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The business case for quality: case studies and an analysis. | PSNet

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February 23, 2019 - Study Classic The business case for quality: case studies and an analysis. Citation Text: Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. Copy Citation Format: …

What do patients and relatives know about problems and failures in care? | PSNet

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November 28, 2016 - Study What do patients and relatives know about problems and failures in care? Citation Text: Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100. Copy Citation …

Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. | PSNet

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March 12, 2014 - Study Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. Citation Text: Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare…

What is the safety of nonemergent operative procedures performed at night? | PSNet

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July 20, 2022 - Study What is the safety of nonemergent operative procedures performed at night? Citation Text: Turrentine FE, Wang H, Young JS, et al. What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using th…

Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. | PSNet

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May 19, 2021 - Study Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. Citation Text: Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…

Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. | PSNet

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January 31, 2024 - Book/Report Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. Citation Text: Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the …

The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. | PSNet

psnet.ahrq.gov/issue/commercialised-experience-operating-embodied-preferences-ambiguous-variations-and-explaining

August 24, 2022 - Study The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. Citation Text: Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining …

Medication accuracy in electronic health records for microbial keratitis. | PSNet

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September 29, 2021 - Study Medication accuracy in electronic health records for microbial keratitis. Citation Text: Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444. C…

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

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August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

A study of innovative patient safety education. | PSNet

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April 28, 2021 - Study A study of innovative patient safety education. Citation Text: Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach. 2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x. Copy Citation Format: DOI Google Scholar PubMed BibT…

Health literacy in transitions of care: an innovative objective structured clinical examination for fourth-year medical students in an internship preparation course. | PSNet

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September 23, 2020 - Study Health literacy in transitions of care: an innovative objective structured clinical examination for fourth-year medical students in an internship preparation course. Citation Text: Bloom-Feshbach K, Casey D, Schulson L, et al. Health Literacy in Transitions of Care: An Innovative O…

Clinical alerts to decrease high-risk medication use in older adults. | PSNet

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September 02, 2015 - Commentary Clinical alerts to decrease high-risk medication use in older adults. Citation Text: Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. Copy Citation Format: …

Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members. | PSNet

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July 31, 2013 - Study Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members. Citation Text: Porter AJ, Narimasu JY, Mulroy MF, et al. Sustainable, effective implementation of a surgical preprocedural checklist: an "attestati…

"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. | PSNet

psnet.ahrq.gov/issue/closing-loop-mixed-methods-study-about-resident-learning-outcome-feedback-after-patient

November 17, 2016 - Study "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Citation Text: Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnos…

Medical errors in US pediatric inpatients with chronic conditions. | PSNet

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November 04, 2014 - Study Medical errors in US pediatric inpatients with chronic conditions. Citation Text: Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555. Copy Citation Format: DOI Goog…

Wound-care teams for preventing and treating pressure ulcers. | PSNet

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June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. Citation Text: Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2. Copy Citation Format:…

"They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences

November 29, 2017 - Study "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. Citation Text: Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…

Patient safety climate in US hospitals: variation by management level. | PSNet

psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level

November 18, 2009 - Study Classic Patient safety climate in US hospitals: variation by management level. Citation Text: Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e…

Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and

November 16, 2022 - Study Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. Citation Text: Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferen…

A quality improvement initiative to improve pediatric discharge medication safety and efficiency. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency

May 20, 2020 - Study A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Citation Text: Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. do…

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