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Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. | PSNet

psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency

April 06, 2022 - Study Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. Citation Text: Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…

US emergency department visits for outpatient adverse drug events, 2013–2014. | PSNet

psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014

February 23, 2018 - Study Classic US emergency department visits for outpatient adverse drug events, 2013–2014. Citation Text: Shehab N, Lovegrove MC, Geller AI, et al. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA. 2016;316(20):2115-2125. doi:1…

An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. | PSNet

psnet.ahrq.gov/issue/international-perspective-definitions-and-terminology-used-describe-serious-reportable

August 04, 2021 - Review An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. Citation Text: Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe seri…

Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. | PSNet

psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm

August 10, 2022 - Study Classic Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. Citation Text: Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. | PSNet

psnet.ahrq.gov/issue/do-patient-engagement-interventions-work-all-patients-systematic-review-and-realist-synthesis

May 25, 2022 - Review Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. Citation Text: Newman B, Joseph K, Chauhan A, et al. Do patient engagement interventions work for all patients? A systematic review and …

Interprofessional and intraprofessional communication about older people's medications across transitions of care. | PSNet

psnet.ahrq.gov/issue/interprofessional-and-intraprofessional-communication-about-older-peoples-medications-across

June 26, 2019 - Study Interprofessional and intraprofessional communication about older people's medications across transitions of care. Citation Text: Manias E, Bucknall T, Woodward-Kron R, et al. Interprofessional and intraprofessional communication about older people's medications across transitions …

Second victim syndrome in intensive care unit healthcare workers: a systematic review and meta-analysis on types, prevalence, risk factors, and recovery time. | PSNet

psnet.ahrq.gov/issue/second-victim-syndrome-intensive-care-unit-healthcare-workers-systematic-review-and-meta

March 24, 2019 - Review Second victim syndrome in intensive care unit healthcare workers: a systematic review and meta-analysis on types, prevalence, risk factors, and recovery time. Citation Text: Naya K, Aikawa G, Ouchi A, et al. Second victim syndrome in intensive care unit healthcare workers: a syste…

The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. | PSNet

psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study

July 21, 2017 - Study The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. Citation Text: O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(…

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. | PSNet

psnet.ahrq.gov/issue/making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-and

January 14, 2009 - Commentary Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. Citation Text: Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation pati…

Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. | PSNet

psnet.ahrq.gov/issue/role-regulator-enabling-just-culture-qualitative-study-mental-health-and-hospital-care

October 06, 2021 - Study Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. Citation Text: Weenink J-W, Wallenburg I, Hartman L, et al. Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. BMJ Open. …

Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients

August 21, 2024 - Study Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study. Citation Text: Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic…

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. | PSNet

psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient

December 16, 2020 - Study Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. Citation Text: Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…

Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. | PSNet

psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and

March 05, 2008 - Study Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. Citation Text: de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…

How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. | PSNet

psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting

July 21, 2017 - Study How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. Citation Text: O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital settin…

Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures

May 08, 2017 - Study Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. Citation Text: Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from …

Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. | PSNet

psnet.ahrq.gov/issue/incidence-preventability-and-consequences-adverse-events-older-people-results-retrospective

March 03, 2011 - Study Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Citation Text: Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective cas…

Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between

August 04, 2021 - Study Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. Citation Text: Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 202…

Design and impact of a novel surgery-specific second victim peer support program. | PSNet

psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program

March 09, 2022 - Study Emerging Classic Design and impact of a novel surgery-specific second victim peer support program. Citation Text: El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…

The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. | PSNet

psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health

February 07, 2024 - Review The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. Citation Text: Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community ment…

Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. | PSNet

psnet.ahrq.gov/issue/elder-abuse-and-neglect-overlooked-patient-safety-issue-focus-group-study-nursing-home

March 20, 2019 - Study Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. Citation Text: Myhre J, Saga S, Malmedal W, et al. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of n…

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