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  1. Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
    April 24, 2019 - Review Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. Citation Text: Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …

  2. Common general surgical never events: analysis of NHS England never event data. | PSNet

    psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
    April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

  3. Relationship of the nursing practice environment with the quality of care and patients' safety in primary health care. | PSNet

    psnet.ahrq.gov/issue/relationship-nursing-practice-environment-quality-care-and-patients-safety-primary-health
    March 09, 2022 - Study Relationship of the nursing practice environment with the quality of care and patients' safety in primary health care. Citation Text: Lucas P, Jesus É, Almeida S, et al. Relationship of the nursing practice environment with the quality of care and patients’ safety in primary health…

  4. Nurse staffing and inpatient hospital mortality. | PSNet

    psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality
    June 22, 2022 - Study Classic Nurse staffing and inpatient hospital mortality. Citation Text: Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025. Copy Citation Fo…

  5. The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

    psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
    October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

  6. Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. | PSNet

    psnet.ahrq.gov/issue/displaying-radiation-exposure-and-cost-information-order-entry-outpatient-diagnostic-imaging
    August 04, 2015 - Study Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. Citation Text: Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…

  7. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. | PSNet

    psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based
    March 16, 2022 - Study Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Citation Text: Khaja KAJA, Ansari TMA, Damanhori AHH, et al. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Healt…

  8. Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001. | PSNet

    psnet.ahrq.gov/issue/ambulatory-care-visits-treating-adverse-drug-effects-united-states-1995-2001
    April 03, 2005 - Study Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001. Citation Text: Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United States, 1995–2001. The Joint Commission Journal on Quality and Patient…

  9. Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics
    May 18, 2022 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. Citation Text: Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bia…

  10. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. | PSNet

    psnet.ahrq.gov/issue/application-strong-matrix-management-and-pdca-cycle-management-severe-covid-19-patients
    March 24, 2019 - Commentary The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Citation Text: Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. d…

  11. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet

    psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
    March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

  12. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. | PSNet

    psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient
    October 01, 2014 - Study The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. Citation Text: Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness …

  13. Physician use of stigmatizing language in patient medical records. | PSNet

    psnet.ahrq.gov/issue/physician-use-stigmatizing-language-patient-medical-records
    June 06, 2021 - Study Physician use of stigmatizing language in patient medical records. Citation Text: Park J, Saha S, Chee B, et al. Physician use of stigmatizing language in patient medical records. JAMA Netw Open. 2021;4(7):e2117052. doi:10.1001/jamanetworkopen.2021.17052. Copy Citation Format…

  14. Patients' perceptions of using technology for self-reporting cancer medication safety events from home. | PSNet

    psnet.ahrq.gov/issue/patients-perceptions-using-technology-self-reporting-cancer-medication-safety-events-home
    June 05, 2024 - Study Patients' perceptions of using technology for self-reporting cancer medication safety events from home. Citation Text: Gahn K, Hwang M, Cho Y, et al. Patients' perceptions of using technology for self-reporting cancer medication safety events from home. Stud Health Technol Inform. …

  15. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. | PSNet

    psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
    August 11, 2021 - Study Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. Citation Text: Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1…

  16. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital | PSNet

    psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-hospital
    November 16, 2022 - Journal Article Improving the quality of insulin prescribing for people with diabetes being discharged from hospital Citation Text: Bain A, Silcock J, Kavanagh S, et al. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital. BMJ Open Qual. 2…

  17. Obstetrician-gynecologist views of pregnancy-related medication safety. | PSNet

    psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
    July 29, 2020 - Study Obstetrician-gynecologist views of pregnancy-related medication safety. Citation Text: SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. …

  18. Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-preferred-language-achieve-goal-aligned-deprescribing-older-adults
    December 19, 2018 - Study Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. Citation Text: Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633. do…

  19. Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-perspectives-use-artificial-intelligence-skin-cancer-screening-qualitative-study
    October 19, 2022 - Study Emerging Classic Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. Citation Text: Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin can…

  20. Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | PSNet

    psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
    August 21, 2019 - Study Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. Citation Text: Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned. Anesth Anal…
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