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Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care

May 18, 2022 - Study Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. Citation Text: Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers…

System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet

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August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis. Citation Text: Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. …

Enhancing patient safety: a national standard for cyber resiliency in healthcare. | PSNet

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September 23, 2020 - Commentary Enhancing patient safety: a national standard for cyber resiliency in healthcare. Citation Text: Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.…

The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet

psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections

October 09, 2024 - Study The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Citation Text: Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Pa…

What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. | PSNet

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March 11, 2020 - Study What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. Citation Text: Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. …

Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

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June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? | PSNet

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November 11, 2015 - Commentary Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? Citation Text: Lim L, Zimring CM, DuBose JR, et al. Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? HERD. 2022;15(3):28-41. doi:10.1177/1937586722109…

Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. | PSNet

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September 23, 2020 - Study Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. Citation Text: Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of R…

Communication on safe caregiving between community nurse case managers and family caregivers. | PSNet

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March 09, 2022 - Study Communication on safe caregiving between community nurse case managers and family caregivers. Citation Text: Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving between community nurse case managers and family caregivers. Healthcare (Basel…

Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. | PSNet

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July 17, 2024 - Study Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. Citation Text: Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective surveillance study in walk…

Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. | PSNet

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September 29, 2017 - Study Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. Citation Text: Fink DA, Kilday D, Cao Z, et al. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalization…

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. | PSNet

psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846

March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…

Five-year audit of adherence to an anaesthesia pre-induction checklist. | PSNet

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May 19, 2021 - Study Five-year audit of adherence to an anaesthesia pre-induction checklist. Citation Text: Fuchs A, Frick S, Huber M, et al. Five‐year audit of adherence to an anaesthesia pre‐induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. Copy Citation Format: …

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet

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November 17, 2021 - Study Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. Citation Text: Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointest…

Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States. | PSNet

psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-benzodiazepine-use-united

September 27, 2016 - Study Emerging Classic Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States. Citation Text: Ladapo JA, Larochelle MR, Chen A, et al. Physician Prescribing of Opioids to Patients at Increased Risk…

6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial

December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…

Relationship between medication errors and adverse drug events. | PSNet

psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events

May 27, 2011 - Study Classic Relationship between medication errors and adverse drug events. Citation Text: Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. Copy Citation Format:…

Developing and aligning a safety event taxonomy for inpatient psychiatry. | PSNet

psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry

September 14, 2022 - Study Developing and aligning a safety event taxonomy for inpatient psychiatry. Citation Text: Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. Copy …

Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. | PSNet

psnet.ahrq.gov/issue/improving-safety-evaluating-impact-supply-chain-and-drug-shortages-health-systems

November 04, 2020 - Commentary Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Citation Text: Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Hosp Pharm. 2023;58(2):120-124.…

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet

psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer

February 01, 2011 - Study Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. Citation Text: Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …

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