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Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. | PSNet

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May 29, 2019 - Study Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. Citation Text: Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Impro…

Lost information during the handover of critically injured trauma patients: a mixed-methods study. | PSNet

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October 04, 2023 - Study Lost information during the handover of critically injured trauma patients: a mixed-methods study. Citation Text: Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…

Clinical impact of medication review and deprescribing in older inpatients: a systematic review and meta-analysis. | PSNet

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April 21, 2021 - Review Clinical impact of medication review and deprescribing in older inpatients: a systematic review and meta-analysis. Citation Text: Carollo M, Crisafulli S, Vitturi G, et al. Clinical impact of medication review and deprescribing in older inpatients: a systematic review and meta‐ana…

The care transitions intervention: translating from efficacy to effectiveness. | PSNet

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August 18, 2021 - Study Classic The care transitions intervention: translating from efficacy to effectiveness. Citation Text: Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med. 2011;171(14):1232-7. …

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet

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October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Citation Text: Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…

Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 | PSNet

psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017

August 02, 2017 - Study Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 Citation Text: Mikosz CA, Zhang K, Haegerich TM, et al. Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017. JAMA Netw Open. 2020;3(5). doi:10…

A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. | PSNet

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September 20, 2011 - Study A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Citation Text: Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:1…

Patient outcomes after the introduction of statewide ICU nurse staffing regulations. | PSNet

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June 19, 2019 - Study Patient outcomes after the introduction of statewide ICU nurse staffing regulations. Citation Text: Law AC, Stevens JP, Hohmann S, et al. Patient Outcomes After the Introduction of Statewide ICU Nurse Staffing Regulations. Crit Care Med. 2018;46(10):1563-1569. doi:10.1097/CCM.00000…

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.…

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…

Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. | PSNet

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November 29, 2023 - Study Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. Citation Text: Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of med…

Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. | PSNet

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November 11, 2020 - Study Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. Citation Text: Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatm…

U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet

psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons

August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…

Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. | PSNet

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September 01, 2021 - Study Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. Citation Text: Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontli…

Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. | PSNet

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March 14, 2022 - Study Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. Citation Text: Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…

Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. | PSNet

psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005

July 03, 2014 - Study Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. Citation Text: Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…

A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet

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May 25, 2022 - Commentary A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Citation Text: Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …

Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet

psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill

July 29, 2020 - Commentary Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. Citation Text: Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…

An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events. | PSNet

psnet.ahrq.gov/issue/e-delphi-study-obtain-expert-consensus-level-risk-associated-preventable-e-prescribing-events

January 19, 2022 - Study An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events. Citation Text: Heed J, Klein S, Slee A, et al. An e‐Delphi study to obtain expert consensus on the level of risk associated with preventable e‐prescribing events. Br…

Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. | PSNet

psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare

August 24, 2022 - Study Emerging Classic Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. Citation Text: Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on n…

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