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"Never events" and the quest to reduce preventable harm. | PSNet

psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm

June 01, 2016 - Commentary "Never events" and the quest to reduce preventable harm. Citation Text: Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. | PSNet

psnet.ahrq.gov/issue/what-stage-are-low-income-and-middle-income-countries-lmics-patient-safety-curriculum

October 23, 2019 - Study What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. Citation Text: Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and mi…

Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet

psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach

January 23, 2019 - Study Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. Citation Text: Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…

Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/effects-online-personal-health-record-medication-accuracy-and-safety-cluster-randomized-trial

March 04, 2015 - Study Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. Citation Text: Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. J Am Med Inf…

Do pharmacist-led medication reviews in hospitals help reduce hospital readmissions? A systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/do-pharmacist-led-medication-reviews-hospitals-help-reduce-hospital-readmissions-systematic

July 31, 2024 - Review Do pharmacist-led medication reviews in hospitals help reduce hospital readmissions? A systematic review and meta-analysis. Citation Text: Renaudin P, Boyer L, Esteve M-A, et al. Do pharmacist-led medication reviews in hospitals help reduce hospital readmissions? A systematic revi…

Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. | PSNet

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January 04, 2021 - Study Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. Citation Text: Danielson KK, Rydzon B, Nicosia M, et al. Prevalence of undiagnosed diabetes identified by a novel electronic med…

Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? | PSNet

psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt

May 19, 2021 - Study Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Citation Text: Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56…

Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. | PSNet

psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures

April 24, 2018 - Study Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. Citation Text: Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality…

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. | PSNet

psnet.ahrq.gov/issue/reduction-hospital-mortality-over-time-hospital-without-pediatric-medical-emergency-team

August 20, 2018 - Study Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. Citation Text: Joffe AR, Anton NR, Burkholder SC. Reduction in hospital mortality over time in a hospital without a pediatric medical e…

Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. | PSNet

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May 22, 2019 - Study Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. Citation Text: Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and…

Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. | PSNet

psnet.ahrq.gov/issue/crisis-scenarios-simulation-based-nontechnical-skills-training-cardiac-surgery-teams-national

January 08, 2020 - Commentary Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. Citation Text: Kemper T, van Haperen M, Eberl S, et al.…

A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet

psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents

February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …

Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety? | PSNet

psnet.ahrq.gov/issue/there-relationship-between-high-quality-performance-major-teaching-hospitals-and-residents

July 21, 2010 - Study Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety? Citation Text: Pingleton SK, Horak BJ, Davis DA, et al. Is there a relationship between high-quality performance in major teaching hospital…

Non–health care facility medication errors resulting in serious medical outcomes. | PSNet

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June 14, 2017 - Study Classic Non–health care facility medication errors resulting in serious medical outcomes. Citation Text: Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018…

Medical errors during training: how do residents cope?: a descriptive study. | PSNet

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October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. | PSNet

psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions

March 20, 2024 - Study Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. Citation Text: Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information fro…

Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. | PSNet

psnet.ahrq.gov/issue/systematic-review-effectiveness-strategies-encourage-patients-remind-healthcare-professionals

February 01, 2011 - Review Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. Citation Text: Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare…

Development of a multicomponent intervention to decrease racial bias among healthcare staff. | PSNet

psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff

September 23, 2020 - Study Development of a multicomponent intervention to decrease racial bias among healthcare staff. Citation Text: Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…

Surgical patient safety outcomes in critical access hospitals: how do they compare? | PSNet

psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare

June 05, 2019 - Study Surgical patient safety outcomes in critical access hospitals: how do they compare? Citation Text: Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. C…

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. | PSNet

psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices

June 11, 2008 - Study Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. Citation Text: Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and conseq…

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