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Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet

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November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …

Physician attitudes toward family-activated medical emergency teams for hospitalized children. | PSNet

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April 06, 2012 - Study Physician attitudes toward family-activated medical emergency teams for hospitalized children. Citation Text: Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. | PSNet

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December 14, 2022 - Review A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.…

Rates of medication errors among depressed and burnt out residents: prospective cohort study. | PSNet

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April 11, 2011 - Study Rates of medication errors among depressed and burnt out residents: prospective cohort study. Citation Text: Fahrenkopf AM, Sectish TC, Barger LK, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008;336(7642):488-91. doi:…

Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. | PSNet

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June 23, 2021 - Study Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. Citation Text: Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for …

Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. | PSNet

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May 08, 2017 - Study Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. Citation Text: Malte CA, Berger D, Saxon AJ, et al. Electronic Medical Record Alert Associated With Reduced Opioid and Benzodiazepine Coprescribing in High…

Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. | PSNet

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March 24, 2019 - Study Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. Citation Text: Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet

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June 13, 2011 - Study Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. Citation Text: Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. | PSNet

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August 20, 2018 - Study Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. Citation Text: Joffe AR, Anton NR, Burkholder SC. Reduction in hospital mortality over time in a hospital without a pediatric medical e…

Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review. | PSNet

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July 27, 2022 - Review Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review. Citation Text: Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to improve medication manage…

Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. | PSNet

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February 15, 2011 - Study Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. Citation Text: Ferranti J, Horvath MM, Cozart H, et al. Reevaluating the safety profile of pediatrics: a comparison of…

Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet

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June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…

Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. | PSNet

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January 12, 2022 - Study Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. Citation Text: Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…

A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error. | PSNet

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May 20, 2020 - Study Emerging Classic A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error. Citation Text: Corny J, Rajkumar A, Martin O, et al. A machine learning–based clinical decision support system to ide…

Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet

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July 12, 2023 - Study Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. Citation Text: Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communica…

Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention. | PSNet

psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during

June 25, 2018 - Study Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention. Citation Text: Bucknall TK, Guinane J, McCormack B, et al. Listen to me, I really am sick! Patient and family narratives of clinical deterio…

Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. | PSNet

psnet.ahrq.gov/issue/clinicians-satisfaction-cpoe-ease-use-and-effect-clinicians-workflow-efficiency-and

August 10, 2022 - Study Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. Citation Text: Khajouei R, Wierenga PC, Hasman A, et al. Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medicatio…

Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. | PSNet

psnet.ahrq.gov/issue/rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-safety

February 27, 2008 - Study Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. Citation Text: West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as…

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. | PSNet

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February 16, 2022 - Study Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. Citation Text: Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact…

Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet

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March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

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