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Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet

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October 07, 2020 - Study Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. Citation Text: Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from P…

Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. | PSNet

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November 03, 2015 - Study Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. Citation Text: Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…

Medication errors during medical emergencies in a large, tertiary care, academic medical center. | PSNet

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July 31, 2013 - Study Medication errors during medical emergencies in a large, tertiary care, academic medical center. Citation Text: Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482…

Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. | PSNet

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July 14, 2009 - Study Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Citation Text: Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and …

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

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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 …

Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS. | PSNet

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September 29, 2021 - Study Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS. Citation Text: Sutton E, Martin G, Eborall H, et al. Undertaking risk and relational work to manage vulnerability: acute medical patients’ involvement in …

A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet

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May 25, 2022 - Commentary A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Citation Text: Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …

Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet

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August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. Citation Text: Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…

Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. | PSNet

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December 04, 2015 - Study Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. Citation Text: Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…

Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet

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March 24, 2021 - Commentary Two fatal cases of accidental intrathecal vincristine administration: learning from death events. Citation Text: Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. | PSNet

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October 06, 2016 - Study The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. Citation Text: Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and decreased operating room delays…

Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support-a reader study. | PSNet

psnet.ahrq.gov/issue/reader-bias-breast-cancer-screening-related-cancer-prevalence-and-artificial-intelligence

February 01, 2013 - Study Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support-a reader study. Citation Text: Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence deci…

Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. | PSNet

psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical-guidelines-results

October 19, 2022 - Study Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. Citation Text: Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: re…

Evaluation of outcomes from a national patient-initiated second-opinion program. | PSNet

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July 15, 2015 - Study Evaluation of outcomes from a national patient-initiated second-opinion program. Citation Text: Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. Copy Citation …

Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet

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March 15, 2017 - Study Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. Citation Text: Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…

Prescribing discrepancies likely to cause adverse drug events after patient transfer. | PSNet

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December 08, 2010 - Study Prescribing discrepancies likely to cause adverse drug events after patient transfer. Citation Text: Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…

Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis. | PSNet

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July 21, 2021 - Review Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis. Citation Text: Atey TM, Peterson GM, Salahudeen MS, et al. Impact of pharmacist interventions provided in the emergency department on quality…

Associations between attending physician workload, teaching effectiveness, and patient safety. | PSNet

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July 02, 2014 - Study Associations between attending physician workload, teaching effectiveness, and patient safety. Citation Text: Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. | PSNet

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May 18, 2022 - Study The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. Citation Text: Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…

Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet

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August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…

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