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The Veterans Affairs root cause analysis system in action. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action

June 22, 2022 - Study Classic The Veterans Affairs root cause analysis system in action. Citation Text: Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.…

What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

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August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. | PSNet

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August 01, 2018 - Study Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. Citation Text: Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…

Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. | PSNet

psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants

February 02, 2022 - Study Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. Citation Text: Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross

August 10, 2022 - Study The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. Citation Text: Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives and responds to a speaking up …

Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. | PSNet

psnet.ahrq.gov/issue/validation-diagnostic-reminder-system-emergency-medicine-multi-centre-study

April 14, 2011 - Study Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. Citation Text: Ramnarayan P, Cronje N, Brown R, et al. Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. Emerg Med J. 2007;24(9):619-24. Copy Citation …

Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older

March 09, 2022 - Study Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. Citation Text: Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropria…

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services | PSNet

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January 27, 2021 - Study Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services Citation Text: Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…

Narrative review: do state laws make it easier to say "I'm sorry"? | PSNet

psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry

June 16, 2010 - Review Narrative review: do state laws make it easier to say "I'm sorry"? Citation Text: McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816. Copy Citation Format: Google Scholar PubMed BibTeX En…

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. | PSNet

psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple

June 22, 2022 - Study A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. Citation Text: Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. | PSNet

psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide

October 17, 2017 - Study Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. Citation Text: Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis.…

Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. | PSNet

psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us-health-care

July 31, 2013 - Study Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. Citation Text: Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JA…

Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. | PSNet

psnet.ahrq.gov/issue/infection-control-measure-performance-long-term-care-hospitals-and-their-relationship-joint

June 07, 2023 - Study Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. Citation Text: Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals and their relationship to Joint Commissio…

Effects of the I-PASS nursing handoff bundle on communication quality and workflow. | PSNet

psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow

November 12, 2014 - Study Effects of the I-PASS nursing handoff bundle on communication quality and workflow. Citation Text: Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-0…

Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. | PSNet

psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes

June 21, 2016 - Study Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Citation Text: Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies. | PSNet

psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after-limiting-first-year

July 15, 2020 - Study National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies. Citation Text: Weaver MD, Landrigan CP, Sullivan JP, et al. National improvements in re…

A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families. | PSNet

psnet.ahrq.gov/issue/multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting

September 01, 2018 - Commentary A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families. Citation Text: Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for Bette…

Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. | PSNet

psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety

May 25, 2022 - Study Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. Citation Text: Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician s…

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. | PSNet

psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning

December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…

Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals | PSNet

psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset

July 20, 2022 - Study Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals Citation Text: Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with an…

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