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  1. Assessing adverse events among home care clients in three Canadian provinces using chart review. | PSNet

    psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian-provinces-using-chart-review
    June 28, 2017 - Study Assessing adverse events among home care clients in three Canadian provinces using chart review. Citation Text: Blais R, Sears NA, Doran D, et al. Assessing adverse events among home care clients in three Canadian provinces using chart review. BMJ Qual Saf. 2013;22(12):989-997. do…

  2. A descriptive study of nurse-reported missed care in neonatal intensive care units. | PSNet

    psnet.ahrq.gov/issue/descriptive-study-nurse-reported-missed-care-neonatal-intensive-care-units
    January 27, 2019 - Study A descriptive study of nurse-reported missed care in neonatal intensive care units. Citation Text: Tubbs-Cooley HL, Pickler RH, Younger JB, et al. A descriptive study of nurse-reported missed care in neonatal intensive care units. J Adv Nurs. 2015;71(4):813-24. doi:10.1111/jan.1257…

  3. Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. | PSNet

    psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
    February 16, 2011 - Study Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. Citation Text: Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two pop…

  4. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
    July 29, 2020 - Study Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. Citation Text: Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…

  5. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. | PSNet

    psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
    October 26, 2022 - Study Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. Citation Text: Lurvey LD, Fassett MJ, Kanter MH. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organiz…

  6. Detection of adverse drug events using an electronic trigger tool. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-drug-events-using-electronic-trigger-tool
    October 02, 2013 - Study Detection of adverse drug events using an electronic trigger tool. Citation Text: Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481. Copy Citation F…

  7. Test result communication in primary care: a survey of current practice. | PSNet

    psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practice
    November 20, 2015 - Study Test result communication in primary care: a survey of current practice. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: a survey of current practice. BMJ Qual Saf. 2015;24(11):691-9. doi:10.1136/bmjqs-2014-003712. Copy Citati…

  8. Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? | PSNet

    psnet.ahrq.gov/issue/resident-supervision-and-patient-safety-do-different-levels-resident-supervision-affect-rate
    November 16, 2022 - Study Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? Citation Text: Van Leer PE, Lavine EK, Rabrich JS, et al. Resident Supervision and Patient Safety: Do Different Levels of Resident Supervision Affe…

  9. An exploratory analysis of the association between hospital quality measures and financial performance. | PSNet

    psnet.ahrq.gov/issue/exploratory-analysis-association-between-hospital-quality-measures-and-financial-performance
    September 11, 2024 - Study An exploratory analysis of the association between hospital quality measures and financial performance. Citation Text: Beauvais B, Dolezel D, Ramamonjiarivelo Z. An exploratory analysis of the association between hospital quality measures and financial performance. Healthcare (Base…

  10. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. | PSNet

    psnet.ahrq.gov/issue/are-opioid-infusions-used-inappropriately-end-life-results-qualitysafety-project
    November 16, 2022 - Study Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. Citation Text: Yeh JC, Chae SG, Kennedy PJ, et al. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. J Pain Symptom Manage. 2022;64(3):e13…

  11. Do house officers learn from their mistakes? | PSNet

    psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes
    April 19, 2011 - Study Classic Do house officers learn from their mistakes? Citation Text: Wu AW, Folkman S, McPhee SJ, et al. Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  12. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-patients-attitudes-and-practices-physicians-and-trainees
    February 15, 2011 - Study Disclosing medical errors to patients: attitudes and practices of physicians and trainees. Citation Text: Kaldjian LC, Jones EW, Wu BJ, et al. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. J Gen Intern Med. 2007;22(7):988-96. Copy Ci…

  13. Clinical alerts to decrease high-risk medication use in older adults. | PSNet

    psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults
    September 02, 2015 - Commentary Clinical alerts to decrease high-risk medication use in older adults. Citation Text: Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. Copy Citation Format: …

  14. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
    April 29, 2020 - Review Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Citation Text: Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-1…

  15. Postoperative sepsis in the United States. | PSNet

    psnet.ahrq.gov/issue/postoperative-sepsis-united-states
    January 12, 2022 - Study Postoperative sepsis in the United States. Citation Text: Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  16. Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis | PSNet

    psnet.ahrq.gov/issue/association-between-physician-depressive-symptoms-and-medical-errors-systematic-review-and
    January 12, 2022 - Review Emerging Classic Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis Citation Text: Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: …

  17. Improving patient safety via automated laboratory-based adverse event grading. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
    October 19, 2022 - Study Improving patient safety via automated laboratory-based adverse event grading. Citation Text: Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…

  18. "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

    psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences
    November 29, 2017 - Study "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. Citation Text: Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…

  19. Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
    August 15, 2013 - Study Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. Citation Text: Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…

  20. Crew resource management improved perception of patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/crew-resource-management-improved-perception-patient-safety-operating-room
    April 27, 2010 - Study Crew resource management improved perception of patient safety in the operating room. Citation Text: Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual. 2010;25(1):60-3. doi:10.1177/1062860609351…
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