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What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. | PSNet

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March 16, 2022 - Study What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. Citation Text: Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…

Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. | PSNet

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October 03, 2018 - Study Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. Citation Text: Campione JR, Liu H. Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. B…

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet

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November 16, 2022 - Commentary Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. Citation Text: Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…

Barriers and facilitators of adverse event reporting by adolescent patients and their families. | PSNet

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February 15, 2023 - Study Barriers and facilitators of adverse event reporting by adolescent patients and their families. Citation Text: Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237…

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. | PSNet

psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians

June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…

Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. | PSNet

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August 28, 2024 - Study Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. Citation Text: Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods for…

Prioritizing patient safety efforts in office practice settings | PSNet

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October 12, 2022 - Study Prioritizing patient safety efforts in office practice settings Citation Text: Kravet SJ, Bhatnagar M, Dwyer M, et al. Prioritizing Patient Safety Efforts in Office Practice Settings. J Patient Saf. 2019;15(4):e98-e101. doi:10.1097/pts.0000000000000652. Copy Citation Format: …

Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. | PSNet

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March 17, 2021 - Study Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. Citation Text: Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs…

Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. | PSNet

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March 24, 2021 - Study Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. Citation Text: Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations o…

Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet

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July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…

The frequency of missed test results and associated treatment delays in a highly computerized health system. | PSNet

psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health

July 22, 2009 - Study The frequency of missed test results and associated treatment delays in a highly computerized health system. Citation Text: Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. …

Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-computerized-clinical-decision-support-systems-practitioner-performance-and-patient

October 19, 2022 - Review Classic Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. Citation Text: Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems o…

Impact of rapid response system implementation on critical deterioration events in children. | PSNet

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November 06, 2015 - Study Impact of rapid response system implementation on critical deterioration events in children. Citation Text: Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:1…

Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare workers - a nationwide cross-sectional study. | PSNet

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October 30, 2024 - Study Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare workers - a nationwide cross-sectional study. Citation Text: Boyer L, Wu AW, Fernandes S, et al. Exploring the fear of clinical errors: associa…

An official Critical Care Societies Collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action. | PSNet

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October 19, 2022 - Commentary An official Critical Care Societies Collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action. Citation Text: Moss M, Good VS, Gozal D, et al. An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical…

Association between Leapfrog safe practices score and hospital mortality in major surgery. | PSNet

psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery

September 29, 2017 - Study Association between Leapfrog safe practices score and hospital mortality in major surgery. Citation Text: Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…

The impact of hospital-acquired conditions on Medicare program payments. | PSNet

psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments

November 18, 2016 - Study The impact of hospital-acquired conditions on Medicare program payments. Citation Text: Kandilov AMG, Coomer NM, Dalton K. The impact of hospital-acquired conditions on Medicare program payments. Medicare Medicaid Res Rev. 2014;4(4). doi:10.5600/mmrr.004.04.a01. Copy Citation …

Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet

psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs

October 17, 2018 - Study Making patient safety event data actionable: understanding patient safety analyst needs. Citation Text: Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…

A report of information technology and health deficiencies in U.S. nursing homes. | PSNet

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October 28, 2020 - Study A report of information technology and health deficiencies in U.S. nursing homes. Citation Text: Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. Copy …

Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. | PSNet

psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized

May 27, 2011 - Commentary Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. Citation Text: Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient comput…

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