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Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. | PSNet

psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england

August 18, 2021 - Study Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. Citation Text: Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national patient safety pol…

Older patients' engagement in hospital medication safety behaviours. | PSNet

psnet.ahrq.gov/issue/older-patients-engagement-hospital-medication-safety-behaviours

November 17, 2021 - Study Older patients' engagement in hospital medication safety behaviours. Citation Text: Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3. Copy Citatio…

Team-based approach to improving medication reconciliation rates in family medicine residency clinics. | PSNet

psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency

June 15, 2022 - Study Team-based approach to improving medication reconciliation rates in family medicine residency clinics. Citation Text: Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. J Am Pharm Assoc (…

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. | PSNet

psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating

October 23, 2019 - Study Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. Citation Text: Loke DE, Green KA, Wessling EG, et al. Clinicians' insights on emergency department boarding: an explanatory mixed methods stud…

The impact of computerized provider order entry systems on medical-imaging services: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review

June 14, 2017 - Study The impact of computerized provider order entry systems on medical-imaging services: a systematic review. Citation Text: Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…

Interventions to reduce the incidence of medical error and its financial burden in health care systems: a systematic review of systematic reviews. | PSNet

psnet.ahrq.gov/issue/interventions-reduce-incidence-medical-error-and-its-financial-burden-health-care-systems

September 29, 2021 - Review Interventions to reduce the incidence of medical error and its financial burden in health care systems: a systematic review of systematic reviews. Citation Text: Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of medical error and it…

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge

August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…

From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? | PSNet

psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect

April 13, 2022 - Commentary From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Citation Text: De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9…

Effectiveness of communication interventions in obstetrics--a systematic review. | PSNet

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April 13, 2022 - Review Effectiveness of communication interventions in obstetrics--a systematic review. Citation Text: Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ije…

Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam

December 21, 2022 - Study Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. Citation Text: Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…

Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. | PSNet

psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure

September 16, 2020 - Commentary Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. Citation Text: Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. | PSNet

psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical

March 24, 2021 - Study Emerging Classic The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. Citation Text: Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opi…

Healthcare professionals experience of psychological safety, voice, and silence. | PSNet

psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence

March 18, 2020 - Study Healthcare professionals experience of psychological safety, voice, and silence. Citation Text: O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. Copy…

Intraoperative deaths: who, why, and can we prevent them? | PSNet

psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them

November 04, 2020 - Study Intraoperative deaths: who, why, and can we prevent them? Citation Text: Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007. Copy Citation Format: DOI Go…

Patient safety and legal regulations: a total-scale analysis of the scientific literature. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-legal-regulations-total-scale-analysis-scientific-literature

November 16, 2022 - Review Patient safety and legal regulations: a total-scale analysis of the scientific literature. Citation Text: Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123…

Structural racism--a 60-year-old black woman with breast cancer. | PSNet

psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer

December 17, 2020 - Commentary Emerging Classic Structural racism--a 60-year-old black woman with breast cancer. Citation Text: Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…

Children and the opioid epidemic: age-stratified exposures and harms. | PSNet

psnet.ahrq.gov/issue/children-and-opioid-epidemic-age-stratified-exposures-and-harms

February 13, 2019 - Study Children and the opioid epidemic: age-stratified exposures and harms. Citation Text: Brown KW, Carlisle K, Raman SR, et al. Children and the opioid epidemic: age-stratified exposures and harms. Health Aff (Milwood). 2020;39(10):1737-1742. doi:10.1377/hlthaff.2020.00724. Copy Cita…

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. | PSNet

psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ

June 08, 2022 - Study Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. Citation Text: Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number and type identified differ depending on method use…

Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. | PSNet

psnet.ahrq.gov/issue/improving-communication-and-teamwork-during-labor-feasibility-acceptability-and-safety-study

July 20, 2022 - Study Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. Citation Text: Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. do…

The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. | PSNet

psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and

November 03, 2008 - Study The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. Citation Text: Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team activation patient characteristics a…

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