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Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. | PSNet

psnet.ahrq.gov/issue/wrong-site-surgery-pennsylvania-during-2015-2019-study-variables-associated-368-events-178

October 09, 2024 - Study Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. Citation Text: Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. …

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. | PSNet

psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis

February 21, 2024 - Study Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. Citation Text: Kaya GK, Ustebay S, Nixon J, et al. Exploring the impact of safety culture on incident reporting: lessons learn…

Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. | PSNet

psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united

December 02, 2020 - Study Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. Citation Text: Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …

Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery

December 02, 2020 - Study Classic Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Citation Text: Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surge…

Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet

psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa

February 15, 2023 - Study Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Citation Text: Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.339…

Implementation of an electronic system for medication reconciliation. | PSNet

psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation

December 02, 2020 - Study Implementation of an electronic system for medication reconciliation. Citation Text: Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. Copy Citati…

Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet

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April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. Citation Text: de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. | PSNet

psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization

September 23, 2020 - Study Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. Citation Text: Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …

Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

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April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. | PSNet

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September 22, 2021 - Study The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Citation Text: D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …

Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. | PSNet

psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error

February 02, 2022 - Commentary Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. Citation Text: Bruno MA, Walker EA, Abujudeh H. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error re…

Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. | PSNet

psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation

August 23, 2023 - Study Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Citation Text: Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. | PSNet

psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma

December 02, 2020 - Study High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Citation Text: Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…

Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. | PSNet

psnet.ahrq.gov/issue/choice-transparency-coordination-and-quality-among-direct-consumer-telemedicine-websites-and

May 29, 2019 - Study Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. Citation Text: Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to-Consumer Telemedicine Websites and Ap…

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet

psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry

May 29, 2019 - Study Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. Citation Text: Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…

The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. | PSNet

psnet.ahrq.gov/issue/national-healthcare-safety-networks-digital-quality-measures-cdcs-automated-measures

September 23, 2020 - Study The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. Citation Text: Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for …

Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations

March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

Association of state opioid duration limits with postoperative opioid prescribing. | PSNet

psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing

April 18, 2019 - Study Emerging Classic Association of state opioid duration limits with postoperative opioid prescribing. Citation Text: Agarwal S, Bryan JD, Hu HM, et al. Association of State Opioid Duration Limits With Postoperative Opioid Prescribing. JAMA Netw Open. 2019;2(…

Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. | PSNet

psnet.ahrq.gov/issue/assessing-adverse-events-after-chiropractic-care-chiropractic-teaching-clinic-active

December 23, 2020 - Study Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. Citation Text: Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillanc…

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet

psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study

August 26, 2020 - Study Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. Citation Text: Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…

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