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Incidence and characteristics of potential and actual retained foreign object events in surgical patients. | PSNet

psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical

January 02, 2017 - Study Classic Incidence and characteristics of potential and actual retained foreign object events in surgical patients. Citation Text: Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety

January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. | PSNet

psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage-system

July 29, 2020 - Commentary Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Citation Text: Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.78…

Improving patient safety culture in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-culture-primary-care-systematic-review

June 17, 2015 - Review Improving patient safety culture in primary care: a systematic review. Citation Text: Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075. Copy Cita…

How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. | PSNet

psnet.ahrq.gov/issue/how-do-hospital-inpatients-conceptualise-patient-safety-qualitative-interview-study-using

July 08, 2020 - Study How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. Citation Text: Barrow E, Lear RA, Morbi A, et al. How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist…

Effects of health information technology on patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-health-information-technology-patient-outcomes-systematic-review

December 03, 2018 - Review Classic Effects of health information technology on patient outcomes: a systematic review. Citation Text: Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2…

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. | PSNet

psnet.ahrq.gov/issue/quality-and-variability-patient-directions-electronic-prescriptions-ambulatory-care-setting

May 08, 2017 - Study Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. Citation Text: Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Car…

Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. | PSNet

psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause

June 22, 2022 - Study Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on…

A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery. | PSNet

psnet.ahrq.gov/issue/systematic-review-interventions-used-enhance-implementation-and-compliance-world-health

March 08, 2023 - Review A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery. Citation Text: Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and complia…

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative

July 31, 2019 - Review The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Citation Text: Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…

Patient characteristics and the occurrence of never events. | PSNet

psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events

February 15, 2011 - Study Patient characteristics and the occurrence of never events. Citation Text: Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. Copy Citation Format: DOI Google Schol…

A new safety event reporting system improves physician reporting in the surgical intensive care unit. | PSNet

psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit

August 02, 2011 - Study A new safety event reporting system improves physician reporting in the surgical intensive care unit. Citation Text: Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006…

The effects of harm events on 30-day readmission in surgical patients. | PSNet

psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients

July 31, 2019 - Study The effects of harm events on 30-day readmission in surgical patients. Citation Text: Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261. Copy Citati…

Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet

psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing

May 08, 2017 - Study Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Citation Text: Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…

Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. | PSNet

psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers

September 04, 2016 - Study Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. Citation Text: Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…

Prevalence and Economic Burden of Medication Errors in the NHS England. | PSNet

psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england

September 11, 2018 - Book/Report Prevalence and Economic Burden of Medication Errors in the NHS England. Citation Text: Prevalence and Economic Burden of Medication Errors in the NHS England. Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Intervention…

'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. | PSNet

psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences

June 22, 2022 - Study 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. Citation Text: Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient…

Effect of crew resource management training in a multidisciplinary obstetrical setting. | PSNet

psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting

March 06, 2005 - Study Effect of crew resource management training in a multidisciplinary obstetrical setting. Citation Text: Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…

Repeat prescribing of medications: a system-centred risk management model for primary care organisations. | PSNet

psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care

January 20, 2016 - Study Repeat prescribing of medications: a system-centred risk management model for primary care organisations. Citation Text: Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …

Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. | PSNet

psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed

July 31, 2013 - Study Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. Citation Text: Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient or where re…

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