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Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. | PSNet

psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized

November 16, 2022 - Study Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. Citation Text: Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…

A comprehensive obstetric patient safety program reduces liability claims and payments. | PSNet

psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments

June 22, 2017 - Study A comprehensive obstetric patient safety program reduces liability claims and payments. Citation Text: Pettker CM, Thung SF, Lipkind HS, et al. A comprehensive obstetric patient safety program reduces liability claims and payments. Am J Obstet Gynecol. 2014;211(4):319-25. doi:10.10…

The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. | PSNet

psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm

September 23, 2020 - Study The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Citation Text: Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…

SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. | PSNet

psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due

June 01, 2016 - Study SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. Citation Text: Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreas…

Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. | PSNet

psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants

February 02, 2022 - Study Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. Citation Text: Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…

The top patient safety strategies that can be encouraged for adoption now. | PSNet

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September 20, 2011 - Commentary The top patient safety strategies that can be encouraged for adoption now. Citation Text: Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…

Continuing education in patient safety: massive open online courses as a new training tool. | PSNet

psnet.ahrq.gov/issue/continuing-education-patient-safety-massive-open-online-courses-new-training-tool

September 01, 2021 - Study Continuing education in patient safety: massive open online courses as a new training tool. Citation Text: Sarabia-Cobo CM, Torres-Manrique B, Ortego-Mate MC, et al. Continuing Education in Patient Safety: Massive Open Online Courses as a New Training Tool. J Contin Educ Nurs. 2015…

What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. | PSNet

psnet.ahrq.gov/issue/what-do-we-really-know-about-crew-resource-management-healthcare-umbrella-review-crew

September 29, 2021 - Review What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. Citation Text: Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource management in healthcare?: An …

Human factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey study. | PSNet

psnet.ahrq.gov/issue/human-factors-considerations-using-personal-protective-equipment-covid-19-pandemic-context-bi

July 08, 2020 - Study Human factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey study. Citation Text: Parush A, Wacht O, Gomes R, et al. Human Factors Considerations in Using Personal Protective Equipment in the COVID-19 Pandemic Context: …

Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. | PSNet

psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure

September 16, 2020 - Commentary Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. Citation Text: Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…

A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. | PSNet

psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts

February 16, 2022 - Review A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes. Citation Text: Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hos…

The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. | PSNet

psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit

October 27, 2021 - Study The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. Citation Text: Kwon CS, Duzyj C. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a …

Variations in surgical outcomes associated with hospital compliance with safety practices. | PSNet

psnet.ahrq.gov/issue/variations-surgical-outcomes-associated-hospital-compliance-safety-practices

June 14, 2017 - Study Variations in surgical outcomes associated with hospital compliance with safety practices. Citation Text: Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/…

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. | PSNet

psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention

December 02, 2020 - Study Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. Citation Text: Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…

Classification of medication incidents associated with information technology. | PSNet

psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology

November 23, 2012 - Study Classification of medication incidents associated with information technology. Citation Text: Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…

Child age and risk of medication error: a multisite children's hospital study. | PSNet

psnet.ahrq.gov/issue/child-age-and-risk-medication-error-multisite-childrens-hospital-study

August 28, 2024 - Study Child age and risk of medication error: a multisite children's hospital study. Citation Text: Badgery-Parker T, Li L, Fitzpatrick E, et al. Child age and risk of medication error: a multisite children's hospital study. J Pediatr. 2024;272:114087. doi:10.1016/j.jpeds.2024.114087. …

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. | PSNet

psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry

November 26, 2014 - Study Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. Citation Text: Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. J …

Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis

February 22, 2019 - Study Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis Citation Text: Dinnen T, Williams H, Yardley S, et al. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Support Palliat Care. 2019. do…

Failure to engage hospitalized elderly patients and their families in advance care planning. | PSNet

psnet.ahrq.gov/issue/failure-engage-hospitalized-elderly-patients-and-their-families-advance-care-planning

November 21, 2016 - Study Classic Failure to engage hospitalized elderly patients and their families in advance care planning. Citation Text: Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA I…

Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. | PSNet

psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-medications-prescribing

March 17, 2021 - Study Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. Citation Text: Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing…

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