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The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. | PSNet

psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience

October 04, 2011 - Study The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. Citation Text: Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience…

Recognition and prevention of nosocomial malnutrition: a review and a call to action! | PSNet

psnet.ahrq.gov/issue/recognition-and-prevention-nosocomial-malnutrition-review-and-call-action

January 29, 2020 - Review Recognition and prevention of nosocomial malnutrition: a review and a call to action! Citation Text: Kirkland LL, Shaughnessy E. Recognition and Prevention of Nosocomial Malnutrition: A Review and A Call to Action!. Am J Med. 2017;130(12):1345-1350. doi:10.1016/j.amjmed.2017.07.03…

What we know about designing an effective improvement intervention (but too often fail to put into practice). | PSNet

psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice

September 06, 2017 - Commentary What we know about designing an effective improvement intervention (but too often fail to put into practice). Citation Text: Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…

Surgical safety checklist: implementation in an ambulatory surgical facility. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-implementation-ambulatory-surgical-facility

September 23, 2020 - Study Surgical safety checklist: implementation in an ambulatory surgical facility. Citation Text: Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8. C…

Surgical management and outcomes of 165 colonoscopic perforations from a single institution. | PSNet

psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution

November 16, 2022 - Study Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Citation Text: Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…

Human factors–focused reporting system for improving care quality and safety in hospital wards. | PSNet

psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards

February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …

Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. | PSNet

psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management

August 04, 2021 - Study Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. Citation Text: Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…

Intraoperative communications between pathologists and surgeons: do we understand each other? | PSNet

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June 28, 2023 - Study Intraoperative communications between pathologists and surgeons: do we understand each other? Citation Text: Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…

Pain as the neglected patient safety concern: five years on. | PSNet

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July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

Complication rates on weekends and weekdays in US hospitals. | PSNet

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August 31, 2011 - Study Complication rates on weekends and weekdays in US hospitals. Citation Text: Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120(5):422-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Proactive risk assessment of surgical site infections in ambulatory surgery centers. | PSNet

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April 13, 2022 - Study Proactive risk assessment of surgical site infections in ambulatory surgery centers. Citation Text: Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…

Perceived value of ward-based pharmacists from the perspective of physicians and nurses. | PSNet

psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses

February 15, 2011 - Study Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Citation Text: Gillespie U, Mörlin C, Hammarlund-Udenaes M, et al. Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Int J Clin Pharm. 2012;34(1):127-35…

Hospital progress in reducing error: the impact of external interventions. | PSNet

psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions

December 04, 2016 - Study Hospital progress in reducing error: the impact of external interventions. Citation Text: Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20. Copy Citation Format: DOI Google S…

The new diagnostic team. | PSNet

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July 19, 2023 - Commentary The new diagnostic team. Citation Text: Graber ML, Rusz D, Jones ML, et al. The new diagnostic team. Diagnosis (Berl). 2017;4(4):225-238. doi:10.1515/dx-2017-0022. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. | PSNet

psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and-opioid-stewardship

December 10, 2024 - Webinar AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. Citation Text: Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:0…

Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. | PSNet

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July 26, 2023 - Commentary Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. Citation Text: Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for implementing machine learning solutions …

Perspectives on patient and family engagement with reduction in harm: the forgotten voice. | PSNet

psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice

December 01, 2011 - Study Perspectives on patient and family engagement with reduction in harm: the forgotten voice. Citation Text: Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1…

Development of the ICU safety reporting system. | PSNet

psnet.ahrq.gov/issue/development-icu-safety-reporting-system

May 27, 2011 - Study Development of the ICU safety reporting system. Citation Text: Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32. Copy Citation Save Save to your library Print Download PD…

Pay practices and safety organizing: evidence from hospital nursing units. | PSNet

psnet.ahrq.gov/issue/pay-practices-and-safety-organizing-evidence-hospital-nursing-units

December 21, 2017 - Study Pay practices and safety organizing: evidence from hospital nursing units. Citation Text: Conroy SA, Vogus TJ. Pay practices and safety organizing: evidence from hospital nursing units. Health Care Manage Rev. 2023;49(1):68-73. doi:10.1097/hmr.0000000000000392. Copy Citation …

Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report

January 15, 2020 - Commentary Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. Citation Text: Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi…

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