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  1. Accuracy of pressure ulcer events in US nursing home ratings. | PSNet

    psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
    February 05, 2020 - Study Accuracy of pressure ulcer events in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763. Copy Citation Format: DOI Google…

  2. Complications and death at the start of the new academic year: is there a July phenomenon? | PSNet

    psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
    February 13, 2008 - Study Complications and death at the start of the new academic year: is there a July phenomenon? Citation Text: Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.…

  3. Investigating the long-term consequences of adverse medical events among older adults. | PSNet

    psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
    March 24, 2019 - Study Investigating the long-term consequences of adverse medical events among older adults. Citation Text: Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-04…

  4. The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. | PSNet

    psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health
    February 07, 2024 - Review The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. Citation Text: Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community ment…

  5. Reducing risks in complex care transitions in rural areas: a grounded theory. | PSNet

    psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
    June 23, 2021 - Study Reducing risks in complex care transitions in rural areas: a grounded theory. Citation Text: Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964. doi:10.1080/17482…

  6. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
    March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…

  7. Implementation and impact of a rapid response team in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
    April 24, 2018 - Study Implementation and impact of a rapid response team in a children's hospital. Citation Text: Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425. Copy Citation Fo…

  8. Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. | PSNet

    psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
    October 17, 2018 - Study Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. Citation Text: Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality a…

  9. The July Effect in podiatric medicine and surgery residency. | PSNet

    psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-surgery-residency
    July 14, 2021 - Study The July Effect in podiatric medicine and surgery residency. Citation Text: Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020. Copy Citation Format: …

  10. Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   | PSNet

    psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
    February 14, 2024 - Study Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   Citation Text: de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…

  11. Accuracy of harm scores entered into an event reporting system. | PSNet

    psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
    October 19, 2022 - Study Accuracy of harm scores entered into an event reporting system. Citation Text: Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. Copy Citation For…

  12. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. | PSNet

    psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
    January 20, 2021 - Study Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Citation Text: Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…

  13. Barcoded medication administration: a last line of defense. | PSNet

    psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
    November 06, 2015 - Commentary Barcoded medication administration: a last line of defense. Citation Text: Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200. Copy Citation Format: DOI Google Scholar PubMe…

  14. Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

    psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
    July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866072/psn-pdf
    June 05, 2024 - WHO Global Report on Patient Safety. June 5, 2024 Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. https://psnet.ahrq.gov/issue/who-global-report-patient-safety Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the seven objectives of the…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43177/psn-pdf
    May 14, 2014 - Disclosing medical errors to patients: effects of nonverbal involvement. May 14, 2014 Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007. https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-n…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867451/psn-pdf
    January 21, 2025 - Engineering Safety into Practice through Implementation of the EHR SAFER Guides. January 8, 2025 National Action Alliance for Patient and Workforce Safety. Engineering Safety into Practice through Implementation of the EHR SAFER Guides. January 21, 2025, 12:00 - 1:00 PM (eastern). https://psnet.ahrq.gov/issue/engi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73613/psn-pdf
    August 18, 2021 - Implementing universal suicide risk screening in a pediatric hospital. August 18, 2021 Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001. https://psnet.ahrq.gov/issue/im…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45135/psn-pdf
    September 27, 2017 - Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. September 27, 2017 Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470. https://psnet.ahrq.gov/issu…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34646/psn-pdf
    July 01, 2015 - The attributes of medical event reporting systems. July 1, 2015 Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med. 1998;122(3):231-8. https://psnet.ahrq.gov/iss…
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