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  1. Adverse events in healthcare: learning from mistakes. | PSNet

    psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
    February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

  2. Supplemental nurse staffing in hospitals and quality of care. | PSNet

    psnet.ahrq.gov/issue/supplemental-nurse-staffing-hospitals-and-quality-care
    February 09, 2011 - Study Supplemental nurse staffing in hospitals and quality of care. Citation Text: Aiken LH, Xue Y, Clarke SP, et al. Supplemental Nurse Staffing in Hospitals and Quality of Care. JONA: The Journal of Nursing Administration. 2007;37(7). doi:10.1097/01.nna.0000285119.53066.ae. Copy Ci…

  3. Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives
    April 13, 2011 - Study Classic Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. Citation Text: Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…

  4. Cause and effect analysis of closed claims in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
    April 05, 2017 - Study Cause and effect analysis of closed claims in obstetrics and gynecology. Citation Text: White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. Copy Citation Format: …

  5. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
    December 12, 2014 - Review Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. Citation Text: Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-a…

  6. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet

    psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
    September 11, 2019 - Study Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. Citation Text: Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059…

  7. Medical line entanglement: the unspoken patient safety hazard of medical devices. | PSNet

    psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices
    May 08, 2019 - Study Medical line entanglement: the unspoken patient safety hazard of medical devices. Citation Text: Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. Copy Cit…

  8. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. | PSNet

    psnet.ahrq.gov/issue/patient-safety-quality-care-and-service-utilization-plato-physician-leadership-accurate-and
    August 18, 2021 - Study Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. Citation Text: Brunt BA, Gifford L. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timel…

  9. Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet

    psnet.ahrq.gov/issue/deficiencies-care-coordination-and-facility-response-patient-suicide-minneapolis-va-health
    September 30, 2020 - Book/Report Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. Citation Text: Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. W…

  10. Remote patient monitoring improves patient falls and reduces harm. | PSNet

    psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
    April 16, 2018 - Study Remote patient monitoring improves patient falls and reduces harm. Citation Text: Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749. Copy Citation Form…

  11. Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic
    September 29, 2021 - Review Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. Citation Text: Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional Healthcare Settings: A Systema…

  12. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. | PSNet

    psnet.ahrq.gov/issue/validation-and-use-second-victim-experience-and-support-tool-questionnaire-scoping-review
    July 09, 2008 - Review Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Citation Text: Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Public Health. 2023;223…

  13. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry. | PSNet

    psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
    December 15, 2011 - Study Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry. Citation Text: Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of c…

  14. Get Ready | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Get Ready Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opportunities for I…

  15. A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. | PSNet

    psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
    September 02, 2020 - Study A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. Citation Text: Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…

  16. Analysis of risk factors for patient safety events occurring in the emergency department. | PSNet

    psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department
    January 26, 2022 - Study Analysis of risk factors for patient safety events occurring in the emergency department. Citation Text: Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…

  17. Predicting self-intercepted medication ordering errors using machine learning. | PSNet

    psnet.ahrq.gov/issue/predicting-self-intercepted-medication-ordering-errors-using-machine-learning
    May 13, 2020 - Study Predicting self-intercepted medication ordering errors using machine learning. Citation Text: King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358. Copy …

  18. Reporting of unsafe conditions at an academic women and children's hospital. | PSNet

    psnet.ahrq.gov/issue/reporting-unsafe-conditions-academic-women-and-childrens-hospital
    December 09, 2020 - Study Reporting of unsafe conditions at an academic women and children's hospital. Citation Text: Grabinski ZG, Babineau J, Jamal N, et al. Reporting of unsafe conditions at an academic women and children's hospital. Jt Comm J Qual Patient Saf. 2021;47(11):731-738. doi:10.1016/j.jcjq.202…

  19. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta
    October 19, 2022 - Review Classic Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. Citation Text: Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and me…

  20. Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. | PSNet

    psnet.ahrq.gov/issue/analysis-prescribers-notes-electronic-prescriptions-ambulatory-practice
    July 23, 2018 - Study Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. Citation Text: Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.201…
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