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A comprehensive obstetric patient safety program reduces liability claims and payments. | PSNet

psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments

June 22, 2017 - Study A comprehensive obstetric patient safety program reduces liability claims and payments. Citation Text: Pettker CM, Thung SF, Lipkind HS, et al. A comprehensive obstetric patient safety program reduces liability claims and payments. Am J Obstet Gynecol. 2014;211(4):319-25. doi:10.10…

What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study

August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. | PSNet

psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients

April 24, 2018 - Study Classic Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. Citation Text: Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized …

The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies. | PSNet

psnet.ahrq.gov/issue/impact-nursing-led-intervention-bundle-bedside-checklist-reduce-mortality-during-initial

May 05, 2010 - Study The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies. Citation Text: Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside che…

Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. | PSNet

psnet.ahrq.gov/issue/allergy-safety-events-healthcare-development-and-application-classification-schema-based

December 09, 2020 - Study Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. Citation Text: Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application of a classification schema based on retro…

When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. | PSNet

psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health

March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…

A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction. | PSNet

psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based

March 24, 2019 - Study A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction. Citation Text: Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept ex…

Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. | PSNet

psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following

November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…

Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug

February 18, 2011 - Study Classic Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. Citation Text: Strom BL, Schinnar R, Aberra F, et al. Unintended effects of a computerized physician ord…

Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. | PSNet

psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four-retrospective

May 18, 2022 - Study Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. Citation Text: Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective reco…

Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. | PSNet

psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and-mitigation

September 27, 2023 - Study Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Citation Text: Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Health Policy Tech. 2025;…

The influence of hospital physician integration on culture of patient safety. | PSNet

psnet.ahrq.gov/issue/influence-hospital-physician-integration-culture-patient-safety

March 09, 2016 - Study The influence of hospital physician integration on culture of patient safety. Citation Text: Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280. Copy Citation …

Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. | PSNet

psnet.ahrq.gov/issue/safety-management-within-scope-teaching-practical-clinical-skills-framing-errors

December 21, 2022 - Study Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. Citation Text: Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the sc…

Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. | PSNet

psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second

March 24, 2019 - Study Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. Citation Text: Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…

Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. | PSNet

psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns

January 19, 2022 - Study Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. Citation Text: Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…

Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. | PSNet

psnet.ahrq.gov/issue/adverse-events-italian-nursing-homes-during-covid-19-epidemic-national-survey

December 16, 2020 - Study Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Citation Text: Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465. Copy Citation…

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.…

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. | PSNet

psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient

October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital

May 08, 2017 - Study Classic Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Citation Text: Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medicat…

Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. | PSNet

psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve

November 16, 2022 - Study Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. Citation Text: Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Canc…

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