet

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December 21, 2022 - Study Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. Citation Text: Zerah L, Henrard S, Thevelin S, et al. Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis…

Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic. | PSNet

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June 29, 2022 - Study Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic. Citation Text: Mahomedradja RF, van den Beukel TO, van den Bos M, et al. Prescribing errors in post - COVID-19 patients: prevalence, severity…

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. | PSNet

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February 17, 2021 - Study Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. Citation Text: Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral gui…

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. | PSNet

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December 21, 2014 - Study Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. Citation Text: Auger C, Forster AJ, Oake N, et al. Usability of a computerised drug monitoring programme to detect adverse drug events and non-comp…

Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. | PSNet

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July 12, 2023 - Study Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. Citation Text: Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…

The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. | PSNet

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February 22, 2023 - Commentary The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. Citation Text: Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe integration of behav…

Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. | PSNet

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December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…

Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet

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June 02, 2021 - Study Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? Citation Text: Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…

Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. | PSNet

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September 23, 2020 - Study Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. Citation Text: Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiaj…

National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. | PSNet

psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality

February 22, 2023 - Study National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. Citation Text: Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The qua…

A qualitative study of speaking out about patient safety concerns in intensive care units. | PSNet

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August 21, 2013 - Study A qualitative study of speaking out about patient safety concerns in intensive care units. Citation Text: Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscim…

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. | PSNet

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April 20, 2022 - Study Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. Citation Text: Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis…

Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. | PSNet

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March 29, 2023 - Review Classic Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. Citation Text: de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events in…

Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. | PSNet

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September 23, 2020 - Study Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. Citation Text: Bose S, Groat D, Dinglas VD, et al. Association between unmet nonmedication needs after …

Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. | PSNet

psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections

July 28, 2023 - Study Emerging Classic Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. Citation Text: Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…

Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. | PSNet

psnet.ahrq.gov/issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care

March 24, 2021 - Study Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. Citation Text: Harder VS, Plante TB, Koh I, et al. Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. J Gen Int…

Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study | PSNet

psnet.ahrq.gov/issue/use-electronic-clinical-decision-support-system-primary-care-assess-inappropriate

October 21, 2020 - Study Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study Citation Text: Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an ele…

What US hospitals are currently doing to prevent common device-associated infections: results from a national survey. | PSNet

psnet.ahrq.gov/issue/what-us-hospitals-are-currently-doing-prevent-common-device-associated-infections-results

June 21, 2023 - Study What US hospitals are currently doing to prevent common device-associated infections: results from a national survey. Citation Text: Saint S, Greene MT, Fowler KE, et al. What US hospitals are currently doing to prevent common device-associated infections: results from a national s…

Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. | PSNet

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January 19, 2022 - Study Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. Citation Text: Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of t…

Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. | PSNet

psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement

May 12, 2021 - Study Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. Citation Text: Sharp AL, Baecker A, Nassery N, et al. Missed acute myocardial infarction in the emergency department–standardizing measurem…

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