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Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. | PSNet

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June 22, 2022 - Commentary Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. Citation Text: DeJong C, Katz MH, Covinsky KE. Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. JAMA Intern Med. 2020;181(2):274. doi:10.1001/jamainternmed.2020.401…

Accuracy of pressure ulcer events in US nursing home ratings. | PSNet

psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings

February 05, 2020 - Study Accuracy of pressure ulcer events in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763. Copy Citation Format: DOI Google…

Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger

March 09, 2022 - Study Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. Citation Text: Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am …

Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. | PSNet

psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital

June 05, 2013 - Study Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. Citation Text: Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital…

Good Practice Guides on Medication Errors: Part 1 and Part 2. | PSNet

psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2

August 03, 2016 - Book/Report Good Practice Guides on Medication Errors: Part 1 and Part 2. Citation Text: Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-016-04…

Exploring medication safety structures and processes in nursing homes: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/exploring-medication-safety-structures-and-processes-nursing-homes-cross-sectional-study

July 25, 2018 - Study Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Citation Text: Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471…

A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. | PSNet

psnet.ahrq.gov/issue/multicenter-phased-cluster-randomized-controlled-trial-reduce-central-line-associated

January 02, 2017 - Study A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. Citation Text: Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-a…

Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. | PSNet

psnet.ahrq.gov/issue/identifying-barriers-and-enablers-robust-independent-second-check-medication-adult-intensive

March 09, 2016 - Study Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Citation Text: Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;…

Detecting unapproved abbreviations in the electronic medical record. | PSNet

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August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. | PSNet

psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency

April 06, 2022 - Study Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. Citation Text: Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…

The impact of patient–physician alliance on trust following an adverse event. | PSNet

psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event

May 31, 2023 - Study The impact of patient–physician alliance on trust following an adverse event. Citation Text: Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event. Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015. Copy Citatio…

Resilience in nursing medication administration practice: a systematic review with narrative synthesis. | PSNet

psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis

February 18, 2017 - Review Resilience in nursing medication administration practice: a systematic review with narrative synthesis. Citation Text: Kellett PLR, Franklin BD, Pearce S, et al. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. BMJ Open Qual. …

Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. | PSNet

psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent

October 19, 2022 - Study Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. Citation Text: Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…

Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. | PSNet

psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and

January 15, 2014 - Study Classic Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Citation Text: Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…

Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us-hospitals

October 20, 2021 - Study Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. Citation Text: Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. J Patient Saf. 202…

Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. | PSNet

psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced

May 25, 2013 - Study Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. Citation Text: Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…

Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. | PSNet

psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england

August 18, 2021 - Study Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. Citation Text: Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national patient safety pol…

Resident and family engagement in medication management in aged care facilities: a systematic review. | PSNet

psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review

August 11, 2021 - Review Resident and family engagement in medication management in aged care facilities: a systematic review. Citation Text: Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug S…

Systemic causes of in-hospital intravenous medication errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/systemic-causes-hospital-intravenous-medication-errors-systematic-review

July 01, 2020 - Review Systemic causes of in-hospital intravenous medication errors: a systematic review. Citation Text: Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts…

Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. | PSNet

psnet.ahrq.gov/issue/influence-gender-profession-and-managerial-function-clinicians-perceptions-patient-safety

September 07, 2022 - Study Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. Citation Text: Gambashidze N, Hammer A, Wagner A, et al. Influence of gender, profession, and managerial function on clinicians' pe…

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