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  1. The effect of multidisciplinary care teams on intensive care unit mortality. | PSNet

    psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality
    January 17, 2018 - Study Classic The effect of multidisciplinary care teams on intensive care unit mortality. Citation Text: Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369-76. doi:1…

  2. Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
    July 20, 2011 - Study Medication discrepancies upon hospital to skilled nursing facility transitions. Citation Text: Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…

  3. Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. | PSNet

    psnet.ahrq.gov/issue/computerized-prescribing-alerts-and-group-academic-detailing-reduce-use-potentially
    July 10, 2008 - Study Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. Citation Text: Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to reduce the use of poten…

  4. Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. | PSNet

    psnet.ahrq.gov/issue/tele-rapid-response-team-tele-rrt-effect-implementing-patient-safety-network-system-outcomes
    March 24, 2021 - Study Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. Citation Text: Balshi AN, Al-Odat MA, Alharthy AM, et al. Tele-Rapid Response Team (Tele-RRT): The effect of implementing …

  5. Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. | PSNet

    psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
    July 02, 2019 - Study Classic Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. Citation Text: Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Bill…

  6. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. | PSNet

    psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective
    September 01, 2021 - Study Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. Citation Text: Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontli…

  7. How safe is primary care? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
    December 18, 2013 - Review Classic How safe is primary care? A systematic review. Citation Text: Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. Copy Citation Format…

  8. A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. | PSNet

    psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
    September 20, 2012 - Study A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. Citation Text: Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Hea…

  9. Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. | PSNet

    psnet.ahrq.gov/issue/factors-contributing-all-cause-30-day-readmissions-structured-case-series-across-18-hospitals
    October 19, 2022 - Study Classic Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Citation Text: Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series acr…

  10. Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet

    psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
    November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

  11. Findings of the first consensus conference on medical emergency teams. | PSNet

    psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
    August 04, 2021 - Commentary Findings of the first consensus conference on medical emergency teams. Citation Text: DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. Copy Ci…

  12. Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial
    October 18, 2023 - Study Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. Citation Text: Eindhoven DC, Bo…

  13. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. | PSNet

    psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
    April 12, 2023 - Study Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. Citation Text: McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…

  14. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
    December 21, 2014 - Study Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Citation Text: Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…

  15. Patient safety culture and the association with safe resident care in nursing homes. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes
    September 19, 2018 - Study Patient safety culture and the association with safe resident care in nursing homes. Citation Text: Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns0…

  16. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
    August 25, 2021 - Study A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Citation Text: Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…

  17. Rates of serious surgical errors in California and plans to prevent recurrence. | PSNet

    psnet.ahrq.gov/issue/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
    March 09, 2022 - Study Rates of serious surgical errors in California and plans to prevent recurrence. Citation Text: Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. …

  18. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. | PSNet

    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…

  19. Association of overlapping surgery with perioperative outcomes. | PSNet

    psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes
    June 08, 2022 - Study Emerging Classic Association of overlapping surgery with perioperative outcomes. Citation Text: Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711. Copy…

  20. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. | PSNet

    psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce-adverse-events
    June 21, 2016 - Review Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Citation Text: Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse eve…
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