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Developing and evaluating an automated all-cause harm trigger system. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system

July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

Association of opioid prescriptions from dental clinicians for US adolescents and young adults with subsequent opioid use and abuse. | PSNet

psnet.ahrq.gov/issue/association-opioid-prescriptions-dental-clinicians-us-adolescents-and-young-adults-subsequent

May 18, 2022 - Study Association of opioid prescriptions from dental clinicians for US adolescents and young adults with subsequent opioid use and abuse. Citation Text: Schroeder AR, Dehghan M, Newman TB, et al. Association of Opioid Prescriptions From Dental Clinicians for US Adolescents and Young Adu…

Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial. | PSNet

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October 08, 2013 - Study Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial. Citation Text: Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-320…

Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet

psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital

October 25, 2023 - Study Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Citation Text: Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…

Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. | PSNet

psnet.ahrq.gov/issue/second-victim-experiences-health-care-learners-and-influence-training-environment-postevent

January 31, 2024 - Study Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. Citation Text: Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postev…

Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. | PSNet

psnet.ahrq.gov/issue/nurse-staffing-and-education-and-hospital-mortality-nine-european-countries-retrospective

January 04, 2015 - Study Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Citation Text: Aiken LH, Sloane DM, Bruyneel L, et al. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational …

The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. | PSNet

psnet.ahrq.gov/issue/complexities-communication-hospital-discharge-older-patients-qualitative-study-healthcare

December 08, 2021 - Study The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. Citation Text: Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of …

Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. | PSNet

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December 09, 2020 - Study Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. Citation Text: Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…

Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. | PSNet

psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis

October 19, 2022 - Review Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. Citation Text: Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative…

Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward

March 09, 2022 - Study Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Citation Text: Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Farm Hos…

The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. | PSNet

psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification

August 04, 2021 - Study The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. Citation Text: Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking ne…

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

psnet.ahrq.gov/issue/protocolization-analgesia-and-sedation-through-smart-technology-intensive-care-improving

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 …

Intervention study for the reduction of medication errors in elderly trauma patients. | PSNet

psnet.ahrq.gov/issue/intervention-study-reduction-medication-errors-elderly-trauma-patients

December 18, 2019 - Study Intervention study for the reduction of medication errors in elderly trauma patients. Citation Text: Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(…

Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet

psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically

February 01, 2023 - Study Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. Citation Text: Vanneman MW, Balakrishna A, Lang AL, et al. Impro…

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and

February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…

Technology-induced errors associated with computerized provider order entry software for older patients. | PSNet

psnet.ahrq.gov/issue/technology-induced-errors-associated-computerized-provider-order-entry-software-older

September 13, 2023 - Study Technology-induced errors associated with computerized provider order entry software for older patients. Citation Text: Vélez-Díaz-Pallarés M, Díaz AMÁ, Caro TG, et al. Technology-induced errors associated with computerized provider order entry software for older patients. Int J Cl…

Healthcare failure mode and effect analysis in the chemotherapy preparation process. | PSNet

psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process

March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation process. Citation Text: Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…

Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet

psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017

March 18, 2020 - Study Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Citation Text: Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…

A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. | PSNet

psnet.ahrq.gov/issue/7-year-analysis-attributable-costs-healthcare-associated-infections-network-community

April 24, 2018 - Study A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. Citation Text: Zhang HL, Crane L, Cromer AL, et al. A 7-year analysis of attributable costs of healthcare-associated infections in a ne…

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. | PSNet

psnet.ahrq.gov/issue/safety-implications-remote-assessments-suspected-covid-19-qualitative-study-uk-primary-care

July 08, 2020 - Study Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. Citation Text: Wieringa S, Neves AL, Rushforth A, et al. Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. BMJ Qual Saf. 202…

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