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  1. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery
    February 17, 2021 - Commentary Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Citation Text: Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…

  2. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. | PSNet

    psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
    October 21, 2020 - Commentary COVID-19: an emerging threat to antibiotic stewardship in the emergency department. Citation Text: Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.…

  3. Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet

    psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach
    November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

  4. Factors determining safety culture in hospitals: a scoping review. | PSNet

    psnet.ahrq.gov/issue/factors-determining-safety-culture-hospitals-scoping-review
    March 09, 2022 - Review Factors determining safety culture in hospitals: a scoping review. Citation Text: Carvalho REFL de, Bates DW, Syrowatka A, et al. Factors determining safety culture in hospitals: a scoping review. BMJ Open Qual. 2023;12(4):e002310. doi:10.1136/bmjoq-2023-002310. Copy Citation …

  5. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet

    psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
    September 23, 2020 - Study Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Citation Text: Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a …

  6. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet

    psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider
    June 29, 2022 - Review Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. Citation Text: Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on …

  7. Anesthesiology patient handoff education interventions: a systematic review. | PSNet

    psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review
    April 28, 2021 - Review Anesthesiology patient handoff education interventions: a systematic review. Citation Text: Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…

  8. Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet

    psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
    August 09, 2023 - Study Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. Citation Text: Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care …

  9. Surgeon and surgical trainee experiences after adverse patient events. | PSNet

    psnet.ahrq.gov/issue/surgeon-and-surgical-trainee-experiences-after-adverse-patient-events
    January 09, 2019 - Study Surgeon and surgical trainee experiences after adverse patient events. Citation Text: Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. Copy…

  10. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. | PSNet

    psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand
    December 02, 2020 - Study Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Citation Text: Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…

  11. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments-systematic-review-and-meta
    September 06, 2017 - Review Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. Citation Text: Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw …

  12. Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status

    hcup-us.ahrq.gov/reports/natstats/rn4.htm
    November 01, 1998 - Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status Below is a summary of HCUP-3 Research Note 4 (AHCPR Pub. No. 97-0006), which is available from the AHCPR Publications Clearinghouse. Call toll free 800-358-9295…

  13. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet

    psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans
    September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Citation Text: Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. …

  14. Association of household opioid availability and prescription opioid initiation among household members. | PSNet

    psnet.ahrq.gov/issue/association-household-opioid-availability-and-prescription-opioid-initiation-among-household
    April 24, 2018 - Study Association of household opioid availability and prescription opioid initiation among household members. Citation Text: Seamans MJ, Carey TS, Westreich DJ, et al. Association of Household Opioid Availability and Prescription Opioid Initiation Among Household Members. JAMA Intern Me…

  15. Prescription opioid analgesics commonly unused after surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review
    March 30, 2022 - Review Prescription opioid analgesics commonly unused after surgery: a systematic review. Citation Text: Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831. Copy Citati…

  16. Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet

    psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient
    January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

  17. Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluating-relationship-between-health-information-technology-and-safer-prescribing-long-term
    March 16, 2022 - Review Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. Citation Text: Kruse CS, Mileski M, Syal R, et al. Evaluating the relationship between health information technology and safer-prescribing in…

  18. Where are my instruments? Hazards in delivery of surgical instruments. | PSNet

    psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
    September 25, 2008 - Study Where are my instruments? Hazards in delivery of surgical instruments. Citation Text: Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. Copy Citat…

  19. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. | PSNet

    psnet.ahrq.gov/issue/fatigue-amongst-anaesthesiology-and-intensive-care-trainees-europe-matter-concern
    June 28, 2023 - Study Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Citation Text: Abramovich I, Matias B, Norte G, et al. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Eur J Anaesthesiol. 2023;40(8):587-595. doi…

  20. Improving resident handoffs for children transitioning from the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
    January 12, 2022 - Study Improving resident handoffs for children transitioning from the intensive care unit. Citation Text: Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…
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