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First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical

March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. Citation Text: English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review

January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. | PSNet

psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency

April 29, 2015 - Study Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. Citation Text: Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emerge…

A systematic review of interventions to follow-up test results pending at discharge. | PSNet

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November 16, 2022 - Review A systematic review of interventions to follow-up test results pending at discharge. Citation Text: Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.100…

Characteristics of critical incident reporting systems in primary care: an international survey. | PSNet

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September 07, 2022 - Study Characteristics of critical incident reporting systems in primary care: an international survey. Citation Text: Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91.…

Does Nursing Home Compare reflect patient safety in nursing homes? | PSNet

psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes

February 10, 2015 - Study Does Nursing Home Compare reflect patient safety in nursing homes? Citation Text: Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721. Copy Citation…

The impact of critical incidents on nurses and midwives: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review

May 11, 2022 - Review The impact of critical incidents on nurses and midwives: a systematic review. Citation Text: Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. Copy Citation …

Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. | PSNet

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October 13, 2021 - Study Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. Citation Text: Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):…

Bridging the gap between hospital and primary care: the pharmacist home visit. | PSNet

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April 10, 2019 - Commentary Bridging the gap between hospital and primary care: the pharmacist home visit. Citation Text: Ensing HT, Koster ES, Stuijt CCM, et al. Bridging the gap between hospital and primary care: the pharmacist home visit. Int J Clin Pharm. 2015;37(3):430-4. doi:10.1007/s11096-015-0093…

RISE: exploring volunteer retention and sustainability of a second victim support program. | PSNet

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April 21, 2021 - Study RISE: exploring volunteer retention and sustainability of a second victim support program. Citation Text: Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.10…

A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. | PSNet

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February 01, 2023 - Study A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Citation Text: Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safe…

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. | PSNet

psnet.ahrq.gov/issue/development-concept-return-investment-large-scale-quality-improvement-programmes-healthcare

October 27, 2021 - Review The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. Citation Text: Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-invest…

Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. | PSNet

psnet.ahrq.gov/issue/economic-evaluation-pharmacist-led-medication-reviews-residential-aged-care-facilities

September 21, 2022 - Review Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Citation Text: Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res.…

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. | PSNet

psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis

February 21, 2024 - Study Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. Citation Text: Kaya GK, Ustebay S, Nixon J, et al. Exploring the impact of safety culture on incident reporting: lessons learn…

Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis

April 20, 2022 - Study Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Citation Text: Parsons C, Johnston S, Mathie E, et al. Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Drugs Ag…

Medication adverse events in the ambulatory setting: a mixed-methods analysis. | PSNet

psnet.ahrq.gov/issue/medication-adverse-events-ambulatory-setting-mixed-methods-analysis

October 21, 2020 - Study Medication adverse events in the ambulatory setting: a mixed-methods analysis. Citation Text: Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. …

Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. | PSNet

psnet.ahrq.gov/issue/patients-perceptions-importance-self-administered-correct-site-surgery-checklist-multisite

May 25, 2022 - Study Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. Citation Text: Krenzischek DA, Card E, Mamaril M, et al. Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. J Peria…

Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions. | PSNet

psnet.ahrq.gov/issue/measurement-matters-changing-penalty-calculations-under-hospital-acquired-condition-reduction

August 10, 2022 - Study Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions. Citation Text: Vsevolozhskaya OA, Manz KC, Zephyr PM, et al. Measurement matters: changing penalty calculations under the hospital acquired co…

Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. | PSNet

psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients

March 01, 2023 - Study Emerging Classic Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. Citation Text: Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Pre…

Abusive supervision: a systematic review and fundamental rethink. | PSNet

psnet.ahrq.gov/issue/abusive-supervision-systematic-review-and-fundamental-rethink

May 18, 2022 - Review Abusive supervision: a systematic review and fundamental rethink. Citation Text: Fischer T, Tian AW, Lee A, et al. Abusive supervision: a systematic review and fundamental rethink. The Leadership Q. 2021;32(6):101540. doi:10.1016/j.leaqua.2021.101540. Copy Citation Format: …

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