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Patient characteristics and the occurrence of never events. | PSNet

psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events

February 15, 2011 - Study Patient characteristics and the occurrence of never events. Citation Text: Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. Copy Citation Format: DOI Google Schol…

Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-discrepancy-pulse-oximetry-and-delayed-identification-treatment-eligibility

June 22, 2022 - Study Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. Citation Text: Fawzy A, Wu TD, Wang K, et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among …

Injuries before and after diagnosis of cancer: nationwide register based study. | PSNet

psnet.ahrq.gov/issue/injuries-and-after-diagnosis-cancer-nationwide-register-based-study

May 25, 2022 - Study Injuries before and after diagnosis of cancer: nationwide register based study. Citation Text: Shen Q, Lu D, Schelin MEC, et al. Injuries before and after diagnosis of cancer: nationwide register based study. BMJ. 2016;354:i4218. doi:10.1136/bmj.i4218. Copy Citation Format: …

In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? | PSNet

psnet.ahrq.gov/issue/situ-simulation-strategy-restore-patient-safety-intensive-care-units-after-covid-19-pandemic

March 09, 2022 - Review In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? Citation Text: Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 …

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. | PSNet

psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population

December 29, 2014 - Study Classic Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Citation Text: Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patie…

Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients' actual use of medication. | PSNet

psnet.ahrq.gov/issue/medicines-reconciliation-emergency-department-important-prescribing-discrepancies-between

April 21, 2021 - Study Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients' actual use of medication. Citation Text: Andersen TS, Gemmer MN, Sejberg HRC, et al. Medicines reconciliation in the emergency department: im…

Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. | PSNet

psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes

June 04, 2014 - Study Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Citation Text: Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…

The effects of harm events on 30-day readmission in surgical patients. | PSNet

psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients

July 31, 2019 - Study The effects of harm events on 30-day readmission in surgical patients. Citation Text: Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261. Copy Citati…

Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. | PSNet

psnet.ahrq.gov/issue/characteristics-and-patient-impact-boarding-pediatric-emergency-department-2018-2022

October 19, 2022 - Study Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. Citation Text: Kappy B, Berkowitz D, Isbey S, et al. Characteristics and patient impact of boarding in the pediatric emergency department, 2018–2022. Am J Emerg Med. 2023;77:139-146. do…

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet

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August 05, 2020 - Study Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. Citation Text: Nilsson L, Lindblad M, Johansson N, et al. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool…

Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/evaluation-feedback-modalities-and-preferences-regarding-feedback-decision-making-pediatric

September 08, 2021 - Study Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. Citation Text: Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pedia…

Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. | PSNet

psnet.ahrq.gov/issue/effects-multicentre-teamwork-and-communication-programme-patient-outcomes-results-triad

January 16, 2013 - Study Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. Citation Text: Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient o…

The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample

November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet

psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care

July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …

Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. | PSNet

psnet.ahrq.gov/issue/separating-residents-inpatient-and-outpatient-responsibilities-improving-patient-safety

September 04, 2016 - Study Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. Citation Text: Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities: Improving…

Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet

psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event

November 23, 2014 - Study Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. Citation Text: Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…

Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active-incident

July 24, 2024 - Study Patient safety incidents are common in primary care: a national prospective active incident reporting survey. Citation Text: Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national prospective active incident reporting survey. PLoS On…

Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. | PSNet

psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult

July 29, 2020 - Review Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. Citation Text: McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …

Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. | PSNet

psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused

April 11, 2011 - Study Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. Citation Text: Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development, t…

Safety culture in the operating room: variability among perioperative healthcare workers. | PSNet

psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers

November 17, 2021 - Study Safety culture in the operating room: variability among perioperative healthcare workers. Citation Text: Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/…

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