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Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. | PSNet

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November 09, 2022 - Study Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. Citation Text: Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for imp…

Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. | PSNet

psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping

October 29, 2017 - Review Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. Citation Text: Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…

Use of temporary names for newborns and associated risks. | PSNet

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December 21, 2017 - Study Use of temporary names for newborns and associated risks. Citation Text: Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007. Copy Citation Format: DOI Googl…

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

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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…

Potential consequences of patient complications for surgeon well-being: a systematic review. | PSNet

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May 23, 2018 - Review Potential consequences of patient complications for surgeon well-being: a systematic review. Citation Text: Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamas…

Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

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July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. | PSNet

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July 19, 2023 - Study Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. Citation Text: Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…

Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet

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June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Citation Text: Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…

Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. | PSNet

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February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…

Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet

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December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

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November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. | PSNet

psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac

January 02, 2017 - Study Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. Citation Text: Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…

Single-parameter early warning criteria to predict life-threatening adverse events. | PSNet

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January 06, 2017 - Study Single-parameter early warning criteria to predict life-threatening adverse events. Citation Text: Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life-Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf…

Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. | PSNet

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April 27, 2022 - Commentary Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. Citation Text: Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and a…

Accuracy of pressure ulcer events in US nursing home ratings. | PSNet

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February 05, 2020 - Study Accuracy of pressure ulcer events in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763. Copy Citation Format: DOI Google…

Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. | PSNet

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October 10, 2012 - Study Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. Citation Text: Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis Hospitalizations in the University HealthSystem Consor…

A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. | PSNet

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August 03, 2011 - Study A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. Citation Text: Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management after hospital disc…

Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. | PSNet

psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification

January 18, 2023 - Study Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. Citation Text: Seaman K, Meulenbroeks I, Nguyen A, et al. Innovative approaches to analysing aged care falls incident data: international c…

Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. | PSNet

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February 04, 2009 - Study Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Citation Text: Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…

Improving emergency medicine clinician awareness of prehospital-administered medications. | PSNet

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October 19, 2022 - Study Improving emergency medicine clinician awareness of prehospital-administered medications. Citation Text: Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…

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