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Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. | PSNet

psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety

June 03, 2020 - Study Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. Citation Text: Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. | PSNet

psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment

November 11, 2020 - Study Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. Citation Text: Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcar…

Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet

psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic

May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections

February 22, 2017 - Study Classic Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. Citation Text: Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions. | PSNet

psnet.ahrq.gov/issue/time-dependent-drug-drug-interaction-alerts-care-provider-order-entry-software-may-inhibit

March 10, 2011 - Study Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions. Citation Text: van der Sijs H, Lammers L, van den Tweel A, et al. Time-dependent drug-drug interaction alerts in care provider order entry: software may inh…

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. | PSNet

psnet.ahrq.gov/issue/effect-antiseptic-handwashing-vs-alcohol-sanitizer-health-care-associated-infections-neonatal

July 30, 2014 - Study Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. Citation Text: Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonat…

Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. | PSNet

psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global

December 09, 2020 - Study Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. Citation Text: Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…

Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database

September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

Outcomes of emergency department patients presenting with adverse drug events. | PSNet

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April 22, 2011 - Study Outcomes of emergency department patients presenting with adverse drug events. Citation Text: Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.0…

Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

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May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. | PSNet

psnet.ahrq.gov/issue/tracking-rates-patient-safety-indicators-over-time-lessons-veterans-administration

July 14, 2009 - Study Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. Citation Text: Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Med Care. 2006;44(9):850-61. Copy…

Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. | PSNet

psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening

January 04, 2021 - Study Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. Citation Text: Danielson KK, Rydzon B, Nicosia M, et al. Prevalence of undiagnosed diabetes identified by a novel electronic med…

Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta

April 06, 2022 - Study Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. Citation Text: Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…

Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. | PSNet

psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and

July 12, 2010 - Study Classic Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. Citation Text: Davenport DL…

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system

July 14, 2010 - Study Classic A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. Citation Text: Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…

Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. | PSNet

psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and

May 22, 2019 - Study Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. Citation Text: Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and…

Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. | PSNet

psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated

March 23, 2012 - Study Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. Citation Text: Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus a…

Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet

psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event

September 14, 2022 - Study Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. Citation Text: Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…

Iatrogenic illness on a general medical service at a university hospital. | PSNet

psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-university-hospital

August 17, 2017 - Study Classic Iatrogenic illness on a general medical service at a university hospital. Citation Text: Steel K, Gertman PM, Crescenzi C, et al. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981;304(11):638-42. Copy …

The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. | PSNet

psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week

May 04, 2016 - Study The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. Citation Text: Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…

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