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Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. | PSNet

psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient

August 24, 2022 - Study Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Citation Text: Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. …

Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches. | PSNet

psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration

September 15, 2021 - Study Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches. Citation Text: Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare safety for y…

The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster

July 31, 2019 - Study The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. Citation Text: McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a …

Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement. | PSNet

psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-hospital-acquired-conditions-policy-central-line

July 03, 2016 - Study Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement. Citation Text: Calderwood MS, Kawai AT, …

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. | PSNet

psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication

August 26, 2020 - Study Classic Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. Citation Text: Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not …

Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. | PSNet

psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge

December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. | PSNet

psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation

October 27, 2021 - Study When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. Citation Text: Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of p…

Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment

October 24, 2018 - Study Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Citation Text: Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…

Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. | PSNet

psnet.ahrq.gov/issue/association-between-workarounds-and-medication-administration-errors-bar-code-assisted

August 26, 2020 - Study Classic Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. Citation Text: van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication adm…

Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/massive-open-online-course-mooc-learning-builds-capacity-and-improves-competence-patient

October 14, 2020 - Study Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. Citation Text: Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and impro…

Readiness of US general surgery residents for independent practice. | PSNet

psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice

April 24, 2018 - Study Classic Readiness of US general surgery residents for independent practice. Citation Text: George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…

How will we know patients are safer? An organization-wide approach to measuring and improving safety. | PSNet

psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety

May 20, 2009 - Study How will we know patients are safer? An organization-wide approach to measuring and improving safety. Citation Text: Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-wide approach to measuring and improving safety. Crit Care Med…

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy

October 27, 2021 - Study Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. Citation Text: Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. | PSNet

psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality

March 15, 2017 - Study 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. Citation Text: Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…

Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. | PSNet

psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement

December 21, 2017 - Commentary Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. Citation Text: Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. JAMA Ne…

Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability

October 19, 2022 - Study Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. Citation Text: Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in he…

Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition

October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…

Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings. | PSNet

psnet.ahrq.gov/issue/miscarriage-treatment-related-morbidities-and-adverse-events-hospitals-ambulatory-surgery

August 10, 2022 - Study Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings. Citation Text: Roberts SCM, Beam N, Liu G, et al. Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers,…

Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. | PSNet

psnet.ahrq.gov/issue/vital-signs-trends-emergency-department-visits-suspected-opioid-overdoses-united-states-july

January 23, 2019 - Study Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. Citation Text: Vivolo-Kantor AM, Seth P, Gladden M, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States,…

A systems approach to analyzing and preventing hospital adverse events. | PSNet

psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events

March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…

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