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Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. | PSNet

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January 31, 2024 - Study Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. Citation Text: Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postev…

Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet

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June 23, 2021 - Study Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. Citation Text: Strid EN, Wåhlin C, Ros A, et al. Health care workers’ experiences of workplace incidents that posed a risk of patient and …

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. | PSNet

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December 02, 2020 - Study Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. Citation Text: Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. | PSNet

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March 23, 2022 - Study Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. Citation Text: Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …

Effect of illness severity and comorbidity on patient safety and adverse events. | PSNet

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December 01, 2011 - Study Effect of illness severity and comorbidity on patient safety and adverse events. Citation Text: Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. | PSNet

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October 19, 2022 - Review Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. Citation Text: Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. Circulation. 20…

Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. | PSNet

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January 08, 2025 - Study Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. Citation Text: Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. | PSNet

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August 25, 2021 - Study Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. Citation Text: Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …

Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. | PSNet

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October 30, 2024 - Study Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. Citation Text: Hattingh HL, Edmunds C, Gillespie BM. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. J Pharm Pol…

Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. | PSNet

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August 18, 2021 - Study Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. Citation Text: Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…

International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. | PSNet

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February 14, 2018 - Study International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. Citation Text: Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…

The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. | PSNet

psnet.ahrq.gov/issue/disparity-frontline-clinical-staff-and-managers-perceptions-quality-and-patient-safety

February 01, 2011 - Study The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. Citation Text: Parand A, Burnett S, Benn J, et al. The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. J Eva…

Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. | PSNet

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June 22, 2016 - Study Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. Citation Text: Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…

Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet

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March 14, 2018 - Study Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. Citation Text: Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…

The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet

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November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…

Digital Healthcare Research. | PSNet

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December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional

AHRQ Grants by State. | PSNet

psnet.ahrq.gov/issue/grants-line-database-gold

December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare

Special Issue on Health Information Technology. | PSNet

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August 22, 2007 - June 29, 2022 Scoping review of studies evaluating frailty and its association with medication

Hospital mistakes kept secret. | PSNet

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September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge

Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet

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August 21, 2016 - The initial head CT and skeletal survey provide critical information in screening and evaluating for … after a missed diagnosis of NAT – of these, 6 children later died and 10 survived with handicap. 9 Evaluating … A study evaluating discrepancies in head CT readings between referring community radiologists and fellowship-trained … Skeletal surveys and head CTs, critical for screening and evaluating for NAT, should generally be interpreted

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