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Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet

psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis

July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. Citation Text: Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. Copy Citation Format: …

Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic

January 31, 2024 - Study Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. Citation Text: Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…

Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. | PSNet

psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety

May 20, 2020 - Study Emerging Classic Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. Citation Text: Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. | PSNet

psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme

April 24, 2018 - Study Emerging Classic Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. Citation Text: Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…

Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. | PSNet

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December 18, 2017 - Review Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. Citation Text: Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the impact on me…

Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet

psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients

August 25, 2021 - Study Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports. | PSNet

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May 11, 2022 - Study Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports. Citation Text: Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…

Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. | PSNet

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January 12, 2022 - Study Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. Citation Text: Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…

Adverse events related to accidental unintentional ingestions from cough and cold medications in children. | PSNet

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May 06, 2020 - Study Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Citation Text: Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …

So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. | PSNet

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April 28, 2021 - Study So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Citation Text: Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …

Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. | PSNet

psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting

January 31, 2018 - Study Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. Citation Text: South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…

Chronic hospital nurse understaffing meets COVID-19: an observational study. | PSNet

psnet.ahrq.gov/issue/chronic-hospital-nurse-understaffing-meets-covid-19-observational-study

September 27, 2017 - Study Emerging Classic Chronic hospital nurse understaffing meets COVID-19: an observational study. Citation Text: Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an observational study. BMJ Qual Saf. 2021;8(8):639-64…

Measuring safety in older adult care homes: a scoping review of the international literature. | PSNet

psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature

June 30, 2021 - Review Measuring safety in older adult care homes: a scoping review of the international literature. Citation Text: Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…

Evaluation of medication errors at the transition of care from an ICU to non-ICU location. | PSNet

psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location

September 23, 2020 - Study Emerging Classic Evaluation of medication errors at the transition of care from an ICU to non-ICU location. Citation Text: Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. | PSNet

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March 02, 2022 - Study Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. Citation Text: Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? | PSNet

psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety

June 01, 2022 - Study Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? Citation Text: Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 202…

Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. | PSNet

psnet.ahrq.gov/issue/nurses-perceptions-and-demands-regarding-covid-19-care-delivery-critical-care-units-and

March 09, 2022 - Study Emerging Classic Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Citation Text: González-Gil MT, González-Blázquez C, Parro-Moreno AI, et al. Nurses’ perceptions and demands regarding…

"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. | PSNet

psnet.ahrq.gov/issue/change-what-can-actually-make-tough-times-better-patient-centred-patient-safety-intervention

September 24, 2017 - Study "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. Citation Text: Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A patient-c…

A novel ICU hand-over tool: the glass door of the patient room. | PSNet

psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room

October 12, 2009 - Commentary A novel ICU hand-over tool: the glass door of the patient room. Citation Text: Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. Copy Citation Format: …

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet

psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department

September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

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