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Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

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September 27, 2017 - Commentary Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. Citation Text: Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…

Five system barriers to achieving ultrasafe health care. | PSNet

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September 29, 2017 - Commentary Classic Five system barriers to achieving ultrasafe health care. Citation Text: Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. Copy Citation Format: …

Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. | PSNet

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February 28, 2024 - Study Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. Citation Text: King L, Peacock G, Crotty M, et al. Consumers' perspectives on their involvement in recognizing and responding to patient de…

Cause and effect analysis of closed claims in obstetrics and gynecology. | PSNet

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April 05, 2017 - Study Cause and effect analysis of closed claims in obstetrics and gynecology. Citation Text: White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. Copy Citation Format: …

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. | PSNet

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May 19, 2021 - Study Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. Citation Text: Calcaterra SL, Lou Y, Everhart RM, et al. Association between in-clinic opioid administration and discharge opioid prescription in urge…

A factorial survey on safety behavior providing opportunities to improve safety. | PSNet

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November 16, 2015 - Study A factorial survey on safety behavior providing opportunities to improve safety. Citation Text: Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.00000000000001…

Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. | PSNet

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August 15, 2018 - Study Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. Citation Text: Chen SI, Fox ER, Hall K, et al. Despite Federal Legislation, Shortages Of Drugs Used In Acute Care Settings Remain Persistent And Prolonged. Health Aff (Millw…

Voluntary electronic reporting of medical errors and adverse events. | PSNet

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March 21, 2017 - Study Voluntary electronic reporting of medical errors and adverse events. Citation Text: Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…

Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. | PSNet

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March 17, 2021 - Study Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. Citation Text: Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am …

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. | PSNet

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December 01, 2021 - Study The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. Citation Text: Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …

Hospital at Home: setting a regulatory course to ensure safe, high-quality care. | PSNet

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June 30, 2021 - Commentary Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Citation Text: DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…

Physician task load and the risk of burnout among US physicians in a national survey. | PSNet

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October 26, 2022 - Study Physician task load and the risk of burnout among US physicians in a national survey. Citation Text: Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.101…

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. | PSNet

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October 27, 2021 - Review The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. Citation Text: Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-invest…

Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. | PSNet

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September 06, 2023 - Study Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. Citation Text: Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…

Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis. | PSNet

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May 25, 2022 - Study Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis. Citation Text: Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better providers’ clinical …

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

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October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. | PSNet

psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety

October 28, 2020 - Commentary Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. Citation Text: O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn from existing pa…

Unveiling the hidden struggle of healthcare students as second victims through a systematic review. | PSNet

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September 06, 2023 - Review Unveiling the hidden struggle of healthcare students as second victims through a systematic review. Citation Text: Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. BMC Med Educ. 2024;24(1):3…

Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

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March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. | PSNet

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September 22, 2021 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. Citation Text: Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and qua…

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