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The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. | PSNet

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September 07, 2011 - Study The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. Citation Text: Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using …

Surgical skill and complication rates after bariatric surgery. | PSNet

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August 02, 2015 - Study Classic Surgical skill and complication rates after bariatric surgery. Citation Text: Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…

Types of unintended consequences related to computerized provider order entry. | PSNet

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February 18, 2011 - Study Classic Types of unintended consequences related to computerized provider order entry. Citation Text: Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):…

Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. | PSNet

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June 05, 2024 - Study Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. Citation Text: Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk …

Systemic causes of in-hospital intravenous medication errors: a systematic review. | PSNet

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July 01, 2020 - Review Systemic causes of in-hospital intravenous medication errors: a systematic review. Citation Text: Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts…

Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

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January 09, 2019 - Book/Report Classic Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Departmen…

Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. | PSNet

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February 09, 2022 - Study Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. Citation Text: Procaccini D, Rapaport R, Petty BG, et al. Design and Impleme…

Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. | PSNet

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September 23, 2020 - Study Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. Citation Text: Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal…

Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. | PSNet

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June 14, 2017 - Review Classic Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. Citation Text: Winters BD, Bharmal A, Wilson RF, et…

An analysis of incident reports related to electronic medication management: how they change over time. | PSNet

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March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. | PSNet

psnet.ahrq.gov/issue/impact-interoperability-smart-infusion-pumps-and-electronic-medical-record-critical-care

August 25, 2021 - Study Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Citation Text: Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm.…

Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs

March 24, 2021 - Review Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Citation Text: Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Healt…

Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. | PSNet

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October 08, 2016 - Study Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. Citation Text: Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: a literatu…

Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet

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March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. | PSNet

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November 16, 2022 - Study Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. Citation Text: Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex c…

Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. | PSNet

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March 08, 2023 - Study Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. Citation Text: Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a qualitative study identifying factors influen…

Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. | PSNet

psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second

March 24, 2019 - Study Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. Citation Text: Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. | PSNet

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October 20, 2021 - Study Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. Citation Text: Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…

Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising. | PSNet

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July 06, 2022 - Study Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising. Citation Text: Young RA, Gurses AP, Fulda KG, et al. Primary care teams’ reported actions to improve medication safety: a qualitative study with insi…

Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. | PSNet

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January 19, 2022 - Study Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. Citation Text: Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…

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