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  1. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet

    psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
    June 24, 2020 - Study Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Citation Text: Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…

  2. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
    July 21, 2011 - Review Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. Citation Text: Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…

  3. Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. | PSNet

    psnet.ahrq.gov/issue/development-and-content-validation-surgical-safety-checklist-operating-theatres-use-robotic
    February 25, 2015 - Study Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. Citation Text: Ahmed K, Khan N, Khan MS, et al. Development and content validation of a surgical safety checklist for operating theatres that use robotic technolog…

  4. The wisdom and justice of not paying for "preventable complications." | PSNet

    psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
    January 22, 2014 - Commentary Classic The wisdom and justice of not paying for "preventable complications." Citation Text: Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73985/psn-pdf
    October 20, 2021 - The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi- experimental study. October 20, 2021 James L, Elkins-Brown N, Wilson M, et al. The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73134/psn-pdf
    April 14, 2021 - Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative assessment. April 14, 2021 Alboksmaty A, Kumar S, Parekh R, et al. Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK - qualitat…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844549/psn-pdf
    February 15, 2023 - Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. February 15, 2023 Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38743/psn-pdf
    January 03, 2017 - Refocusing the lens: patient safety in ambulatory chronic disease care. January 3, 2017 Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377-83, 341. https://psnet.ahrq.gov/issue/refocusing-lens-patient-safety-a…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838855/psn-pdf
    October 27, 2022 - False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. October 27, 2022 Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/false-assumptions-resul…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - Patient Safety Indicators April 26, 2023 Tokareva I, Romano P. Patient Safety Indicators. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/patient-safety-indicators Background Over the past 25 years, policymakers and providers, payers, and purchasers of health care have increasingly focused attention on pati…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45681/psn-pdf
    January 25, 2017 - Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. January 25, 2017 Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systema…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74853/psn-pdf
    February 24, 2022 - The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. February 24, 2022 Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Care Deliv. 2022;3(2):e1-e20. doi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42396/psn-pdf
    July 31, 2013 - Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 31, 2013 Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47115/psn-pdf
    August 15, 2018 - Adverse events in hospitalized pediatric patients. August 15, 2018 Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360. https://psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients This study u…

  16. Is the skillset obtained in surgical simulation transferable to the operating theatre? | PSNet

    psnet.ahrq.gov/issue/skillset-obtained-surgical-simulation-transferable-operating-theatre
    August 25, 2011 - Review Is the skillset obtained in surgical simulation transferable to the operating theatre? Citation Text: Buckley CE, Kavanagh DO, Traynor O, et al. Is the skillset obtained in surgical simulation transferable to the operating theatre? Am J Surg. 2014;207(1):146-57. doi:10.1016/j.amj…

  17. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. | PSNet

    psnet.ahrq.gov/issue/changes-hospital-adverse-events-and-patient-outcomes-associated-private-equity-acquisition
    July 12, 2023 - Study Changes in hospital adverse events and patient outcomes associated with private equity acquisition. Citation Text: Kannan S, Bruch JD, Song Z. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. JAMA. 2023;330(24):2365-2375. doi:10.10…

  18. Multifaceted intervention to improve patient safety incident reporting in intensive care units. | PSNet

    psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units
    January 18, 2023 - Study Multifaceted intervention to improve patient safety incident reporting in intensive care units. Citation Text: Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428.…

  19. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. | PSNet

    psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
    January 03, 2017 - Study Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. Citation Text: Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for…

  20. Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet

    psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
    February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety events? Citation Text: Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…
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