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Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care

August 17, 2018 - Study Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. Citation Text: Wong A, Rehr C, Seger DL, et al. Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive Care Unit. Drug…

Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. | PSNet

psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using

October 05, 2022 - Study Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. Citation Text: Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…

How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. | PSNet

psnet.ahrq.gov/issue/how-guiding-coalitions-promote-positive-culture-change-hospitals-longitudinal-mixed-methods

February 21, 2018 - Study How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. Citation Text: Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interve…

Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in translating safety climate into individual safety behaviours. | PSNet

psnet.ahrq.gov/issue/enhancing-safety-high-risk-operations-multilevel-analysis-role-mindful-organising-translating

January 26, 2022 - Study Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in translating safety climate into individual safety behaviours. Citation Text: Renecle M, Curcuruto M, Gracia Lerín FJ, et al. Enhancing safety in high-risk operations: a multilevel a…

The frequency and nature of prescribing problems by general practitioners in training (REVISiT). | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-prescribing-problems-general-practitioners-training-revisit

December 16, 2020 - Study The frequency and nature of prescribing problems by general practitioners in training (REVISiT). Citation Text: Salema N-E, Bell BG, Marsden K, et al. The frequency and nature of prescribing problems by general practitioners in training (REVISiT). BJGP Open. 2022;6(3):BJGPO.2021.02…

Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. | PSNet

psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies

July 07, 2021 - Study Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Citation Text: Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…

Clinical pharmacists and inpatient medical care: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review

September 09, 2013 - Review Classic Clinical pharmacists and inpatient medical care: a systematic review. Citation Text: Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955-64. Copy Citati…

Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. | PSNet

psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and

February 15, 2011 - Study Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beli…

Medical teamwork and the evolution of safety science: a critical review. | PSNet

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January 26, 2022 - Review Medical teamwork and the evolution of safety science: a critical review. Citation Text: Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8. Copy Citation …

High reliability in a safety net hospital leading to operational excellence. | PSNet

psnet.ahrq.gov/issue/high-reliability-safety-net-hospital-leading-operational-excellence

March 01, 2011 - Study High reliability in a safety net hospital leading to operational excellence. Citation Text: Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236. Co…

Applying the high reliability health care maturity model to assess hospital performance: a VA case study. | PSNet

psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case

December 19, 2014 - Study Applying the high reliability health care maturity model to assess hospital performance: a VA case study. Citation Text: Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual …

Prevalence and characteristics of physicians prone to malpractice claims. | PSNet

psnet.ahrq.gov/issue/prevalence-and-characteristics-physicians-prone-malpractice-claims

April 03, 2019 - Study Classic Prevalence and characteristics of physicians prone to malpractice claims. Citation Text: Studdert DM, Bismark M, Mello MM, et al. Prevalence and Characteristics of Physicians Prone to Malpractice Claims. New Engl J Med. 2016;374(4):354-362. doi:10.…

Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. | PSNet

psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced

May 25, 2013 - Study Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. Citation Text: Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…

Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. | PSNet

psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety

August 12, 2020 - Study Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. Citation Text: Gilmartin HM, Hess E, Mueller C, et al. Learning environments, reliability enhancing work practices, employee engagement, …

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals

October 20, 2021 - Study Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. Citation Text: Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…

The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. | PSNet

psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely

September 07, 2011 - Study The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. Citation Text: Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using …

Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-randomized-trial

September 07, 2022 - Study Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. Citation Text: Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1)…

Smart pumps improve medication safety but increase alert burden in neonatal care | PSNet

psnet.ahrq.gov/issue/smart-pumps-improve-medication-safety-increase-alert-burden-neonatal-care

September 09, 2020 - Study Smart pumps improve medication safety but increase alert burden in neonatal care Citation Text: Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-…

The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet

psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical

July 14, 2021 - Study The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. Citation Text: Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes…

Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands. | PSNet

psnet.ahrq.gov/issue/duration-second-victim-symptoms-aftermath-patient-safety-incident-and-association-level

June 09, 2021 - Study Emerging Classic Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands. Citation Text: Vanhaecht K, Seys D, Schouten L, et al. Duration of…

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