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Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet

psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients

May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. | PSNet

psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best

March 01, 2023 - Organizational Policy/Guidelines Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. Citation Text: Cicero MX, Adelgais K, Hoyle JD, et al.…

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

psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement

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…

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

psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban

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…

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. | PSNet

psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience

September 23, 2020 - Commentary Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. Citation Text: Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet

psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness

May 26, 2021 - Study Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. Citation Text: Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…

Non-technical skills in surgery during the COVID-19 pandemic: an observational study. | PSNet

psnet.ahrq.gov/issue/non-technical-skills-surgery-during-covid-19-pandemic-observational-study

December 06, 2023 - Study Non-technical skills in surgery during the COVID-19 pandemic: an observational study. Citation Text: Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19 pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.20…

Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. | PSNet

psnet.ahrq.gov/issue/second-victim-experiences-health-care-learners-and-influence-training-environment-postevent

January 31, 2024 - Study Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. Citation Text: Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postev…

Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. | PSNet

psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older

November 15, 2023 - Study Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. Citation Text: Arbaje AI, Hughes A, Werner N, et al. Information management goa…

Failure to engage hospitalized elderly patients and their families in advance care planning. | PSNet

psnet.ahrq.gov/issue/failure-engage-hospitalized-elderly-patients-and-their-families-advance-care-planning

November 21, 2016 - Study Classic Failure to engage hospitalized elderly patients and their families in advance care planning. Citation Text: Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA I…

Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital

November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. | PSNet

psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting

January 08, 2025 - Study Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. Citation Text: Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…

Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. | PSNet

psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using

May 20, 2020 - Study Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. Citation Text: Weingart SN, Nelson J, Koethe B, et al. Developing a cancer‐specific trigger tool to identify treatment‐related adverse events using administrative data.…

Home health agency patient experience measures and their relationship to Joint Commission accreditation. | PSNet

psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission

July 10, 2024 - Study Home health agency patient experience measures and their relationship to Joint Commission accreditation. Citation Text: Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …

Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet

psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

November 15, 2011 - Study Classic Learning from mistakes: factors that influence how students and residents learn from medical errors. Citation Text: Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…

Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. | PSNet

psnet.ahrq.gov/issue/impact-primary-care-nurse-manager-nurse-intent-leave-and-staff-perception-patient-safety

November 01, 2023 - Study Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. Citation Text: Miller MJ, Johansen ML, de Cordova PB, et al. Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. Nurs Mana…

Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/incidence-versus-prevalence-based-measures-inappropriate-prescribing-veterans-health

March 18, 2020 - Study Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. Citation Text: Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate Prescribing in the Veterans Health Administration. J Am G…

Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet

psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and

April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. Citation Text: de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…

Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact. | PSNet

psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning

January 24, 2024 - Study Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact. Citation Text: Jeffs L, Bruno F, Zeng RL, et al. Integrating implementation science in a quality and patient safety improvement learning collabor…

Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic

March 01, 2023 - Review Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. Citation Text: Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Me…

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