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Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. | PSNet

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November 03, 2015 - Study Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review s…

Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims. | PSNet

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May 11, 2019 - Study Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims. Citation Text: Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-by-case review of closed ED malpractice claims. J Healt…

Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. | PSNet

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October 19, 2022 - Study Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Citation Text: Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Ca…

Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis. | PSNet

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February 08, 2019 - Study Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis. Citation Text: Lee SE, Vincent C, Dahinten S, et al. Effects of Individual Nurse and Hospital Characteristics on Patient Adverse Events and Quality of Care…

Patient falls in the operating room setting: an analysis of reported safety events. | PSNet

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November 17, 2021 - Study Patient falls in the operating room setting: an analysis of reported safety events. Citation Text: Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503…

Cause and effect analysis of closed claims in obstetrics and gynecology. | PSNet

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April 05, 2017 - Study Cause and effect analysis of closed claims in obstetrics and gynecology. Citation Text: White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. Copy Citation Format: …

Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

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May 01, 2019 - Study Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health …

Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. | PSNet

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February 12, 2020 - Study Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. Citation Text: Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…

Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. | PSNet

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March 17, 2021 - Study Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. Citation Text: Riman KA, Harrison JM, Sloane DM, et al. Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfac…

Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. | PSNet

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September 21, 2022 - Review Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Citation Text: Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res.…

Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. | PSNet

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March 03, 2019 - Study Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. Citation Text: Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…

Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. | PSNet

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January 09, 2011 - Study Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. Citation Text: Sedney CL, Dekeseredy P, Singh SA, et al. Stigmatizing language expressed towards individuals with current or previous OUD who have pain an…

Four-year impact of an alert notification system on closed-loop communication of critical test results. | PSNet

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June 21, 2016 - Study Four-year impact of an alert notification system on closed-loop communication of critical test results. Citation Text: Lacson R, Prevedello LM, Andriole KP, et al. Four-year impact of an alert notification system on closed-loop communication of critical test results. AJR Am J Roent…

Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. | PSNet

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May 01, 2024 - Study Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. Citation Text: Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering inciden…

Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. | PSNet

psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role

March 28, 2012 - Study Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. Citation Text: Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of f…

Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. | PSNet

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January 25, 2017 - Commentary Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. Citation Text: Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…

Supporting clinicians after adverse events: development of a clinician peer support program. | PSNet

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April 24, 2018 - Study Emerging Classic Supporting clinicians after adverse events: development of a clinician peer support program. Citation Text: Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. …

Weight estimation for drug dose calculations in the prehospital setting - a systematic review. | PSNet

psnet.ahrq.gov/issue/weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review

November 16, 2022 - Review Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Citation Text: Wells M, Henry B, Goldstein L. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Prehosp Disaster Med. 2023;38(4):471-484. doi…

Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. | PSNet

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June 23, 2021 - Study Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. Citation Text: Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of Medication Informat…

It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. | PSNet

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December 02, 2020 - Study It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. Citation Text: Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…

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