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Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. | PSNet

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May 01, 2015 - Book/Report Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Citation Text: Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. | PSNet

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February 26, 2009 - Study Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. Citation Text: Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …

Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. | PSNet

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January 21, 2019 - Commentary Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. Citation Text: Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…

Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. | PSNet

psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm

September 23, 2020 - Study Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. Citation Text: Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiaj…

Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation. | PSNet

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November 17, 2021 - Study Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation. Citation Text: Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on hospital performance: The m…

How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review. | PSNet

psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision

December 14, 2022 - Review How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review. Citation Text: Lampe D, Grosser J, Grothe D, et al. How intervention studies measure the effectiveness of medicatio…

A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. | PSNet

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November 19, 2018 - Study A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. Citation Text: Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partia…

Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. | PSNet

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November 16, 2022 - Review Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Citation Text: Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(1…

Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? | PSNet

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July 11, 2018 - Study Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? Citation Text: Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.000…

Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019. | PSNet

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September 09, 2020 - Study Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019. Citation Text: de Kraker MEA, Tartari E, Tomczyk S, et al. Implementation of hand hygiene in health-care facilities: results from the WHO Hand H…

Do medical inpatients who report poor service quality experience more adverse events and medical errors? | PSNet

psnet.ahrq.gov/issue/do-medical-inpatients-who-report-poor-service-quality-experience-more-adverse-events-and

July 14, 2021 - Study Classic Do medical inpatients who report poor service quality experience more adverse events and medical errors? Citation Text: Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse ev…

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. | PSNet

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May 20, 2020 - Study Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. Citation Text: Tamblyn R, Winslade N, Lee TC, et…

Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial. | PSNet

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December 21, 2022 - Study Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial. Citation Text: Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and prima…

Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial. | PSNet

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August 20, 2018 - Study Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial. Citation Text: Volpp KG, Shea JA, Small DS, et al. Effect of a protected sleep period on hours slept during extended overnight in-hospital…

Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial. | PSNet

psnet.ahrq.gov/issue/effect-veterans-health-administration-mandate-case-review-patients-opioid-prescriptions

May 18, 2022 - Study Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial. Citation Text: Auty SG, Barr KD, Frakt AB, et al. Effect of a Veter…

The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care. | PSNet

psnet.ahrq.gov/issue/impact-time-work-and-time-work-rule-compliance-case-hand-hygiene-health-care

May 18, 2022 - Study Classic The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care. Citation Text: Dai H, Milkman KL, Hofmann DA, et al. The impact of time at work and time off from work on rule compliance: the case of ha…

The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. | PSNet

psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or

April 12, 2011 - Study The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Citation Text: Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but…

A prospective controlled trial of an electronic hand hygiene reminder system. | PSNet

psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system

April 07, 2021 - Study A prospective controlled trial of an electronic hand hygiene reminder system. Citation Text: Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/…

Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. | PSNet

psnet.ahrq.gov/issue/understanding-differences-electronic-health-record-ehr-use-linking-individual-physicians

November 17, 2015 - Study Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. Citation Text: Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) u…

National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. | PSNet

psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council

September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…

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