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  1. psnet.ahrq.gov/issue/race-ethnicity-and-60-day-outcomes-after-hospitalization-covid-19
    January 12, 2022 - Study Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19. Citation Text: Robinson-Lane SG, Sutton NR, Chubb H, et al. Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19. J Am Med Dir Assoc. 2021;22(11):2245-2250. doi:10.1016/j.jamda.2021.08.023…
  2. psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
    April 27, 2022 - Study The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. Citation Text: Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …
  3. psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce
    February 01, 2023 - Study Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. Citation Text: Sexton JB, Adair KC, Profit J, et al. Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce Wel…
  4. psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
    July 11, 2012 - Study Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Citation Text: Khansa I, Pearson GD. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Plast Reconstr Surg Glob Open. 2022;10(3):e4203. doi:10.1…
  5. psnet.ahrq.gov/issue/patients-who-die-suicide-study-treatment-patterns-and-patient-safety-incidents-norway
    April 20, 2022 - Study Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. Citation Text: Krvavac S, Jansson B, Bukholm IRK, et al. Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway. Int J Environ Res Public He…
  6. psnet.ahrq.gov/issue/adverse-safety-events-emergency-medical-services-care-children-out-hospital-cardiac-arrest
    May 18, 2022 - Study Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. Citation Text: Eriksson CO, Bahr N, Meckler G, et al. Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. JAMA Netw Open. …
  7. psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
    October 21, 2020 - Study Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. Citation Text: Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…
  8. psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations
    February 20, 2019 - Study How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. Citation Text: Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf…
  9. psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
    June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…
  10. psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
    August 28, 2024 - Study Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…
  11. psnet.ahrq.gov/issue/effects-leadership-curricula-and-without-implicit-bias-training-graduate-medical-education
    January 31, 2024 - Study The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. Citation Text: Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medic…
  12. psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
    May 01, 2015 - Study Classic A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. Citation Text: Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
  13. psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
    September 23, 2020 - Study Automated surveillance for adverse drug events at a community hospital and an academic medical center. Citation Text: Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Infor…
  14. psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
    September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…
  15. psnet.ahrq.gov/issue/psychological-safety-scale-safety-communication-operational-reliability-and-engagement-score
    August 24, 2022 - Study The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. Citation Text: Adair KC, Heath A, Frye MA, et al. The Psychological S…
  16. psnet.ahrq.gov/issue/speaking-about-patient-safety-psychiatric-hospitals-cross-sectional-survey-study-among
    July 06, 2022 - Study Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare staff. Citation Text: Schwappach DLB, Niederhauser A. Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare staff.  Int …
  17. psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature
    June 30, 2021 - Review Measuring safety in older adult care homes: a scoping review of the international literature. Citation Text: Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…
  18. psnet.ahrq.gov/issue/changes-weekend-and-weekday-care-quality-emergency-medical-admissions-20-hospitals-england
    August 20, 2018 - Study Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. Citation Text: Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency…
  19. psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
    May 18, 2022 - Review Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. Citation Text: Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…
  20. psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
    August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…

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