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Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. | PSNet

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October 19, 2022 - Study Classic Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Citation Text: Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series acr…

Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. | PSNet

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December 30, 2014 - Study Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Citation Text: Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual …

Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study. | PSNet

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September 04, 2016 - Study Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study. Citation Text: Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place S…

Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. | PSNet

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November 12, 2014 - Review Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Citation Text: Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Sleep. 2010;33(8):1043-53. doi:10.1093/sl…

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. | PSNet

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January 07, 2011 - Study Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. Citation Text: Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70. Cop…

Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial. | PSNet

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September 07, 2022 - Study Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial. Citation Text: Sacarny A, Safran E, Steffel M, et al. Effect of pharmacist email alerts on concurrent prescribing of opi…

Identifying opportunities for quality improvement in surgical site infection prevention. | PSNet

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June 14, 2017 - Study Identifying opportunities for quality improvement in surgical site infection prevention. Citation Text: Gagliardi AR, Eskicioglu C, McKenzie M, et al. Identifying opportunities for quality improvement in surgical site infection prevention. Am J Infect Control. 2009;37(5):398-402.…

Intervention study for the reduction of medication errors in elderly trauma patients. | PSNet

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December 18, 2019 - Study Intervention study for the reduction of medication errors in elderly trauma patients. Citation Text: Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(…

Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. | PSNet

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October 09, 2024 - Study Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. Citation Text: Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. …

Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. | PSNet

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December 19, 2017 - Commentary Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. Citation Text: Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.…

Artificial intelligence-supported screen reading versus standard double reading in the Mammography Screening with Artificial Intelligence trial (MASAI): a clinical safety analysis of a randomised, controlled, non-inferiority, single-blinded, screening accuracy study. | PSNet

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March 27, 2019 - Study Artificial intelligence-supported screen reading versus standard double reading in the Mammography Screening with Artificial Intelligence trial (MASAI): a clinical safety analysis of a randomised, controlled, non-inferiority, single-blinded, screening accuracy study. Citation Text: …

Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet

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November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …

Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. | PSNet

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March 24, 2019 - Study Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. Citation Text: Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…

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

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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…

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet

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June 13, 2011 - Study Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. Citation Text: Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine

October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

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…

Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet

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April 22, 2013 - Study Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. Citation Text: Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. Copy Citatio…

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet

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January 15, 2020 - Study Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. Citation Text: Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…

Pediatric prehospital medication dosing errors: a mixed-methods study. | PSNet

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August 25, 2021 - Study Pediatric prehospital medication dosing errors: a mixed-methods study. Citation Text: Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. Copy Citati…

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