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2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations

July 06, 2022 - Study 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…

Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. | PSNet

psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication

January 07, 2015 - Study Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. Citation Text: Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …

Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. | PSNet

psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic

December 13, 2023 - Review Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic re…

Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic

December 08, 2021 - Review Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. Citation Text: Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. B…

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. | PSNet

psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led

February 17, 2021 - Study Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. Citation Text: Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…

Safety culture in the operating room: variability among perioperative healthcare workers. | PSNet

psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers

November 17, 2021 - Study Safety culture in the operating room: variability among perioperative healthcare workers. Citation Text: Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/…

Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. | PSNet

psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both

April 22, 2017 - Review Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. Citation Text: Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Pre…

Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. | PSNet

psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable

August 30, 2017 - Study Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. Citation Text: Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…

Safety incidents in the primary care office setting. | PSNet

psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting

October 12, 2016 - Study Safety incidents in the primary care office setting. Citation Text: Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259. Copy Citation Format: DOI Google Scholar PubMed B…

The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic. | PSNet

psnet.ahrq.gov/issue/influence-hospital-leadership-support-burnout-psychological-safety-and-safety-climate-us

June 21, 2023 - Study The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic. Citation Text: Gilmartin HM, Saint S, Ratz D, et al. The influence of hospital leadership suppo…

Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. | PSNet

psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer-reports-safety

July 21, 2016 - Study Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. Citation Text: Smith SA, Yount N, Sorra J. Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Serv Res. 2017;17(1):143. do…

Predictors and outcomes of patient safety culture: a cross-sectional comparative study. | PSNet

psnet.ahrq.gov/issue/predictors-and-outcomes-patient-safety-culture-cross-sectional-comparative-study

March 22, 2023 - Study Predictors and outcomes of patient safety culture: a cross-sectional comparative study. Citation Text: Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889. Copy Citati…

Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet

psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system

August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting system. Citation Text: Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…

Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-improves-during-situ-simulation-intervention-repeated-cross-sectional

January 20, 2021 - Study Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. Citation Text: Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a re…

Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. | PSNet

psnet.ahrq.gov/issue/differing-perceptions-safety-culture-across-job-roles-ambulatory-setting-analysis-ahrq

March 15, 2017 - Study Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. Citation Text: Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory s…

The influence of organizational factors on patient safety: examining successful handoffs in health care. | PSNet

psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care

November 20, 2015 - Study The influence of organizational factors on patient safety: examining successful handoffs in health care. Citation Text: Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage …

Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. | PSNet

psnet.ahrq.gov/issue/prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-us-acute-care

August 20, 2018 - Study Classic Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. Citation Text: Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis-Associated Mortality in US Acu…

Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review

October 16, 2024 - Review Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. Citation Text: Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic revie…

The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. | PSNet

psnet.ahrq.gov/issue/aspects-healthcare-quality-are-important-health-professionals-and-patients-qualitative-study

September 08, 2021 - Study The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Citation Text: Hannawa AF, Wu AW, Kolyada A, et al. The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Patien…

Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ethical-leadership-supports-safety-voice-increasing-risk-perception-and-reducing-ethical

September 14, 2022 - Study Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. Citation Text: Cakir MS, Wardman JK, Trautrims A. Ethical leadership supports safety voice by increasing risk perception and reducing ethical …

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