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Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. | PSNet

psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study

March 15, 2017 - Study Classic Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. Citation Text: Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…

Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences. | PSNet

psnet.ahrq.gov/issue/missed-opportunities-diagnosing-brain-tumours-primary-care-qualitative-study-patient

August 04, 2021 - Study Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences. Citation Text: Walter FM, Penfold C, Joannides A, et al. Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences. Br…

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised

September 28, 2016 - Study Classic An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Citation Text: Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…

What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. | PSNet

psnet.ahrq.gov/issue/what-patients-complaints-and-praise-tell-health-practitioner-implications-health-care-quality

February 21, 2024 - Study What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. Citation Text: Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for healt…

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…

Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. | PSNet

psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults

February 02, 2022 - Study Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. Citation Text: Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the Unite…

Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review

July 01, 2009 - Study Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. Citation Text: Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…

Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. | PSNet

psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient

January 15, 2014 - Commentary Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Citation Text: Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …

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)…

Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. | PSNet

psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators

July 19, 2019 - Study Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. Citation Text: Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…

Surgical residents' work hours and well-being in year 2 of the FIRST trial. | PSNet

psnet.ahrq.gov/issue/surgical-residents-work-hours-and-well-being-year-2-first-trial

March 15, 2017 - Study Surgical residents' work hours and well-being in year 2 of the FIRST trial. Citation Text: Dahlke AR, Quinn CM, Chung JW, et al. Surgical Residents' Work Hours and Well-Being in Year 2 of the FIRST Trial. New Engl J Med. 2017;377(2):192-194. doi:10.1056/NEJMc1703812. Copy Citatio…

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. | PSNet

psnet.ahrq.gov/issue/disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care

December 29, 2014 - Study Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Citation Text: López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet

psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient

December 21, 2014 - Study How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. …

Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. | PSNet

psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical

July 28, 2021 - Study Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. Citation Text: Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North Amer…

"What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. | PSNet

psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process

November 03, 2021 - Review "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. Citation Text: Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patien…

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. | PSNet

psnet.ahrq.gov/issue/interns-compliance-accreditation-council-graduate-medical-education-work-hour-limits

January 07, 2011 - Study Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. Citation Text: Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70. Cop…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared

March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. | PSNet

psnet.ahrq.gov/issue/implementation-trigger-review-method-scottish-general-practices-patient-safety-outcomes-and

November 07, 2011 - Study Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. Citation Text: de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices: patient safety outco…

Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives. | PSNet

psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk

November 20, 2015 - Study Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives. Citation Text: Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for bloo…

Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. | PSNet

psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare

August 24, 2022 - Study Emerging Classic Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. Citation Text: Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on n…

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