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Adverse events in emergency department boarding: a systematic review. | PSNet

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March 02, 2022 - Review Adverse events in emergency department boarding: a systematic review. Citation Text: Rocha HM, Farre AGM, Santana Filho VJ. Adverse events in emergency department boarding: a systematic review. J Nurs Scholarsh. 2021;53(4):458-467. doi:10.1111/jnu.12653. Copy Citation Format…

ESPEN guideline on hospital nutrition. | PSNet

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February 17, 2015 - Organizational Policy/Guidelines ESPEN guideline on hospital nutrition. Citation Text: Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039. Copy Citation Format: DOI Google Schola…

Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. | PSNet

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January 15, 2025 - Study Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. Citation Text: Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):…

Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. | PSNet

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April 21, 2016 - Study Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. Citation Text: Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…

Emergency department monitor alarms rarely change clinical management: an observational study. | PSNet

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September 30, 2020 - Study Emergency department monitor alarms rarely change clinical management: an observational study. Citation Text: Fleischman W, Ciliberto B, Rozanski N, et al. Emergency department monitor alarms rarely change clinical management: an observational study. Am J Emerg Med. 2020;38(6):1072…

Remote patient monitoring improves patient falls and reduces harm. | PSNet

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April 16, 2018 - Study Remote patient monitoring improves patient falls and reduces harm. Citation Text: Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749. Copy Citation Form…

Iatrogenic events in admitted neonates: a prospective cohort study. | PSNet

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December 18, 2014 - Study Iatrogenic events in admitted neonates: a prospective cohort study. Citation Text: Ligi I, Arnaud F, Jouve E, et al. Iatrogenic events in admitted neonates: a prospective cohort study. Lancet. 2008;371(9610):404-10. doi:10.1016/S0140-6736(08)60204-4. Copy Citation Format: …

National and local medication error reporting systems—a survey of practices in 16 countries. | PSNet

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September 09, 2015 - Study National and local medication error reporting systems—a survey of practices in 16 countries. Citation Text: Holmström A-R, Airaksinen M, Weiss M, et al. National and local medication error reporting systems: a survey of practices in 16 countries. J Patient Saf. 2012;8(4):165-76. …

Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals. | PSNet

psnet.ahrq.gov/issue/patient-safety-informatics-criteria-development-assessing-maturity-digital-patient-safety

July 20, 2022 - Review Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals. Citation Text: Kutza J-O, Hübner U, Holmgren AJ, et al. Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hosp…

Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. | PSNet

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May 19, 2018 - Study Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. Citation Text: Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and po…

Patient safety in chiropractic teaching programs: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/patient-safety-chiropractic-teaching-programs-mixed-methods-study

November 04, 2020 - Study Patient safety in chiropractic teaching programs: a mixed methods study. Citation Text: Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0. Copy Ci…

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? | PSNet

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July 02, 2008 - Study An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? Citation Text: Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing …

Exploration of factors associated with reported medication administration errors in North Carolina public school districts. | PSNet

psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina

September 20, 2012 - Study Exploration of factors associated with reported medication administration errors in North Carolina public school districts. Citation Text: Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina …

Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. | PSNet

psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event

September 19, 2016 - Study Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. Citation Text: Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event. J Patient …

Impact of staff turnover during cardiac surgical procedures. | PSNet

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November 06, 2019 - Study Impact of staff turnover during cardiac surgical procedures. Citation Text: Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051. Copy Citation Format: DO…

Evaluation of a physician informatics tool to improve patient handoffs. | PSNet

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January 07, 2015 - Study Evaluation of a physician informatics tool to improve patient handoffs. Citation Text: Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. Copy C…

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. | PSNet

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January 03, 2017 - Study Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. Citation Text: Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. | PSNet

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August 23, 2023 - Review Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Citation Text: Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…

Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. | PSNet

psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power

October 07, 2020 - Study Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. Citation Text: Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/p…

Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. | PSNet

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March 09, 2022 - Study Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Citation Text: Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):3…

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