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A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet

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May 25, 2022 - Commentary A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Citation Text: Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …

Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet

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August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. Citation Text: Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…

Using human factors and ergonomics principles to prevent inpatient falls. | PSNet

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November 09, 2022 - Study Using human factors and ergonomics principles to prevent inpatient falls. Citation Text: Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696. Copy Citation Format: …

Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet

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March 15, 2017 - Study Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. Citation Text: Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…

Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. | PSNet

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November 03, 2021 - Study Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Citation Text: Davidson JE, Chechel L, Chavez J, et al. Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Am…

Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. | PSNet

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May 04, 2016 - Study Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. Citation Text: King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.…

Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. | PSNet

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December 18, 2013 - Study Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. Citation Text: McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient out…

Interventions to improve team effectiveness within health care: a systematic review of the past decade. | PSNet

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March 05, 2010 - Review Classic Interventions to improve team effectiveness within health care: a systematic review of the past decade. Citation Text: Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systemati…

Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. | PSNet

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June 16, 2021 - Study Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. Citation Text: Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-home interface: an observational retrosp…

Surgical safety and hospital volume across a wide range of interventions. | PSNet

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April 04, 2011 - Study Surgical safety and hospital volume across a wide range of interventions. Citation Text: Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6. Copy Citation …

Prognosis of undiagnosed chest pain: linked electronic health record cohort study. | PSNet

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March 19, 2018 - Study Prognosis of undiagnosed chest pain: linked electronic health record cohort study. Citation Text: Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. Copy Citation …

Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improvement effort. | PSNet

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July 19, 2023 - Study Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improvement effort. Citation Text: Willis DN, Looper K, Malone RA, et al. Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improv…

Can aviation-based team training elicit sustainable behavioral change? | PSNet

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July 19, 2023 - Study Can aviation-based team training elicit sustainable behavioral change? Citation Text: Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207. Copy Citation …

Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. | PSNet

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February 05, 2020 - Study Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. Citation Text: Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10…

Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. | PSNet

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July 08, 2015 - Study Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. Citation Text: Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…

Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. | PSNet

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September 26, 2012 - Study Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. Citation Text: Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:…

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study. | PSNet

psnet.ahrq.gov/issue/irish-national-adverse-events-study-inaes-frequency-and-nature-adverse-events-irish-hospitals

March 03, 2021 - Study The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study. Citation Text: Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and nature of adve…

High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses. | PSNet

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December 09, 2020 - Study High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses. Citation Text: Öhrn A, Ericsson C, Andersson C, et al. High Rate of Implementation of Proposed Actions for Improvement With the Healt…

Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. | PSNet

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December 09, 2020 - Study Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. Citation Text: Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by …

Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. | PSNet

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March 09, 2022 - Study Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. Citation Text: Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…

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