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Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. | PSNet

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September 29, 2017 - Study Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. Citation Text: Fink DA, Kilday D, Cao Z, et al. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalization…

Making health care safer: what is the contribution of health psychology? | PSNet

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November 26, 2008 - Commentary Making health care safer: what is the contribution of health psychology? Citation Text: Vincent CA, Wearden A, French DP. Making health care safer: What is the contribution of health psychology? Br J Health Psychol. 2015;20(4):681-7. doi:10.1111/bjhp.12166. Copy Citation …

Teaching medical error disclosure to physicians-in-training: a scoping review. | PSNet

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June 09, 2015 - Review Teaching medical error disclosure to physicians-in-training: a scoping review. Citation Text: Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f. Cop…

Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital. | PSNet

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November 29, 2023 - Study Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital. Citation Text: Cullati S, Le Du S, Raë A-C, et al. Is the Surgical Safety Checklist successfully conducted? An observational study …

Impact of health information technology on detection of potential adverse drug events at the ordering stage. | PSNet

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June 25, 2008 - Study Impact of health information technology on detection of potential adverse drug events at the ordering stage. Citation Text: Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential adverse drug events at the ordering stage. Am J Hea…

Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. | PSNet

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April 17, 2024 - Study Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Citation Text: Zerillo JA, Tardiff SA, Flood D, et al. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Jt Comm J Qual Patient Saf. 2024;50(7):492-49…

Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet

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October 14, 2009 - Study Hospital safety climate and safety outcomes: is there a relationship in the VA? Citation Text: Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. …

Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. | PSNet

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September 09, 2020 - Study Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. Citation Text: Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized control…

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. | PSNet

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August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…

An exploratory analysis of the association between healthcare associated infections & hospital financial performance. | PSNet

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June 12, 2024 - Study An exploratory analysis of the association between healthcare associated infections & hospital financial performance. Citation Text: Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between healthcare associated infections & hospital financial p…

Accuracy in patient understanding of common medical phrases. | PSNet

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November 30, 2022 - Study Accuracy in patient understanding of common medical phrases. Citation Text: Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in patient understanding of common medical phrases. JAMA Netw Open. 2022;5(11):e2242972. doi:10.1001/jamanetworkopen.2022.42972. Copy Citation Form…

Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. | PSNet

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January 07, 2015 - Book/Report Classic Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. Citation Text: Efforts To Improve …

Healthcare team resilience during COVID-19: a qualitative study. | PSNet

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February 20, 2019 - Study Healthcare team resilience during COVID-19: a qualitative study. Citation Text: Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. Copy Citation Format…

Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. | PSNet

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November 11, 2020 - Study Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. Citation Text: Turner K, Staggs V, Potter C, et al. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Qual Saf. 2020;29(12):10…

Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

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April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. | PSNet

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April 20, 2011 - Study A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. Citation Text: Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. Copy Citation For…

How to incorporate quality improvement and patient safety projects in your training. | PSNet

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November 21, 2021 - Commentary How to incorporate quality improvement and patient safety projects in your training. Citation Text: Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.…

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. | PSNet

psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician

January 03, 2017 - Study Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. Citation Text: Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Phys…

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. | PSNet

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January 07, 2015 - Study Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. Citation Text: Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…

Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. | PSNet

psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow

March 01, 2023 - Book/Report Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. Citation Text: Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Fol…

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