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Electronic health record-based triggers to detect potential delays in cancer diagnosis. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis

January 19, 2012 - Study Electronic health record-based triggers to detect potential delays in cancer diagnosis. Citation Text: Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf. 2014;23(1):8-16. doi:10.1136/bmjqs-201…

Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. | PSNet

psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature

October 09, 2024 - Review Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. Citation Text: Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv …

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? | PSNet

psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety

June 01, 2022 - Study Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? Citation Text: Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 202…

To what extent are patients involved in researching safety in acute mental healthcare? | PSNet

psnet.ahrq.gov/issue/what-extent-are-patients-involved-researching-safety-acute-mental-healthcare

August 18, 2021 - Review To what extent are patients involved in researching safety in acute mental healthcare? Citation Text: Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s4…

Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet

psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients

July 16, 2015 - Study Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. Citation Text: Hsu C-C, Chou C-Y, Chou C-L, et al. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. PLoS One. 2…

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

psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-error-simulated

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…

Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet

psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors

August 11, 2021 - Study Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. Citation Text: Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug ad…

Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. | PSNet

psnet.ahrq.gov/issue/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness

December 21, 2018 - Study Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. Citation Text: Djukic M, Stimpfel AW, Kovner C. Bachelor's Degree Nurse Graduates Report Better Quality and Safety Educational Preparedness than Associate De…

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. | PSNet

psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors

October 20, 2021 - Study Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. Citation Text: Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…

Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit

October 05, 2022 - Study Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. Citation Text: Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…

Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. | PSNet

psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-bloodstream-infections-related-central

March 30, 2022 - Review Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. Citation Text: Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related…

Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. | PSNet

psnet.ahrq.gov/issue/urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes

November 02, 2022 - Study Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. Citation Text: Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin ca…

Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. | PSNet

psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking

July 03, 2014 - Study Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. Citation Text: Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…

Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. | PSNet

psnet.ahrq.gov/issue/patient-safety-home-care-multicenter-cross-sectional-study-about-medication-errors-and

March 03, 2021 - Study Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. Citation Text: Strube‐Lahmann S, Müller‐Werdan U, Klingelhöfer‐Noe J, et al. Patient safety in home care: A multicenter cross‐sectional study about medicati…

The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. | PSNet

psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities

November 10, 2021 - Review The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. Citation Text: Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with serious mental illness and medical c…

Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. | PSNet

psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient

April 12, 2023 - Study Emerging Classic Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. Citation Text: Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…

Effective implementation of work-hour limits and systemic improvements. | PSNet

psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements

September 28, 2010 - Study Classic Effective implementation of work-hour limits and systemic improvements. Citation Text: Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…

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…

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. | PSNet

psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire

April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…

Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. | PSNet

psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults

February 02, 2022 - Study Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. Citation Text: Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the Unite…

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