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High rates of adverse drug events in a highly computerized hospital. | PSNet

psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospital

August 04, 2021 - Study Classic High rates of adverse drug events in a highly computerized hospital. Citation Text: Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. Copy Citation …

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

psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation

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…

"What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. | PSNet

psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process

November 03, 2021 - Review "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. Citation Text: Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patien…

Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-discrepancy-pulse-oximetry-and-delayed-identification-treatment-eligibility

June 22, 2022 - Study Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. Citation Text: Fawzy A, Wu TD, Wang K, et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among …

Analyzing diagnostic errors in the acute setting: a process-driven approach. | PSNet

psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach

December 07, 2022 - Study Analyzing diagnostic errors in the acute setting: a process-driven approach. Citation Text: Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. Copy Citatio…

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. | PSNet

psnet.ahrq.gov/issue/reduction-cardiac-arrests-and-duration-clinical-instability-after-implementation-paediatric

January 03, 2017 - Study A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. Citation Text: Hanson CC, Randolph GD, Erickson JA, et al. A reduction in cardiac arrests and duration of clinical instability after implementation of a…

Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments. | PSNet

psnet.ahrq.gov/issue/association-between-electronic-medical-record-implementation-default-opioid-prescription

April 27, 2022 - Study Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments. Citation Text: Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of Defaul…

Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction. | PSNet

psnet.ahrq.gov/issue/examination-relationship-between-management-and-clinician-perception-patient-safety-climate

November 07, 2018 - Study Classic Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction. Citation Text: Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and clinicia…

Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. | PSNet

psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study

March 06, 2012 - Study Emerging Classic Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. Citation Text: Kristensen RU, Nørgaard A, Jensen-Dahm C, et al. Polypharmacy and Potentially Inappropriate Medication in People with Dementi…

Patient feedback for safety improvement in primary care: results from a feasibility study. | PSNet

psnet.ahrq.gov/issue/patient-feedback-safety-improvement-primary-care-results-feasibility-study

December 02, 2020 - Study Patient feedback for safety improvement in primary care: results from a feasibility study. Citation Text: Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen…

Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. | PSNet

psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health

October 05, 2022 - Review Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. Citation Text: Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…

Health professionals' perspectives of safety issues in mental health services: a qualitative study. | PSNet

psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services-qualitative-study

August 05, 2020 - Study Health professionals' perspectives of safety issues in mental health services: a qualitative study. Citation Text: Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;3…

Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. | PSNet

psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning

May 22, 2024 - Commentary Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. Citation Text: McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…

Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united

October 09, 2019 - Study Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. Citation Text: Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…

Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. | PSNet

psnet.ahrq.gov/issue/clinician-well-being-assessment-and-interventions-joint-commission-accredited-hospitals-and

June 07, 2023 - Study Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. Citation Text: Longo BA, Schmaltz SP, Williams SC, et al. Clinician well-being assessment and interventions in Joint Commission-accredited hospitals an…

Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. | PSNet

psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and

February 14, 2017 - Study Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. Citation Text: Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by …

Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. | PSNet

psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark

June 06, 2012 - Study Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. Citation Text: Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…

Multifaceted interventions improve adherence to the surgical checklist. | PSNet

psnet.ahrq.gov/issue/multifaceted-interventions-improve-adherence-surgical-checklist

November 07, 2012 - Study Multifaceted interventions improve adherence to the surgical checklist. Citation Text: Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. Copy Citation Forma…

Safety risks and workflow implications associated with nursing-related free-text communication orders. | PSNet

psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication

February 17, 2021 - Study Safety risks and workflow implications associated with nursing-related free-text communication orders. Citation Text: Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…

Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital

November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

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