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Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. | PSNet

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July 13, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…

Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. | PSNet

psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop

September 01, 2016 - Study Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. Citation Text: Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses…

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. | PSNet

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December 29, 2014 - Study Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Citation Text: López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. | PSNet

psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse

July 08, 2008 - Study Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. Citation Text: Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

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November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and

August 04, 2021 - Review Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Citation Text: Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…

Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. | PSNet

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July 19, 2019 - Study Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. Citation Text: Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…

Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures

May 08, 2017 - Study Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. Citation Text: Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from …

What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? | PSNet

psnet.ahrq.gov/issue/what-evidence-supports-use-computerized-alerts-and-prompts-improve-clinicians-prescribing

August 04, 2021 - Review What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? Citation Text: Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior…

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet

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September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…

Evaluating serial strategies for preventing wrong-patient orders in the NICU. | PSNet

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November 03, 2015 - Study Evaluating serial strategies for preventing wrong-patient orders in the NICU. Citation Text: Adelman JS, Aschner JL, Schechter CB, et al. Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU. Pediatrics. 2017;139(5). doi:10.1542/peds.2016-2863. Copy Citati…

Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. | PSNet

psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk-factors

September 19, 2012 - Study Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Citation Text: Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…

Automating detection of diagnostic error of infectious diseases using machine learning. | PSNet

psnet.ahrq.gov/issue/automating-detection-diagnostic-error-infectious-diseases-using-machine-learning

October 09, 2024 - Study Automating detection of diagnostic error of infectious diseases using machine learning. Citation Text: Peterson KS, Chapman AB, Widanagamaachchi W, et al. Automating detection of diagnostic error of infectious diseases using machine learning. PLOS Digit Health. 2024;3(6):e0000528. …

Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. | PSNet

psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing

October 01, 2014 - Commentary Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. Citation Text: Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…

Medication use leading to emergency department visits for adverse drug events in older adults. | PSNet

psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

March 05, 2008 - Study Classic Medication use leading to emergency department visits for adverse drug events in older adults. Citation Text: Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. A…

CDC guideline for prescribing opioids for chronic pain—United States, 2016. | PSNet

psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016

June 14, 2019 - Organizational Policy/Guidelines CDC guideline for prescribing opioids for chronic pain—United States, 2016. Citation Text: Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep. 2016;65(1):1-49. doi:10.15585/mmwr.rr…

Prevention of prescription opioid misuse and projected overdose deaths in the United States. | PSNet

psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states

August 04, 2021 - Study Classic Prevention of prescription opioid misuse and projected overdose deaths in the United States. Citation Text: Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA N…

Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-canadian-medical-students-and-postgraduate

December 04, 2015 - Study Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. Citation Text: Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…

Electronic health record–related safety concerns: a cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey

August 03, 2016 - Study Electronic health record–related safety concerns: a cross-sectional survey. Citation Text: Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. Copy Citation…

Accuracy of pediatric trauma field triage: a systematic review. | PSNet

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November 04, 2020 - Review Accuracy of pediatric trauma field triage: a systematic review. Citation Text: van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050. Copy Citation Fo…

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