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Caring for our own: deploying a systemwide second victim rapid response team. | PSNet

psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team

September 19, 2016 - Study Classic Caring for our own: deploying a systemwide second victim rapid response team. Citation Text: Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…

Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. | PSNet

psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective

September 26, 2012 - Study Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. Citation Text: Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…

Preventable adverse drug events among inpatients: a systematic review. | PSNet

psnet.ahrq.gov/issue/preventable-adverse-drug-events-among-inpatients-systematic-review

February 22, 2019 - Review Emerging Classic Preventable adverse drug events among inpatients: a systematic review. Citation Text: Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:1…

Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. | PSNet

psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic

November 07, 2012 - Review Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. Citation Text: Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…

Testimonial injustice: linguistic bias in the medical records of black patients and women. | PSNet

psnet.ahrq.gov/issue/testimonial-injustice-linguistic-bias-medical-records-black-patients-and-women

July 28, 2021 - Study Testimonial injustice: linguistic bias in the medical records of black patients and women. Citation Text: Beach MC, Saha S, Park J, et al. Testimonial injustice: linguistic bias in the medical records of black patients and women. J Gen Intern Med. 2021;36(6):1708-1714. doi:10.1007/…

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. | PSNet

psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide

October 17, 2017 - Study Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. Citation Text: Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis.…

Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. | PSNet

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August 24, 2022 - Study Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Citation Text: Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. …

Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. | PSNet

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June 08, 2016 - Study Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. Citation Text: Fakih MG, George C, Edson B, et al.…

Engaging hospital patients in the medication reconciliation process using tablet computers. | PSNet

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January 07, 2015 - Study Engaging hospital patients in the medication reconciliation process using tablet computers. Citation Text: Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…

Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. | PSNet

psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes

June 21, 2016 - Study Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Citation Text: Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…

Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. | PSNet

psnet.ahrq.gov/issue/implementing-situation-background-assessment-recommendation-anaesthetic-clinic-and-subsequent

December 30, 2014 - Study Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. Citation Text: Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation…

Inadequate hand-off communication. | PSNet

psnet.ahrq.gov/issue/inadequate-hand-communication

April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. | PSNet

psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach

June 27, 2012 - Study Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. Citation Text: Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9)…

Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. | PSNet

psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician

October 31, 2023 - Study Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. Citation Text: Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: des…

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. | PSNet

psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events

October 07, 2020 - Study Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Citation Text: Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…

Association of nurse workload with missed nursing care in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit

September 27, 2017 - Study Emerging Classic Association of nurse workload with missed nursing care in the neonatal intensive care unit. Citation Text: Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Uni…

Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. | PSNet

psnet.ahrq.gov/issue/prevalence-patterns-and-predictors-nursing-care-left-undone-european-hospitals-results

January 04, 2015 - Study Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. Citation Text: Ausserhofer D, Zander B, Busse R, et al. Prevalence, patterns and predictors of nursing care left undone in European h…

Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. | PSNet

psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients

September 30, 2020 - Study Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. Citation Text: Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? | PSNet

psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know

February 03, 2011 - Study Classic Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? Citation Text: Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with…

Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. | PSNet

psnet.ahrq.gov/issue/nursing-skill-mix-european-hospitals-cross-sectional-study-association-mortality-patient

December 12, 2014 - Study Classic Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. Citation Text: Aiken LH, Sloane DM, Griffiths P, et al. Nursing skill mix in European hospitals: cross-sectional…

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