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Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. | PSNet

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August 12, 2020 - Commentary Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. Citation Text: Wickner PG, Hartley T, Salmasian H, et al. Communication with health care workers regarding health care-associated exposur…

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. | PSNet

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May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …

Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. | PSNet

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March 03, 2011 - Study Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Citation Text: Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective cas…

Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

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January 09, 2019 - Book/Report Classic Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Departmen…

Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. | PSNet

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June 21, 2023 - Study Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. Citation Text: Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…

Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

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November 23, 2016 - Book/Report Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthca…

Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. | PSNet

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June 08, 2016 - Study Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. Citation Text: Fakih MG, George C, Edson B, et al.…

The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

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November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. | PSNet

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December 02, 2015 - Organizational Policy/Guidelines Classic SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. Citation Text: Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality…

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet

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August 05, 2020 - Study Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. Citation Text: Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patient…

Adverse events experienced by homecare patients: a scoping review of the literature. | PSNet

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October 19, 2022 - Review Adverse events experienced by homecare patients: a scoping review of the literature. Citation Text: Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/…

Clinical predictors for unsafe direct discharge home patients from intensive care units. | PSNet

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January 12, 2011 - Study Clinical predictors for unsafe direct discharge home patients from intensive care units. Citation Text: Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.…

Disclosure of medical errors: what factors influence how patients respond? | PSNet

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December 23, 2008 - Study Classic Disclosure of medical errors: what factors influence how patients respond? Citation Text: Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006;21(7):704-10. Copy Cit…

Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet

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March 05, 2025 - Study Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. Citation Text: Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing…

The incidence of adverse drug events in two large academic long-term care facilities. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities

February 11, 2009 - Study The incidence of adverse drug events in two large academic long-term care facilities. Citation Text: Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018.…

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. | PSNet

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July 29, 2020 - Commentary Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Citation Text: Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.78…

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. | PSNet

psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors

October 28, 2020 - Study Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. Citation Text: Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…

Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/survey-cancer-care-providers-attitude-toward-care-older-adults-cancer-during-covid-19

December 16, 2020 - Study Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. Citation Text: BrintzenhofeSzoc K. Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. J Geriatr Onco. 2021;…

Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet

psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals

November 03, 2015 - Study Classic Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. Citation Text: Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to …

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. | PSNet

psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease-2019-pandemic

September 02, 2020 - Commentary Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. Citation Text: Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an epicenter of the coronav…

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