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Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. | PSNet

psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record

November 03, 2015 - Study Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review s…

Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation. | PSNet

psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors

June 19, 2019 - Study Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation. Citation Text: Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity …

Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. | PSNet

psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals

March 18, 2013 - Study Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe pati…

A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. | PSNet

psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association

September 02, 2020 - Study A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. Citation Text: Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…

Analysis of risk factors for patient safety events occurring in the emergency department. | PSNet

psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department

January 26, 2022 - Study Analysis of risk factors for patient safety events occurring in the emergency department. Citation Text: Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…

Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. | PSNet

psnet.ahrq.gov/issue/sustained-improvement-quality-patient-handoffs-after-orthopaedic-surgery-i-pass-intervention

June 15, 2022 - Study Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. Citation Text: Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Gl…

Analysis of patient safety risk management call data during the COVID‐19 pandemic. | PSNet

psnet.ahrq.gov/issue/analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic

February 16, 2022 - Study Analysis of patient safety risk management call data during the COVID‐19 pandemic. Citation Text: Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID‐19 pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457. Copy Citati…

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. | PSNet

psnet.ahrq.gov/issue/pediatric-anesthesiology-fellows-perception-quality-attending-supervision-and-medical-errors

September 07, 2016 - Study Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. Citation Text: Benzon HA, Hajduk J, De Oliveira GS, et al. Pediatric Anesthesiology Fellows' Perception of Quality of Attending Supervision and Medical Errors. Anesth Analg. 2018;12…

Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds

October 19, 2022 - Study Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Citation Text: Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…

Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. | PSNet

psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade

February 24, 2011 - Study Classic Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Citation Text: Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cas…

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary

November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

Suicide attempts after emergency room visits: the effect of patient safety goals. | PSNet

psnet.ahrq.gov/issue/suicide-attempts-after-emergency-room-visits-effect-patient-safety-goals

August 04, 2021 - Study Suicide attempts after emergency room visits: the effect of patient safety goals. Citation Text: Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q. 2015;86(4):497-504. doi:10.1007/s11126-015-9345-7. Copy Citation Format: …

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. | PSNet

psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective

April 06, 2022 - Study Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. Citation Text: Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…

Vulnerability of the medical product supply chain: the wake-up call of COVID-19. | PSNet

psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19

December 02, 2020 - Commentary Emerging Classic Vulnerability of the medical product supply chain: the wake-up call of COVID-19. Citation Text: Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf. 2020;…

Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. | PSNet

psnet.ahrq.gov/issue/balancing-patient-safety-clinical-efficacy-and-cybersecurity-clinician-partners

May 04, 2022 - Commentary Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Citation Text: Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-…

Body of evidence: do autopsy findings impact medical malpractice claim outcomes? | PSNet

psnet.ahrq.gov/issue/body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-outcomes

August 19, 2020 - Study Body of evidence: do autopsy findings impact medical malpractice claim outcomes? Citation Text: Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.000000000…

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient

October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-disparities-common-inpatient-safety-outcomes-childrens-hospital-cohort

August 23, 2023 - Study Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort. Citation Text: Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort. BMJ Qual Saf. 2024;33(2):86-97. do…

Measuring errors and adverse events in health care. | PSNet

psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care

December 30, 2014 - Study Classic Measuring errors and adverse events in health care. Citation Text: Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x. Copy Citation Format: …

African American COVID-19 mortality: a sentinel event. | PSNet

psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event

November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality: a sentinel event. Citation Text: Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040. Copy Cit…

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