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Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized

December 17, 2014 - Study Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Citation Text: Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…

A call for the application of patient safety culture in medical humanitarian action: a literature review. | PSNet

psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review

February 10, 2021 - Review A call for the application of patient safety culture in medical humanitarian action: a literature review. Citation Text: Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient S…

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine

September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…

Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. | PSNet

psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation

August 19, 2020 - Study Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. Citation Text: Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…

Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. | PSNet

psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized

December 18, 2013 - Study Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. Citation Text: McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient out…

An implementation strategy for a multicenter pediatric rapid response system in Ontario. | PSNet

psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario

September 09, 2015 - Commentary An implementation strategy for a multicenter pediatric rapid response system in Ontario. Citation Text: Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient …

The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review

March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. | PSNet

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March 24, 2019 - Study Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Citation Text: Wang H-F, Jin J-F,…

Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? | PSNet

psnet.ahrq.gov/issue/patient-safety-event-reporting-expectation-does-it-influence-residents-attitudes-and

November 16, 2022 - Study Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? Citation Text: Boike JR, Bortman JS, Radosta JM, et al. Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? J Patient…

Promising practices for improving hospital patient safety culture. | PSNet

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December 09, 2020 - Study Classic Promising practices for improving hospital patient safety culture. Citation Text: Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.00…

Improving the discharge process by embedding a discharge facilitator in a resident team. | PSNet

psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team

January 23, 2019 - Study Improving the discharge process by embedding a discharge facilitator in a resident team. Citation Text: Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…

Simulation exercises as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review

March 13, 2013 - Review Simulation exercises as a patient safety strategy: a systematic review. Citation Text: Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…

Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. | PSNet

psnet.ahrq.gov/issue/reducing-serious-safety-events-and-priority-hospital-acquired-conditions-pediatric-hospital

July 19, 2023 - Study Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. Citation Text: Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in…

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. | PSNet

psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context

November 24, 2021 - Study Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. Citation Text: Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …

Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. | PSNet

psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney

August 10, 2022 - Study Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. Citation Text: Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic o…

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention

June 16, 2011 - Study Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-3…

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…

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. | PSNet

psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and

September 23, 2020 - Study Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. Citation Text: Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 201…

Effect of bar-code technology on the safety of medication administration. | PSNet

psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration

October 25, 2010 - Study Classic Effect of bar-code technology on the safety of medication administration. Citation Text: Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.10…

Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. | PSNet

psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related

September 09, 2020 - Study Classic Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. Citation Text: Patrick SW, Fry CE, Jones TF, et al. Implementation of prescription drug monitoring programs associated with reductions…

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