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The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. | PSNet

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September 23, 2020 - Study The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. Citation Text: Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. | PSNet

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December 02, 2014 - Study Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. Citation Text: Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ …

Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study. | PSNet

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August 18, 2021 - Study Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study. Citation Text: Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contri…

A systems approach to analyzing and preventing hospital adverse events. | PSNet

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March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…

Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. | PSNet

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September 21, 2022 - Review Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. Citation Text: Engel FD, da Fonseca GGP, Cechinel-Peiter C, et al. Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. J Patient Saf. 2023;19(1…

Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. | PSNet

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June 09, 2021 - Study Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. Citation Text: Monaca C, Bestmann B, Kattein M, et al. Assessing Patients' Perceptions of Safety Culture in the Hospit…

In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital. | PSNet

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June 02, 2021 - Commentary In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital. Citation Text: Kanaan AO, Sullivan KM, Seed SM, et al. In the eye of the storm: the role of the pharmacist in medication safety during the COVID…

Potentially preventable 30-day hospital readmissions at a children's hospital. | PSNet

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July 11, 2017 - Study Potentially preventable 30-day hospital readmissions at a children's hospital. Citation Text: Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. Copy Citation …

Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial. | PSNet

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February 16, 2022 - Study Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial. Citation Text: Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency department: a simulation-based multi-instit…

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet

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March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Citation Text: Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. | PSNet

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March 15, 2017 - Study 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. Citation Text: Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. | PSNet

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October 27, 2021 - Study Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. Citation Text: Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. | PSNet

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June 22, 2022 - Study Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. Citation Text: Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. | PSNet

psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics

April 08, 2008 - Study To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Citation Text: Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…

Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. | PSNet

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January 23, 2019 - Study Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. Citation Text: Vivolo-Kantor AM, Seth P, Gladden M, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States,…

Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. | PSNet

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January 01, 2022 - Study Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. Citation Text: Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…

Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. | PSNet

psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient

October 13, 2021 - Study Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. Citation Text: Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic

February 02, 2022 - Review Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. Citation Text: Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a syste…

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. | PSNet

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February 22, 2011 - Study What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Citation Text: Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambu…

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. | PSNet

psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training-retrospective-qualitative

September 01, 2021 - Study Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. Citation Text: Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg…

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