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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…

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…

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. …

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…

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…

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…

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. | PSNet

psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality

July 14, 2009 - Study Classic Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. Citation Text: Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…

Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office

December 15, 2010 - Study Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. Citation Text: Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Proble…

Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. | PSNet

psnet.ahrq.gov/issue/prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-us-acute-care

August 20, 2018 - Study Classic Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. Citation Text: Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis-Associated Mortality in US Acu…

Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. | PSNet

psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits

September 23, 2020 - Study Classic Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Citation Text: Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEV…

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. | PSNet

psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk

March 31, 2021 - Study A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. Citation Text: Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK men…

A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. | PSNet

psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and

March 16, 2022 - Study A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. Citation Text: Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with mat…

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older

May 11, 2022 - Study Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. Citation Text: Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…

Unexpected death within 72 hours of emergency department visit: were those deaths preventable? | PSNet

psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable

July 08, 2020 - Study Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Citation Text: Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s…

Effects of a communication-and-resolution program on hospitals' malpractice claims and costs. | PSNet

psnet.ahrq.gov/issue/effects-communication-and-resolution-program-hospitals-malpractice-claims-and-costs

October 11, 2017 - Study Effects of a communication-and-resolution program on hospitals' malpractice claims and costs. Citation Text: Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836…

Indication alerts intercept drug name confusion errors during computerized entry of medication orders. | PSNet

psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication

August 28, 2019 - Study Indication alerts intercept drug name confusion errors during computerized entry of medication orders. Citation Text: Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One. 2014;9(7):e10…

Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet

psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

November 15, 2011 - Study Classic Learning from mistakes: factors that influence how students and residents learn from medical errors. Citation Text: Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…

Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. | PSNet

psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster

September 08, 2021 - Study Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Citation Text: Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and fos…

Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. | PSNet

psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and

August 25, 2021 - Study Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. Citation Text: Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condi…

Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays

February 17, 2021 - Review Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Citation Text: Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scopin…

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