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Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. | PSNet

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April 18, 2012 - Study Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. Citation Text: Palmer WL, Bottle A, Davie C, et al. Dying for the weekend: a retrospective cohort study on the association betwee…

Prevalence of copied information by attendings and residents in critical care progress notes. | PSNet

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September 28, 2017 - Study Prevalence of copied information by attendings and residents in critical care progress notes. Citation Text: Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…

Barriers and facilitators of adverse event reporting by adolescent patients and their families. | PSNet

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February 15, 2023 - Study Barriers and facilitators of adverse event reporting by adolescent patients and their families. Citation Text: Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237…

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. | PSNet

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September 27, 2017 - Study Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. Citation Text: Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of sa…

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. | PSNet

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June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…

Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. | PSNet

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January 15, 2014 - Commentary Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Citation Text: Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …

Graded autonomy in medical education—managing things that go bump in the night. | PSNet

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July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…

Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC). | PSNet

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April 25, 2018 - Study Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC). Citation Text: Ricci-Cabello I, Avery A, Reeves D, et al. Measuring Patient Safety in Primary Care: The Development and …

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

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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 …

Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals. | PSNet

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April 01, 2010 - Study Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals. Citation Text: Rivard PE, Elixhauser A, Christiansen CL, et al. Testing the Association Between Patient Safety Indicators and Hospital Structural Char…

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 …

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:…

Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. | PSNet

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May 29, 2019 - Study Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. Citation Text: Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Impro…

The effect of universal glove and gown use on adverse events in intensive care unit patients. | PSNet

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December 09, 2015 - Study The effect of universal glove and gown use on adverse events in intensive care unit patients. Citation Text: Croft LD, Harris AD, Pineles L, et al. The Effect of Universal Glove and Gown Use on Adverse Events in Intensive Care Unit Patients. Clin Infect Dis. 2015;61(4):545-53. doi:…

Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. | PSNet

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January 15, 2014 - Study Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. Citation Text: Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…

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…

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

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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…

Lost information during the handover of critically injured trauma patients: a mixed-methods study. | PSNet

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October 04, 2023 - Study Lost information during the handover of critically injured trauma patients: a mixed-methods study. Citation Text: Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…

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…

Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet

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January 23, 2019 - Study Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. Citation Text: Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…

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