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ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery

February 09, 2011 - Study ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Citation Text: Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…

In situ simulation: a method of experiential learning to promote safety and team behavior. | PSNet

psnet.ahrq.gov/issue/situ-simulation-method-experiential-learning-promote-safety-and-team-behavior

September 03, 2011 - Commentary In situ simulation: a method of experiential learning to promote safety and team behavior. Citation Text: Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-1…

Sleep deprivation and error in nurses who work the night shift. | PSNet

psnet.ahrq.gov/issue/sleep-deprivation-and-error-nurses-who-work-night-shift

October 19, 2022 - Study Sleep deprivation and error in nurses who work the night shift. Citation Text: Johnson AL, Jung L, Song Y, et al. Sleep deprivation and error in nurses who work the night shift. J Nurs Adm. 2014;44(1):17-22. doi:10.1097/NNA.0000000000000016. Copy Citation Format: DOI…

Inpatient suicide in a general hospital. | PSNet

psnet.ahrq.gov/issue/inpatient-suicide-general-hospital

May 27, 2020 - Study Inpatient suicide in a general hospital. Citation Text: Cheng I-C, Hu F-C, Tseng M-CM. Inpatient suicide in a general hospital. Gen Hosp Psychiatry. 2009;31(2):110-5. doi:10.1016/j.genhosppsych.2008.12.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

Preventable closed claims in the AANA Foundation closed malpractice claims database. | PSNet

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March 11, 2020 - Study Preventable closed claims in the AANA Foundation closed malpractice claims database. Citation Text: Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6). Copy Citation Format: …

Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. | PSNet

psnet.ahrq.gov/issue/commissioning-simulations-test-new-healthcare-facilities-proactive-and-innovative-approach

September 30, 2020 - Commentary Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. Citation Text: Kaba A, Barnes S. Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system …

ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

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June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

Optimizing situation awareness to reduce emergency transfers in hospitalized children. | PSNet

psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children

January 19, 2022 - Study Optimizing situation awareness to reduce emergency transfers in hospitalized children. Citation Text: Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…

A randomized trial of nighttime physician staffing in an intensive care unit. | PSNet

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September 23, 2020 - Study A randomized trial of nighttime physician staffing in an intensive care unit. Citation Text: Kerlin MP, Small DS, Cooney E, et al. A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med. 2013;368(23):2201-9. doi:10.1056/NEJMoa1302854. Copy Ci…

Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. | PSNet

psnet.ahrq.gov/issue/governance-quality-care-qualitative-study-health-service-boards-victoria-australia

February 14, 2017 - Study Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. Citation Text: Bismark M, Studdert DM. Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. BMJ Qual Saf. 2014;23(6):474-82. doi:10.113…

Composite measures for profiling hospitals on bariatric surgery performance. | PSNet

psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance

January 31, 2013 - Study Composite measures for profiling hospitals on bariatric surgery performance. Citation Text: Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. Copy Cit…

Economic evaluations of maintaining patient safety systems in teaching hospitals. | PSNet

psnet.ahrq.gov/issue/economic-evaluations-maintaining-patient-safety-systems-teaching-hospitals

January 15, 2009 - Study Economic evaluations of maintaining patient safety systems in teaching hospitals. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Economic evaluations of maintaining patient safety systems in teaching hospitals. Health Policy (New York). 2008;88(2-3):381-91. doi:10.1016/j.he…

Case outcomes in a communication-and-resolution program in New York hospitals. | PSNet

psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals

February 05, 2014 - Study Case outcomes in a communication-and-resolution program in New York hospitals. Citation Text: Mello MM, Greenberg Y, Senecal SK, et al. Case Outcomes in a Communication-and-Resolution Program in New York Hospitals. Health Serv Res. 2016;51 Suppl 3:2583-2599. doi:10.1111/1475-6773.1…

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. | PSNet

psnet.ahrq.gov/issue/situ-simulation-detection-safety-threats-and-teamwork-training-high-risk-emergency-department

May 23, 2013 - Study In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Citation Text: Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf…

Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-1-day-interclerkship-program-medical-students-medical-errors-and

March 12, 2025 - Commentary Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. Citation Text: Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical error…

Emotional exhaustion and workload predict clinician-rated and objective patient safety. | PSNet

psnet.ahrq.gov/issue/emotional-exhaustion-and-workload-predict-clinician-rated-and-objective-patient-safety

February 14, 2017 - Study Emotional exhaustion and workload predict clinician-rated and objective patient safety. Citation Text: Welp A, Meier LL, Manser T. Emotional exhaustion and workload predict clinician-rated and objective patient safety. Front Psychol. 2014;5:1573. doi:10.3389/fpsyg.2014.01573. Cop…

Relationship between patient complaints and surgical complications. | PSNet

psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications

January 05, 2011 - Study Relationship between patient complaints and surgical complications. Citation Text: Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. Copy Citation Format: Google Schola…

Patient complaints and malpractice risk. | PSNet

psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk

November 08, 2013 - Study Classic Patient complaints and malpractice risk. Citation Text: Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA. 2002;287(22):2951-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". | PSNet

psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event

September 21, 2022 - Commentary Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". Citation Text: Barth RJ, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". JAMA Surg. 2020;155(7):543-544. doi:10.…

The impact of electronic medical records data sources on an adverse drug event quality measure. | PSNet

psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure

July 31, 2013 - Study The impact of electronic medical records data sources on an adverse drug event quality measure. Citation Text: Kahn MG, Ranade D. The impact of electronic medical records data sources on an adverse drug event quality measure. J Am Med Inform Assoc. 2010;17(2):185-91. doi:10.1136/…

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