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I-PASS handoff program: use of a campaign to effect transformational change. | PSNet

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April 24, 2018 - Study I-PASS handoff program: use of a campaign to effect transformational change. Citation Text: Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. Co…

Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. | PSNet

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June 25, 2014 - Study Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. Citation Text: Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…

Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. | PSNet

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June 29, 2022 - Study Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Citation Text: Peat G, Olaniyan JO, Fylan B, et al. Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Re…

Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. | PSNet

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December 22, 2021 - Study Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. Citation Text: Schewe J-C, Kappler J, Dovermann K, et al. Diagnostic accuracy of physician-staffed emergency …

The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review. | PSNet

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May 26, 2021 - Review The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review. Citation Text: Graafsma J, Murphy RM, van de Garde EMW, et al. The use of artificial intelligence to optimize medication alerts generated by clinical …

Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. | PSNet

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January 23, 2017 - Study Emerging Classic Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. Citation Text: Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple…

Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? | PSNet

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January 13, 2010 - Study Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? Citation Text: Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare…

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. | PSNet

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March 29, 2023 - Study Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Citation Text: Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…

Assessment of patient retention of inpatient care information post-hospitalization. | PSNet

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June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…

The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials. | PSNet

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August 07, 2024 - Review Emerging Classic The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials. Citation Text: Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact…

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. | PSNet

psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events

March 05, 2008 - Review Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. Citation Text: Butler AM, Brown DS, Durkin MJ, et al. Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug even…

The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. | PSNet

psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications

June 09, 2021 - Commentary The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. Citation Text: Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…

The relationship between organizational leadership for safety and learning from patient safety events. | PSNet

psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events

November 27, 2009 - Study The relationship between organizational leadership for safety and learning from patient safety events. Citation Text: Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. …

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. | PSNet

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April 12, 2023 - Study Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. Citation Text: Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…

Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches. | PSNet

psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration

September 15, 2021 - Study Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches. Citation Text: Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare safety for y…

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. | PSNet

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December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…

Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. | PSNet

psnet.ahrq.gov/issue/diagnostic-uncertainty-among-critically-ill-children-admitted-picu-multicenter-study

June 14, 2023 - Study Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Citation Text: Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. …

Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. | PSNet

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January 27, 2016 - Study Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. Citation Text: Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. | PSNet

psnet.ahrq.gov/issue/impact-covid-19-inpatient-clinical-emergencies-single-center-experience

February 17, 2021 - Study Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Citation Text: Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135…

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. | PSNet

psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper

March 24, 2021 - Commentary Emerging Classic Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. Citation Text: Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…

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