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How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. | PSNet

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November 20, 2015 - Study How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. Citation Text: Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality of care for…

One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. | PSNet

psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and

June 28, 2013 - Study One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. Citation Text: Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…

Impact of incorporating pharmacy claims data into electronic medication reconciliation. | PSNet

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September 01, 2016 - Study Impact of incorporating pharmacy claims data into electronic medication reconciliation. Citation Text: Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…

Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. | PSNet

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February 17, 2021 - Study Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. Citation Text: Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey…

Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. | PSNet

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October 05, 2022 - Study Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. Citation Text: Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…

Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. | PSNet

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October 30, 2024 - Study Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. Citation Text: Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identi…

Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs

March 29, 2010 - Review Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. Citation Text: Subramanian S, Hoover S, Gilman BH, et al. Computerized physician order entry with clinical decision support in long-term care fac…

How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. | PSNet

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September 14, 2022 - Study How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. Citation Text: Zigman Suchsland M, Kowalski L, Burkhardt HA, et al. How timely is diagnosis of lung cancer? Cohort study of individuals with lung…

Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. | PSNet

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August 24, 2022 - Commentary Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. Citation Text: Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart pumps in advanced hea…

Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? | PSNet

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June 16, 2021 - Study Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? Citation Text: Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualita…

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. | PSNet

psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative

August 25, 2021 - Review Emerging Classic Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. Citation Text: O’Neill SM, Clyne B, Bell M, et al. Why do h…

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. | PSNet

psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed

December 08, 2021 - Study Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. Citation Text: Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …

Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet

psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury

June 23, 2021 - Study Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. Citation Text: Strid EN, Wåhlin C, Ros A, et al. Health care workers’ experiences of workplace incidents that posed a risk of patient and …

The association of nursing home characteristics and quality with adverse events after a hospitalization. | PSNet

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August 07, 2019 - Study The association of nursing home characteristics and quality with adverse events after a hospitalization. Citation Text: Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Asso…

Linking transformational leadership, patient safety culture and work engagement in home care services. | PSNet

psnet.ahrq.gov/issue/linking-transformational-leadership-patient-safety-culture-and-work-engagement-home-care

October 09, 2024 - Study Emerging Classic Linking transformational leadership, patient safety culture and work engagement in home care services. Citation Text: Ree E, Wiig S. Linking transformational leadership, patient safety culture and work engagement in home care services. Nu…

Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. | PSNet

psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication

February 16, 2022 - Study Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…

Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. | PSNet

psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital

November 11, 2020 - Study Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. Citation Text: Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;…

Effect of patient- and medication-related factors on inpatient medication reconciliation errors. | PSNet

psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors

May 08, 2017 - Study Effect of patient- and medication-related factors on inpatient medication reconciliation errors. Citation Text: Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8…

Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. | PSNet

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January 19, 2022 - Study Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. Citation Text: Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and comm…

Medication errors in the outpatient setting: classification and root cause analysis. | PSNet

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December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

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