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Variation in hospital mortality associated with inpatient surgery. | PSNet

psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery

August 02, 2015 - Study Classic Variation in hospital mortality associated with inpatient surgery. Citation Text: Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…

Improving hospital safety culture for falls prevention through interdisciplinary health education. | PSNet

psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education

December 16, 2011 - Study Improving hospital safety culture for falls prevention through interdisciplinary health education. Citation Text: Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…

Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics

July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet

psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves

February 14, 2024 - Study Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. Citation Text: Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…

Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. | PSNet

psnet.ahrq.gov/issue/electromagnetic-interference-radio-frequency-identification-inducing-potentially-hazardous

February 14, 2024 - Study Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. Citation Text: van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification indu…

Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie

February 14, 2024 - Study Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. Citation Text: Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…

Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. | PSNet

psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality

November 26, 2014 - Review Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. Citation Text: Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…

Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. | PSNet

psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization

December 02, 2020 - Study Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. Citation Text: Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on morta…

Changes in hospital adverse events and patient outcomes associated with private equity acquisition. | PSNet

psnet.ahrq.gov/issue/changes-hospital-adverse-events-and-patient-outcomes-associated-private-equity-acquisition

July 12, 2023 - Study Changes in hospital adverse events and patient outcomes associated with private equity acquisition. Citation Text: Kannan S, Bruch JD, Song Z. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. JAMA. 2023;330(24):2365-2375. doi:10.10…

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.…

Learning from patient safety incidents: The Green Cross method. | PSNet

psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method

June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic

July 29, 2020 - Study Classic Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. Citation Text: Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …

How can never event data be used to reflect or improve hospital safety performance? | PSNet

psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance

March 30, 2022 - Study How can never event data be used to reflect or improve hospital safety performance? Citation Text: Olivarius‐McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/a…

Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. | PSNet

psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united

December 02, 2020 - Study Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. Citation Text: Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet

psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study

April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. | PSNet

psnet.ahrq.gov/issue/physicians-experiences-mistreatment-and-discrimination-patients-families-and-visitors-and

October 26, 2022 - Study Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. Citation Text: Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and a…

Registration-associated patient misidentification in an academic medical center: causes and corrections. | PSNet

psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and

September 02, 2020 - Study Registration-associated patient misidentification in an academic medical center: causes and corrections. Citation Text: Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. | PSNet

psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors

October 20, 2021 - Study Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. Citation Text: Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…

Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet

psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients

August 25, 2021 - Study Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet

psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis

December 06, 2023 - Study A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Citation Text: Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…

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