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Communication regarding adverse neonatal birth events: experiences of parents and clinicians. | PSNet

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May 13, 2020 - Study Communication regarding adverse neonatal birth events: experiences of parents and clinicians. Citation Text: Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-…

Clinical practice guideline: safe medication use in the ICU. | PSNet

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February 19, 2014 - Review Clinical practice guideline: safe medication use in the ICU. Citation Text: Kane-Gill SL, Dasta JF, Buckley MS, et al. Clinical Practice Guideline: Safe Medication Use in the ICU. Crit Care Med. 2017;45(9):e877-e915. doi:10.1097/CCM.0000000000002533. Copy Citation Format: …

Improving the specificity of drug-drug interaction alerts: can it be done? | PSNet

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September 07, 2022 - Study Improving the specificity of drug-drug interaction alerts: can it be done? Citation Text: Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. Copy Cita…

Critical events during land-based interfacility transport. | PSNet

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April 15, 2019 - Study Critical events during land-based interfacility transport. Citation Text: Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009. Copy Citation Format: DOI …

Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. | PSNet

psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne

September 23, 2020 - Study Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. Citation Text: Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…

Increased mortality and costs associated with adverse events in intensive care unit patients. | PSNet

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January 16, 2008 - Study Increased mortality and costs associated with adverse events in intensive care unit patients. Citation Text: Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…

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

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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 (…

Disclosing adverse events in clinical practice: the delicate act of being open. | PSNet

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April 14, 2021 - Review Disclosing adverse events in clinical practice: the delicate act of being open. Citation Text: Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…

What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

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August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet

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July 21, 2021 - Study Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. Citation Text: Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…

Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. | PSNet

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August 01, 2018 - Study Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. Citation Text: Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…

Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/drug-related-problems-and-polypharmacy-nursing-home-residents-cross-sectional-study

May 25, 2022 - Study Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. Citation Text: Díez R, Cadenas R, Susperregui J, et al. Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. Int J Environ Res Public Health. 2022;19(7):…

Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. | PSNet

psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach

July 13, 2022 - Study Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. Citation Text: Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…

Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. | PSNet

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May 18, 2022 - Study Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. Citation Text: Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.…

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. | PSNet

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June 22, 2022 - Study A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. Citation Text: Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…

Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. | PSNet

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June 28, 2023 - Study Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. Citation Text: Alanazi FK, Lapkin S, Molloy L, et al. Healthcare-associated infections in adult intensive care u…

Association of surgeon-patient sex concordance with postoperative outcomes. | PSNet

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September 09, 2020 - Study Association of surgeon-patient sex concordance with postoperative outcomes. Citation Text: Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339. Copy Citat…

Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. | PSNet

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February 05, 2020 - Study Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. Citation Text: Archer S, Thibaut BI, Dewa LH, et al. Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. J Psychiatr Ment Health Nurs.…

National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents. | PSNet

psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events-children-and

March 24, 2021 - Study National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents. Citation Text: Cohen AL, Budnitz DS, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events in children and …

Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. | PSNet

psnet.ahrq.gov/issue/methods-used-obtain-pediatric-patient-weights-their-accuracy-and-associated-drug-dosing

March 01, 2023 - Study Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. Citation Text: Hoyle JD, Ekblad G, Woodwyk A, et al. Methods used to obtain pediatric patient weights, their accuracy and as…

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