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Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet

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March 25, 2020 - Study Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. Citation Text: Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…

Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. | PSNet

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November 16, 2022 - Study Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. Citation Text: Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …

Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet

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June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…

The effect of visitation restrictions on ED error. | PSNet

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July 01, 2016 - Study The effect of visitation restrictions on ED error. Citation Text: Marks CM, Wolfe RE, Grossman SA. The effect of visitation restrictions on ED error. Intern Emerg Med. 2024;19(5):1425-1430. doi:10.1007/s11739-024-03537-3. Copy Citation Format: DOI Google Scholar BibTe…

When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. | PSNet

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February 19, 2020 - Study When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. Citation Text: Cullati S, Semmer NK, Tschan F, et al. When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. Int J Public Hea…

Comparing VA and Non-VA quality of care: a systematic review. | PSNet

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May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. | PSNet

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July 10, 2019 - Study Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. Citation Text: Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qu…

Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. | PSNet

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November 24, 2021 - Study Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. Citation Text: Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in‐hospital reporting from famili…

Patient record review of the incidence, consequences, and causes of diagnostic adverse events. | PSNet

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July 02, 2014 - Study Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Citation Text: Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21…

Understanding patient-centred readmission factors: a multi-site, mixed-methods study. | PSNet

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May 08, 2017 - Study Understanding patient-centred readmission factors: a multi-site, mixed-methods study. Citation Text: Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2…

National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet

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September 12, 2016 - Study National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. Citation Text: Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…

Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. | PSNet

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July 24, 2019 - Study Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. Citation Text: Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a s…

Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. | PSNet

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December 16, 2020 - Review Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Citation Text: Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-4…

Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. | PSNet

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November 28, 2018 - Study Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. Citation Text: Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…

Mixed results in the safety performance of computerized physician order entry. | PSNet

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May 04, 2022 - Study Classic Mixed results in the safety performance of computerized physician order entry. Citation Text: Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…

Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-improves-during-situ-simulation-intervention-repeated-cross-sectional

January 20, 2021 - Study Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. Citation Text: Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a re…

Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment. | PSNet

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September 14, 2022 - Study Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment. Citation Text: Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of complimen…

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. | PSNet

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October 07, 2020 - Study Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. Citation Text: Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.202…

Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. | PSNet

psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical

November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…

Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

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June 29, 2011 - Commentary Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Citation Text: Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …

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