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Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet

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October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports. Citation Text: Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687…

Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. | PSNet

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May 24, 2023 - Study Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. Citation Text: Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription…

Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. | PSNet

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May 22, 2013 - Study Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. Citation Text: Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A Social Network Analys…

Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet

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July 07, 2010 - Study Awareness of diagnosis and follow up care after discharge from the emergency department Citation Text: Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…

Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. | PSNet

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November 16, 2016 - Review Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. Citation Text: Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping …

Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. | PSNet

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March 13, 2019 - Study Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. Citation Text: Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order en…

Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. | PSNet

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August 17, 2018 - Study Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. Citation Text: Wong A, Rehr C, Seger DL, et al. Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive Care Unit. Drug…

A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. | PSNet

psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers

September 20, 2023 - Study A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. Citation Text: Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…

The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. | PSNet

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February 28, 2024 - Study The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. Citation Text: Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…

Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. | PSNet

psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication

December 21, 2017 - Study Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. Citation Text: Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform A…

Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. | PSNet

psnet.ahrq.gov/issue/systematic-review-nurses-safety-attitudes-and-their-impact-patient-outcomes-acute-care

December 16, 2020 - Review Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Citation Text: Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-4…

The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis. | PSNet

psnet.ahrq.gov/issue/views-and-experiences-patients-and-health-care-professionals-disclosure-adverse-events

August 25, 2021 - Review The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis. Citation Text: Sattar R, Johnson J, Lawton R. The views and experiences of patients and health‐care professiona…

Surgery is in itself a risk factor for the patient. | PSNet

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November 18, 2020 - Study Surgery is in itself a risk factor for the patient. Citation Text: Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761. Copy …

Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. | PSNet

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March 28, 2012 - Study Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. Citation Text: Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. | PSNet

psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia

September 26, 2012 - Study Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. Citation Text: Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. | PSNet

psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission

October 19, 2022 - Study Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. Citation Text: Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …

Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review. | PSNet

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March 04, 2020 - Review Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review. Citation Text: Kuitunen SK, Niittynen I, Airaksinen M, et al. Systemic Defenses to Prevent Intravenous Medication Errors in Hospitals. J Patient Saf. 2021;17(8):e1669-e1680. doi:10.1097/p…

Structural racism--a 60-year-old black woman with breast cancer. | PSNet

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December 17, 2020 - Commentary Emerging Classic Structural racism--a 60-year-old black woman with breast cancer. Citation Text: Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. | PSNet

psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative

December 08, 2021 - Review Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. Citation Text: Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associate…

Predictors of serious opioid-related adverse drug events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/predictors-serious-opioid-related-adverse-drug-events-hospitalized-patients

March 10, 2021 - Study Predictors of serious opioid-related adverse drug events in hospitalized patients. Citation Text: Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000…

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