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Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. | PSNet

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August 13, 2014 - Commentary Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. Citation Text: Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…

Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet

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November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…

Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center. | PSNet

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October 19, 2022 - Commentary Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center. Citation Text: Speck RM, Foster JJ, Mulhern VA, et al. Development of a professionalism committee approach to address unprofessional medical staf…

Toward a responsible future: recommendations for AI-enabled clinical decision support. | PSNet

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April 03, 2024 - Commentary Toward a responsible future: recommendations for AI-enabled clinical decision support. Citation Text: Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. d…

Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016. | PSNet

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August 21, 2019 - Review Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016. Citation Text: Mitchell B, Cristancho S, Nyhof BB, et al. Mobilising or standing still?A narrative review of Surgical Safety Checklist …

Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. | PSNet

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October 16, 2012 - Study Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. Citation Text: Stall NM, Fischer HD, Wu F, et al. Unintentional Discontinuation of …

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. | PSNet

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August 10, 2022 - Study Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. Citation Text: Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross‐s…

The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. | PSNet

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August 03, 2017 - Study The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Citation Text: Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. do…

Unintended patient safety risks due to wireless smart infusion pump library update delays. | PSNet

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September 25, 2019 - Study Unintended patient safety risks due to wireless smart infusion pump library update delays. Citation Text: Hsu K-Y, DeLaurentis P, Bitan Y, et al. Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. J Patient Saf. 2019;15(1):e8-e14. doi:10.1097…

ESPEN guideline on hospital nutrition. | PSNet

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February 17, 2015 - Organizational Policy/Guidelines ESPEN guideline on hospital nutrition. Citation Text: Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039. Copy Citation Format: DOI Google Schola…

Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. | PSNet

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March 04, 2020 - Study Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. Citation Text: Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…

Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. | PSNet

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March 14, 2022 - Study Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. Citation Text: Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective s…

Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. | PSNet

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January 15, 2025 - Study Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. Citation Text: Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):…

Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. | PSNet

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September 23, 2020 - Study Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. Citation Text: Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of p…

Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. | PSNet

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July 09, 2008 - Review Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Citation Text: Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Public Health. 2023;223…

How to prevent or reduce prescribing errors: an evidence brief for policy authors. | PSNet

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July 27, 2022 - Review How to prevent or reduce prescribing errors: an evidence brief for policy authors. Citation Text: de Araújo BC, de Melo RC, de Bortoli MC, et al. How to prevent or reduce prescribing errors: an evidence brief for policy authors. Front Pharmacol. 2019;10:439. doi:10.3389/fphar.2019…

Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study. | PSNet

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March 30, 2022 - Study Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study. Citation Text: Bittman J, Nijjar AP, Tam P, et al. Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospe…

Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet

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January 15, 2025 - Review Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Citation Text: Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. | PSNet

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September 23, 2020 - Study Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. Citation Text: Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …

The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. | PSNet

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August 24, 2016 - Study The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. Citation Text: Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…

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