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Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

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April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. | PSNet

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April 20, 2011 - Study A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. Citation Text: Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. Copy Citation For…

Enteral nutrition: an underappreciated source of patient safety events. | PSNet

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February 01, 2023 - Study Enteral nutrition: an underappreciated source of patient safety events. Citation Text: Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. Copy Citation Format: …

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

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September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet

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January 11, 2017 - Study Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. Citation Text: Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. | PSNet

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December 15, 2021 - Review A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. Citation Text: Fagan A, Parker V, Jackson D. A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. J …

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. | PSNet

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August 18, 2021 - Study A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. Citation Text: Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. | PSNet

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July 27, 2016 - Review Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. Citation Text: Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc.…

Using FDA reports to inform a classification for health information technology safety problems. | PSNet

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November 03, 2015 - Study Using FDA reports to inform a classification for health information technology safety problems. Citation Text: Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health information technology safety problems. J Am Med Inform Assoc. 2012;19(1):4…

Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. | PSNet

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May 04, 2022 - Commentary Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Citation Text: Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-…

US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. | PSNet

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November 30, 2022 - Study US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. Citation Text: Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic…

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. | PSNet

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October 12, 2022 - Study Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. Citation Text: Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical…

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. | PSNet

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August 12, 2020 - Commentary Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Citation Text: Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patie…

Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. | PSNet

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July 01, 2020 - Review Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. Citation Text: Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital s…

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

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May 11, 2022 - Study Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. Citation Text: Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …

Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. | PSNet

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February 09, 2022 - Study Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Citation Text: Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol…

Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems. | PSNet

psnet.ahrq.gov/issue/development-and-performance-evaluation-medicines-optimisation-assessment-tool-moat-prognostic

March 18, 2020 - Study Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems. Citation Text: Geeson C, Wei L, Franklin BD. Development and performance evaluation of the M…

Identifying health information technology related safety event reports from patient safety event report databases. | PSNet

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July 07, 2021 - Study Identifying health information technology related safety event reports from patient safety event report databases. Citation Text: Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J …

STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. | PSNet

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February 14, 2006 - Commentary STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. Citation Text: Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi…

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet

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January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

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