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Varying rates of patient identity verification when using computerized provider order entry. | PSNet

psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry

July 07, 2021 - Study Varying rates of patient identity verification when using computerized provider order entry. Citation Text: Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928…

A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. | PSNet

psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming

March 20, 2019 - Study A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Citation Text: Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming…

Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. | PSNet

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January 13, 2016 - Study Classic Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. Citation Text: Osborne NH, Nicholas LH, Ryan AM, et al. Association of hospital participation in a quality repo…

Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. | PSNet

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August 18, 2021 - Study Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. Citation Text: George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Ev…

Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. | PSNet

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July 03, 2016 - Study Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. Citation Text: Williams H, Donaldson SL, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative care: Le…

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. | PSNet

psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable

September 02, 2020 - Study Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. Citation Text: Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is associated with a r…

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. | PSNet

psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality

July 14, 2009 - Study Classic Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. Citation Text: Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…

The impact of transition to a digital hospital on medication errors (TIME study). | PSNet

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March 27, 2024 - Study The impact of transition to a digital hospital on medication errors (TIME study). Citation Text: Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. …

The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. | PSNet

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November 02, 2018 - Review The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. Citation Text: Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospi…

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. | PSNet

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December 01, 2021 - Study Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevale…

Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. | PSNet

psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries

August 12, 2020 - Study Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Citation Text: Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet

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October 20, 2021 - Study Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. Citation Text: Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life study. Basic…

How medical error shapes physicians' perceptions of learning: an exploratory study. | PSNet

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August 16, 2023 - Study How medical error shapes physicians' perceptions of learning: an exploratory study. Citation Text: Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.00000…

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. | PSNet

psnet.ahrq.gov/issue/pediatric-musculoskeletal-radiographs-anatomy-and-fractures-prone-diagnostic-error-among

March 24, 2021 - Study Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. Citation Text: Li W, Stimec J, Camp M, et al. Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. J Emer…

Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis. | PSNet

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September 21, 2022 - Review Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis. Citation Text: Dillner P, Eggenschwiler LC, Rutjes AWS, et al. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and…

A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. | PSNet

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November 25, 2020 - Study A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. Citation Text: O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: nation…

Measurement and monitoring patient safety in prehospital care: a systematic review. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-patient-safety-prehospital-care-systematic-review

November 17, 2021 - Review Measurement and monitoring patient safety in prehospital care: a systematic review. Citation Text: O’Connor P, O’malley R, Oglesby A-M, et al. Measurement and monitoring patient safety in prehospital care: a systematic review. Int J Health Care Qual. 2021;33(1):mzab013. doi:10.109…

Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. | PSNet

psnet.ahrq.gov/issue/information-concerning-icu-patients-families-handover-clinicians-game-whispers-qualitative

March 24, 2021 - Study Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. Citation Text: Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families in the handover—the clinicians’ “game of whi…

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…

Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. | PSNet

psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident

June 09, 2021 - Study Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. Citation Text: Van Slambrouck L, Verschueren R, Seys D, et al. Second victims among baccalaureate nursing students in the aftermath of a patient …

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