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How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

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March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Study Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest eve…

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Study Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest eve…

The effect of facility complexity on perceptions of safety climate in the operating room: size matters. | PSNet

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December 21, 2014 - Study The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Citation Text: Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25…

Improving the bar-coded medication administration system at the Department of Veterans Affairs. | PSNet

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November 18, 2009 - Study Improving the bar-coded medication administration system at the Department of Veterans Affairs. Citation Text: Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…

The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. | PSNet

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September 23, 2020 - Study The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. Citation Text: Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for …

White patients’ physical responses to healthcare treatments are influenced by provider race and gender. | PSNet

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April 04, 2016 - Study White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Citation Text: Howe LC, Hardebeck EJ, Eberhardt JL, et al. White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Proc Natl Acad …

Measuring harm in health care: optimizing adverse event review. | PSNet

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May 15, 2013 - Study Measuring harm in health care: optimizing adverse event review. Citation Text: Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679. Copy Citation Format: DOI…

Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet

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March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. | PSNet

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April 22, 2020 - Study Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. Citation Text: Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…

The abrupt expansion of ambulatory telemedicine: implications for patient safety. | PSNet

psnet.ahrq.gov/issue/abrupt-expansion-ambulatory-telemedicine-implications-patient-safety

July 13, 2022 - Commentary The abrupt expansion of ambulatory telemedicine: implications for patient safety. Citation Text: Khoong EC, Sharma AE, Gupta K, et al. The abrupt expansion of ambulatory telemedicine: implications for patient safety. J Gen Intern Med. 2022;37(5):1270-1274. doi:10.1007/s11606-0…

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet

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May 29, 2019 - Study Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. Citation Text: Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…

Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident

October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. | PSNet

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September 16, 2020 - Study Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. Citation Text: Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…

Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. | PSNet

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July 02, 2019 - Study Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. Citation Text: Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…

Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. | PSNet

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September 20, 2023 - Study Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. Citation Text: Cifuentes M, Davis M, Fernald D, et al. Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integra…

Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. | PSNet

psnet.ahrq.gov/issue/future-artificial-intelligence-applications-cancer-care-global-cross-sectional-survey

April 27, 2022 - Study Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Citation Text: Cabral BP, Braga LAM, Syed-Abdul S, et al. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Cu…

Creating a safer health care system: finding the constraint. | PSNet

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February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. | PSNet

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April 07, 2021 - Study Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Citation Text: Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Fam P…

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical

February 18, 2011 - Study Classic Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. Citation Text: Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…

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