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Contribution of adverse events to death of hospitalised patients. | PSNet

psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients

October 27, 2021 - Study Contribution of adverse events to death of hospitalised patients. Citation Text: Haukland EC, Mevik K, von Plessen C, et al. Contribution of adverse events to death of hospitalised patients. BMJ Open Qual. 2019;8(1):e000377. doi:10.1136/bmjoq-2018-000377. Copy Citation Format…

Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet

psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events

January 15, 2014 - Study Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. Citation Text: Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. | PSNet

psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed-method-evaluation

April 13, 2022 - Study Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. Citation Text: Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12…

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/nursing-interventions-reduce-medication-errors-paediatrics-and-neonates-systematic-review-and

November 24, 2021 - Review Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. Citation Text: Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analys…

The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. | PSNet

psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized

April 27, 2022 - Study The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. Citation Text: Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …

Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. | PSNet

psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation

May 29, 2019 - Study Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. Citation Text: Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws Aft…

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive

March 09, 2022 - Study Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Citation Text: Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…

Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. | PSNet

psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct

August 28, 2024 - Study Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…

Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. | PSNet

psnet.ahrq.gov/issue/stepped-wedge-cluster-rct-assess-effects-electronic-medication-system-medication

August 28, 2024 - Study Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Citation Text: Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. | PSNet

psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs

July 08, 2020 - Review Emerging Classic Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. Citation Text: Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating room to inten…

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic

July 27, 2022 - Review Emerging Classic Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. Citation Text: Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic …

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. | PSNet

psnet.ahrq.gov/issue/effectiveness-interruptive-prescribing-alerts-ambulatory-cpoe-change-prescriber-behaviour-and

February 02, 2022 - Review The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. Citation Text: Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and …

Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act

October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

Association of primary care clinic appointment time with opioid prescribing. | PSNet

psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing

September 01, 2021 - Study Association of primary care clinic appointment time with opioid prescribing. Citation Text: Neprash HT, Barnett ML. Association of Primary Care Clinic Appointment Time With Opioid Prescribing. JAMA Netw Open. 2019;2(8):e1910373. doi:10.1001/jamanetworkopen.2019.10373. Copy Citati…

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and

March 02, 2022 - Study Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. Citation Text: Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). | PSNet

psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi

June 29, 2022 - Study Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). Citation Text: Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…

Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. | PSNet

psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among

October 27, 2021 - Study Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. Citation Text: Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvemen…

A novel ICU hand-over tool: the glass door of the patient room. | PSNet

psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room

October 12, 2009 - Commentary A novel ICU hand-over tool: the glass door of the patient room. Citation Text: Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. Copy Citation Format: …

Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. | PSNet

psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient

March 27, 2024 - Review Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. Citation Text: Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient…

Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. | PSNet

psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they

April 07, 2021 - Review Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. Citation Text: Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how the…

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