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Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. | PSNet

psnet.ahrq.gov/issue/communication-training-adverse-events-and-quality-measures-2-retrospective-database-analyses

August 04, 2021 - Study Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. Citation Text: Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washi…

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet

psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection

May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet

psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system

June 01, 2019 - Study An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. Citation Text: Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…

Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. | PSNet

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September 18, 2024 - Commentary Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. Citation Text: Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…

Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. | PSNet

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August 26, 2015 - Review Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. Citation Text: Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication …

Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. | PSNet

psnet.ahrq.gov/issue/guidelines-us-hospitals-and-clinicians-assessment-electronic-health-record-safety-using-safer

June 24, 2020 - Commentary Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. Citation Text: Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. JAMA.…

Perceptions of rounding checklists in the intensive care unit: a qualitative study. | PSNet

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July 21, 2021 - Study Perceptions of rounding checklists in the intensive care unit: a qualitative study. Citation Text: Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.…

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

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September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. | PSNet

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September 27, 2017 - Commentary Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. Citation Text: Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…

Learning from litigation. The role of claims analysis in patient safety. | PSNet

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November 21, 2018 - Study Learning from litigation. The role of claims analysis in patient safety. Citation Text: Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. Copy Citation Format: Google S…

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. | PSNet

psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial

March 05, 2010 - Study Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Citation Text: Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…

Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/recognising-and-responding-cutting-corners-when-providing-nursing-care-qualitative-study

July 01, 2017 - Study Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. Citation Text: Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. do…

The role of housestaff in implementing medication reconciliation on admission at an academic medical center. | PSNet

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March 30, 2011 - Commentary The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Citation Text: Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Am J Me…

Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. | PSNet

psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have

April 08, 2020 - Study Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. Citation Text: Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…

Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. | PSNet

psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth

July 17, 2024 - Commentary Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. Citation Text: Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…

Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care

June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-prescribed-and-actual-pediatric-home-parenteral-nutrition-solutions

November 11, 2009 - Study Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. Citation Text: Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.117…

Evaluation and certification of computerized physician order entry systems. | PSNet

psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems

May 27, 2011 - Review Evaluation and certification of computerized physician order entry systems. Citation Text: Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. Copy Citation Format: Google…

Creating a culture of caregiver support. | PSNet

psnet.ahrq.gov/issue/creating-culture-caregiver-support

May 18, 2022 - Newspaper/Magazine Article Creating a culture of caregiver support. Citation Text: Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…

Medication error prevention by pharmacists. | PSNet

psnet.ahrq.gov/issue/medication-error-prevention-pharmacists

August 04, 2021 - Study Classic Medication error prevention by pharmacists. Citation Text: Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

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