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Detection rates of mild cognitive impairment in primary care for the United States Medicare population. | PSNet

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February 16, 2022 - Study Detection rates of mild cognitive impairment in primary care for the United States Medicare population. Citation Text: Liu Y, Jun H, Becker A, et al. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. J Prev Alz Dis. 2024;11:7–12…

Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet

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November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…

Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. | PSNet

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July 22, 2020 - Study Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Citation Text: Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Worldviews Evid Based Nurs…

Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. | PSNet

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February 27, 2019 - Study Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. Citation Text: Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…

"Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. | PSNet

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December 04, 2016 - Study "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. Citation Text: Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a …

The role of organizational and professional cultures in medication safety: a scoping review of the literature. | PSNet

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February 12, 2020 - Review The role of organizational and professional cultures in medication safety: a scoping review of the literature. Citation Text: Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…

Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

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March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …

Patient safety in nursing homes from an ecological perspective: an integrated review. | PSNet

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December 07, 2022 - Review Patient safety in nursing homes from an ecological perspective: an integrated review. Citation Text: Min D, Park S, Kim S, et al. Patient safety in nursing homes from an ecological perspective: an integrated review. J Patient Saf. 2024;20(2):77-84. doi:10.1097/pts.0000000000001189…

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. | PSNet

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September 23, 2020 - Review Classic Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. Citation Text: Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hos…

Do hospitals provide lower quality care on weekends? | PSNet

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January 12, 2022 - Study Do hospitals provide lower quality care on weekends? Citation Text: Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. | PSNet

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September 07, 2022 - Study Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. Citation Text: Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospe…

A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. | PSNet

psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care

May 11, 2019 - Commentary A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. Citation Text: Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…

Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. | PSNet

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January 12, 2022 - Study Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. Citation Text: Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…

Information exchange among physicians caring for the same patient in the community. | PSNet

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March 28, 2011 - Study Classic Information exchange among physicians caring for the same patient in the community. Citation Text: van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):…

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

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October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. | PSNet

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June 23, 2015 - Commentary Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Citation Text: Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Qual Saf Health Care. …

Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. | PSNet

psnet.ahrq.gov/issue/value-improving-patient-safety-health-economic-considerations-rapid-response-systems-rapid

January 07, 2015 - Review Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. Citation Text: Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. | PSNet

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August 11, 2021 - Review Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. Citation Text: Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in drug-related hospital admissions? A …

Rapid response teams as a patient safety practice for failure to rescue. | PSNet

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January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue. Citation Text: Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. Copy Citation For…

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. | PSNet

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June 27, 2018 - Review Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. Citation Text: Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JA…

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