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A new category of "never events"-ending harmful hospital policies. | PSNet

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September 07, 2022 - Commentary A new category of "never events"-ending harmful hospital policies. Citation Text: Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703. Copy Citation Format…

Beyond the team: understanding interprofessional work in two North American ICUs. | PSNet

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January 14, 2014 - Study Beyond the team: understanding interprofessional work in two North American ICUs. Citation Text: Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…

Designing a critical care nurse–led rapid response team using only available resources: 6 years later. | PSNet

psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years

December 21, 2014 - Study Designing a critical care nurse–led rapid response team using only available resources: 6 years later. Citation Text: Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):…

Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. | PSNet

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December 16, 2020 - Study Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. Citation Text: Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

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October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

Adherence to black box warnings for prescription medications in outpatients. | PSNet

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September 29, 2017 - Study Adherence to black box warnings for prescription medications in outpatients. Citation Text: Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. Copy Citation Format: Goog…

Racism in health services for adolescents: a scoping review. | PSNet

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July 19, 2023 - Review Racism in health services for adolescents: a scoping review. Citation Text: Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560. Copy C…

Risk perception on the labour ward: a mixed methods study. | PSNet

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June 08, 2022 - Study Risk perception on the labour ward: a mixed methods study. Citation Text: McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428. Copy Citation Format: …

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. | PSNet

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December 07, 2022 - Study The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. Citation Text: Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…

The application of the Global Trigger Tool: a systematic review. | PSNet

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December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. | PSNet

psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported

June 29, 2011 - Study Classic What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. Citation Text: Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-rep…

The safety of inpatient health care. | PSNet

psnet.ahrq.gov/issue/safety-inpatient-health-care

May 15, 2024 - Study The safety of inpatient health care. Citation Text: Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. | PSNet

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January 02, 2017 - Study Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Citation Text: Paine LA, Rosenstein BJ, Sexton B, et al. Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf He…

A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet

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April 06, 2022 - Study A recent two-fold increase in medical adverse event deaths among US inpatients. Citation Text: Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. Copy…

A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. | PSNet

psnet.ahrq.gov/issue/visual-medication-schedule-improve-anticoagulation-control-randomized-controlled-trial

October 21, 2010 - Study A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Citation Text: Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;…

Refocusing the lens: patient safety in ambulatory chronic disease care. | PSNet

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December 19, 2018 - Commentary Classic Refocusing the lens: patient safety in ambulatory chronic disease care. Citation Text: Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377…

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2016

September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2016. Am J Health Syst Pharm. 2…

Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet

psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017

June 28, 2017 - Study Drug and opioid-involved overdose deaths- United States, 2013-2017. Citation Text: Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. Copy Citat…

Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet

psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review

January 15, 2025 - Review Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Citation Text: Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…

Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet

psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement

August 01, 2012 - Commentary Omissions of care in nursing homes: a uniform definition for research and quality improvement. Citation Text: Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…

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