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Burden of serious harms from diagnostic error in the USA. | PSNet

psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa

June 03, 2020 - Study Burden of serious harms from diagnostic error in the USA. Citation Text: Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. Copy Citation Format: DO…

An estimate of missed pediatric sepsis in the emergency department. | PSNet

psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department

December 08, 2021 - Study An estimate of missed pediatric sepsis in the emergency department. Citation Text: Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. Copy Citation Format:…

Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. | PSNet

psnet.ahrq.gov/issue/mortality-among-patients-va-hospitals-first-2-years-following-acgme-resident-duty-hour-reform

February 18, 2011 - Study Classic Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. Citation Text: Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME residen…

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. | PSNet

psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract

July 22, 2020 - Study Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. Citation Text: Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…

Medication use and cognitive impairment among residents of aged care facilities. | PSNet

psnet.ahrq.gov/issue/medication-use-and-cognitive-impairment-among-residents-aged-care-facilities

July 28, 2021 - Study Medication use and cognitive impairment among residents of aged care facilities. Citation Text: Shafiee Hanjani L, Hubbard RE, Freeman CR, et al. Medication use and cognitive impairment among residents of aged care facilities. Intern Med J. 2021;51(4):520-532. doi:10.1111/imj.14804…

Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream

September 23, 2020 - Study Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Citation Text: Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …

Understanding patient and clinician reported nonroutine events in ambulatory surgery. | PSNet

psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory-surgery

December 16, 2020 - Study Understanding patient and clinician reported nonroutine events in ambulatory surgery. Citation Text: Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.00000…

Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. | PSNet

psnet.ahrq.gov/issue/status-implementation-world-health-organization-multimodal-hand-hygiene-strategy-united

November 13, 2024 - Study Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. Citation Text: Allegranzi B, Conway L, Larson EL, et al. Status of the implementation of the World Health Organization multimodal hand …

Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/association-hospital-participation-quality-reporting-program-surgical-outcomes-and

January 13, 2016 - Study Classic Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. Citation Text: Osborne NH, Nicholas LH, Ryan AM, et al. Association of hospital participation in a quality repo…

Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. | PSNet

psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system-mortality-review

April 20, 2022 - Study Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. Citation Text: Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review…

Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence

August 18, 2021 - Study Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. Citation Text: George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Ev…

Meaningful use of health information technology and declines in in-hospital adverse drug events. | PSNet

psnet.ahrq.gov/issue/meaningful-use-health-information-technology-and-declines-hospital-adverse-drug-events

November 28, 2012 - Study Meaningful use of health information technology and declines in in-hospital adverse drug events. Citation Text: Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;…

Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet

psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions

July 17, 2024 - Study Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. Citation Text: Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transiti…

Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. | PSNet

psnet.ahrq.gov/issue/effect-transformation-veterans-affairs-health-care-system-quality-care

July 28, 2014 - Study Classic Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. Citation Text: Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N E…

Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. | PSNet

psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident

September 11, 2024 - Review Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. Citation Text: Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident re…

Consequences of inadequate sign-out for patient care. | PSNet

psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care

November 07, 2012 - Study Classic Consequences of inadequate sign-out for patient care. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. Copy Cit…

Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. | PSNet

psnet.ahrq.gov/issue/patient-safety-home-care-multicenter-cross-sectional-study-about-medication-errors-and

March 03, 2021 - Study Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. Citation Text: Strube‐Lahmann S, Müller‐Werdan U, Klingelhöfer‐Noe J, et al. Patient safety in home care: A multicenter cross‐sectional study about medicati…

How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. | PSNet

psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-receiving-specialist

June 23, 2021 - Study How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. Citation Text: Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving speci…

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, | PSNet

psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators

March 16, 2022 - Study Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, Citation Text: Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg.…

Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. | PSNet

psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals

October 21, 2020 - Study Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. Citation Text: Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag…

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