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A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. | PSNet

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November 25, 2020 - Study A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. Citation Text: O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: nation…

Measurement and monitoring patient safety in prehospital care: a systematic review. | PSNet

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November 17, 2021 - Review Measurement and monitoring patient safety in prehospital care: a systematic review. Citation Text: O’Connor P, O’malley R, Oglesby A-M, et al. Measurement and monitoring patient safety in prehospital care: a systematic review. Int J Health Care Qual. 2021;33(1):mzab013. doi:10.109…

Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. | PSNet

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June 15, 2022 - Review Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. Citation Text: Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with i…

Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. | PSNet

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September 16, 2015 - Study Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. Citation Text: Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing…

How to be a very safe maternity unit: an ethnographic study. | PSNet

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October 21, 2020 - Study Emerging Classic How to be a very safe maternity unit: an ethnographic study. Citation Text: Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01…

A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? | PSNet

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December 16, 2020 - Review A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? Citation Text: Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: …

Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. | PSNet

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September 08, 2021 - Study Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. Citation Text: Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge on 30-d…

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet

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October 07, 2020 - Study Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Citation Text: Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…

Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. | PSNet

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October 12, 2016 - Book/Report Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. Citation Text: Wright J, Lawton R, O’Hara J, et al. Improving…

Using community detection techniques to identify themes in COVID-19-related patient safety event reports. | PSNet

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July 29, 2020 - Study Using community detection techniques to identify themes in COVID-19-related patient safety event reports. Citation Text: Boxley C, Krevat SA, Sengupta S, et al. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. J Patient Saf. …

Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet

psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp

May 14, 2009 - Study Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…

Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. | PSNet

psnet.ahrq.gov/issue/use-temporary-nurses-and-nurse-and-patient-safety-outcomes-acute-care-hospital-units

March 24, 2021 - Study Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. Citation Text: Bae S-H, Mark BA, Fried B. Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. Health Care Manage Rev. 2010;35(4):333-344. doi:10.109…

Implementing computerized provider order entry with an existing clinical information system. | PSNet

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October 19, 2022 - Study Implementing computerized provider order entry with an existing clinical information system. Citation Text: Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-…

A comparison of hospital adverse events identified by three widely used detection methods. | PSNet

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January 04, 2012 - Study A comparison of hospital adverse events identified by three widely used detection methods. Citation Text: Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…

Computerized order entry with limited decision support to prevent prescription errors in a PICU. | PSNet

psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu

January 31, 2018 - Study Computerized order entry with limited decision support to prevent prescription errors in a PICU. Citation Text: Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-94…

The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. | PSNet

psnet.ahrq.gov/issue/efficacy-mindful-practice-improving-diagnosis-healthcare-systematic-review-and-evidence

May 05, 2021 - Review The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. Citation Text: Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synth…

Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department

December 21, 2022 - Review Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. Citation Text: Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from t…

Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. | PSNet

psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid

October 19, 2022 - Study Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. Citation Text: Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…

Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/quantifying-burden-opioid-medication-errors-adult-oncology-and-palliative-care-settings

May 22, 2019 - Review Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. Citation Text: Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic…

A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary

August 24, 2022 - Study A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. Citation Text: Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the report…

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