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The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. | PSNet

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June 09, 2021 - Commentary The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. Citation Text: Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…

Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. | PSNet

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March 21, 2017 - Study Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. Citation Text: Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursin…

Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. | PSNet

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October 20, 2021 - Study Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. Citation Text: Moore A, Knutsen Glette M. Nurses’ experience with presenteeism and the potential consequences o…

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. | PSNet

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March 10, 2021 - Study Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. Citation Text: Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. | PSNet

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December 04, 2016 - Study Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. Citation Text: Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after…

Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. | PSNet

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March 16, 2022 - Review Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. Citation Text: Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations prese…

An estimate of missed pediatric sepsis in the emergency department. | PSNet

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December 08, 2021 - Study An estimate of missed pediatric sepsis in the emergency department. Citation Text: Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. Copy Citation Format:…

Failure to engage hospitalized elderly patients and their families in advance care planning. | PSNet

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November 21, 2016 - Study Classic Failure to engage hospitalized elderly patients and their families in advance care planning. Citation Text: Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA I…

Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. | PSNet

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February 15, 2023 - Study Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. Citation Text: Lam BD, Bourgeois FC, Dong ZJ, et al. Speaking up about patient-perceived serious visit note errors: Patient and family experiences and recommendations.…

Effect of illness severity and comorbidity on patient safety and adverse events. | PSNet

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December 01, 2011 - Study Effect of illness severity and comorbidity on patient safety and adverse events. Citation Text: Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…

Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet

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July 07, 2021 - Study Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Citation Text: Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. | PSNet

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October 27, 2021 - Study Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Citation Text: Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):4…

Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. | PSNet

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July 28, 2014 - Study Classic Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. Citation Text: Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N E…

A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. | PSNet

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March 16, 2022 - Study A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. Citation Text: Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with mat…

Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. | PSNet

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October 03, 2012 - Study Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. Citation Text: Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…

Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. | PSNet

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March 03, 2021 - Study Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. Citation Text: Strube‐Lahmann S, Müller‐Werdan U, Klingelhöfer‐Noe J, et al. Patient safety in home care: A multicenter cross‐sectional study about medicati…

How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. | PSNet

psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-receiving-specialist

June 23, 2021 - Study How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. Citation Text: Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving speci…

How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. | PSNet

psnet.ahrq.gov/issue/how-do-patients-respond-safety-problems-ambulatory-care-results-retrospective-cross-sectional

September 15, 2021 - Study How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. Citation Text: Seufert S, de Cruppé W, Assheuer M, et al. How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sect…

How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. | PSNet

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July 08, 2020 - Study How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. Citation Text: Barrow E, Lear RA, Morbi A, et al. How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist…

Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. | PSNet

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October 09, 2019 - Study Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. Citation Text: Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…

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