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Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary

April 22, 2017 - Study Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. Citation Text: Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident investigations in secondary care: a qu…

A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet

psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician

February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Citation Text: Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …

Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. | PSNet

psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster

September 08, 2021 - Study Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Citation Text: Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and fos…

The health care cost of drug-related morbidity and mortality in nursing facilities. | PSNet

psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities

September 19, 2016 - Study Classic The health care cost of drug-related morbidity and mortality in nursing facilities. Citation Text: Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…

Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. | PSNet

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March 09, 2022 - Study Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. Citation Text: Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient …

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet

psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient

December 21, 2014 - Study How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. …

Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. | PSNet

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February 10, 2021 - Study Classic Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Citation Text: Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:…

Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study. | PSNet

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May 25, 2010 - Study Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study. Citation Text: Zed PJ, Abu-Laban RB, Balen RM, et al. Incidence, severity and preventability of medication-related visits to the emergency department: a prospecti…

Prioritizing patient safety efforts in office practice settings | PSNet

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October 12, 2022 - Study Prioritizing patient safety efforts in office practice settings Citation Text: Kravet SJ, Bhatnagar M, Dwyer M, et al. Prioritizing Patient Safety Efforts in Office Practice Settings. J Patient Saf. 2019;15(4):e98-e101. doi:10.1097/pts.0000000000000652. Copy Citation Format: …

Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. | PSNet

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October 27, 2021 - Study Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. Citation Text: Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. BMJ Qual Saf. 20…

Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. | PSNet

psnet.ahrq.gov/issue/nurses-source-system-level-resilience-secondary-analysis-qualitative-data-study-intravenous

July 22, 2020 - Study Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. Citation Text: Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualita…

Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. | PSNet

psnet.ahrq.gov/issue/assessment-unintentional-duplicate-orders-emergency-department-clinicians-and-after

October 19, 2022 - Study Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. Citation Text: Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emerg…

How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet

psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice

February 14, 2024 - Study How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. Citation Text: Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. | PSNet

psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event

June 03, 2020 - Review Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. Citation Text…

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…

Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. | PSNet

psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective

September 07, 2016 - Study Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. Citation Text: van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…

Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. | PSNet

psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening

January 04, 2021 - Study Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. Citation Text: Danielson KK, Rydzon B, Nicosia M, et al. Prevalence of undiagnosed diabetes identified by a novel electronic med…

Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohort study of acute stroke care. | PSNet

psnet.ahrq.gov/issue/weekly-variation-health-care-quality-day-and-time-admission-nationwide-registry-based

September 24, 2014 - Study Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohort study of acute stroke care. Citation Text: Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission: a nationwide, …

Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport

May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. | PSNet

psnet.ahrq.gov/issue/walkrounds-practice-corrupting-or-enhancing-quality-improvement-intervention-qualitative

December 30, 2014 - Study Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Citation Text: Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual …

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