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Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. | PSNet

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July 12, 2023 - Study Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. Citation Text: Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…

Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. | PSNet

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July 12, 2017 - Study Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. Citation Text: Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative lea…

Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet

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June 02, 2021 - Study Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? Citation Text: Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…

The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. | PSNet

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April 12, 2011 - Study The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Citation Text: Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but…

Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. | PSNet

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January 07, 2015 - Study Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. Citation Text: van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands. Jt Comm J Q…

Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. | PSNet

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March 12, 2025 - Study Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. Citation Text: Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition…

A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. | PSNet

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December 23, 2011 - Study A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. Citation Text: Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care p…

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. | PSNet

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May 20, 2020 - Study Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. Citation Text: Shah SN, Amato MG, Garlo KG, et al. Renal medic…

The relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis. | PSNet

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September 15, 2021 - Study The relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis. Citation Text: Idilbi N, Dokhi M, Malka-Zeevi H, et al. The relationship between patient safety culture and the intentions of the nursing …

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients. | PSNet

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May 12, 2021 - Study The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients. Citation Text: Lee G, Clough OT, Walker JA, et al. The perception of patient safety in an alte…

A program to prevent catheter-associated urinary tract infection in acute care. | PSNet

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December 21, 2017 - Study Classic A program to prevent catheter-associated urinary tract infection in acute care. Citation Text: Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. New Engl J Med. 2016;374(22):2111-211…

Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet

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December 21, 2022 - Study Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. Citation Text: Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences o…

Engaging patients in medication reconciliation via a patient portal following hospital discharge. | PSNet

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February 03, 2011 - Study Engaging patients in medication reconciliation via a patient portal following hospital discharge. Citation Text: Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal following hospital discharge. J Am Med Inform Assoc. 2014;21(e…

Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. | PSNet

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December 21, 2022 - Commentary Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. Citation Text: Kesselheim AS, Cresswell K, Phansalkar S, et al. Clinical decision support systems could be modified to reduce 'alert fatigue' while stil…

Investigating the impact of a pharmacist intervention on inappropriate prescribing practices at hospital admission and discharge in older patients: a secondary outcome analysis from a randomized controlled trial. | PSNet

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November 30, 2022 - Study Investigating the impact of a pharmacist intervention on inappropriate prescribing practices at hospital admission and discharge in older patients: a secondary outcome analysis from a randomized controlled trial. Citation Text: Garcia BH, Omma KK, Småbrekke L, et al. Investigating …

What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. | PSNet

psnet.ahrq.gov/issue/what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk-multicentre

July 21, 2017 - Study Emerging Classic What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. Citation Text: O'Hara JK, Reynolds C, Moore S, et al. What can patients tell us about the quality and safety of hospital …

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. | PSNet

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April 12, 2023 - EMERGING INNOVATIONS Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. Citation Text: Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratif…

The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure. | PSNet

psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety

October 14, 2020 - Study The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure. Citation Text: Blanchfield BB, Demehin AA, Cummings CT, et al. The cost of quality: an academic health center's annual costs for its quality and patient safety infrastru…

Sustained user engagement in health information technology: the long road from implementation to system optimization of computerized physician order entry and clinical decision support systems for prescribing in hospitals in England. | PSNet

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December 21, 2022 - Study Sustained user engagement in health information technology: the long road from implementation to system optimization of computerized physician order entry and clinical decision support systems for prescribing in hospitals in England. Citation Text: Cresswell K, Lee L, Mozaffar H, e…

Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation. | PSNet

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August 26, 2020 - Study Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation. Citation Text: Li L, Baker J, Quirk R, et al. Drug-drug interactions and actual harm to hospitalized patients: a …

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