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Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. | PSNet

psnet.ahrq.gov/issue/delivery-inadequate-level-maternal-care-associated-severe-maternal-morbidity

September 29, 2021 - Study Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Citation Text: Osei-Poku GK, Prentice JC, Easter SR, et al. Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. Am J Obstet Gynecol. 2024;231(5)…

Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. | PSNet

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April 06, 2011 - Study Classic Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Citation Text: Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health …

Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. | PSNet

psnet.ahrq.gov/issue/frontline-nurses-clinical-judgment-recognizing-understanding-and-responding-patient

December 01, 2021 - Study Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. Citation Text: Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: …

A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/prospective-observational-study-effects-implementation-strategy-compliance-surgical-safety

February 02, 2022 - Study A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. Citation Text: Hannam JA, Glass L, Kwon J, et al. A prospective, observational study of the effects of implementation strategy on compliance with a surgical…

Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. | PSNet

psnet.ahrq.gov/issue/introduction-novel-patient-safety-advisory-evaluation-perceived-information-modified-qpp

April 05, 2023 - Study Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. Citation Text: Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of perceived informatio…

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety

January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. | PSNet

psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events

September 27, 2016 - Commentary Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. Citation Text: Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and…

Evaluation of communication and safety behaviors during hospital-wide code response simulation. | PSNet

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February 23, 2022 - Study Evaluation of communication and safety behaviors during hospital-wide code response simulation. Citation Text: Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…

Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. | PSNet

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February 02, 2022 - Study Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. Citation Text: Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…

Medicines reconciliation using a shared electronic health care record. | PSNet

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March 04, 2015 - Study Medicines reconciliation using a shared electronic health care record. Citation Text: Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record. J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9. Copy Citation …

Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet

psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record

May 01, 2015 - Study Classic Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Citation Text: Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…

National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. | PSNet

psnet.ahrq.gov/issue/national-quality-program-achieves-improvements-safety-culture-and-reduction-preventable-harms

November 02, 2022 - Study National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. Citation Text: Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in Com…

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet

psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real

October 20, 2021 - Study Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. Citation Text: Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life study. Basic…

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative

July 31, 2019 - Review The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Citation Text: Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. | PSNet

psnet.ahrq.gov/issue/acute-clinical-deterioration-and-consumer-escalation-understanding-and-perceptions-hospital

May 11, 2022 - Study Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. Citation Text: Thiele L, Flabouris A, Thompson C. Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. PLoS ONE. 2022;17(…

Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. | PSNet

psnet.ahrq.gov/issue/epidemiology-and-risk-factors-coronavirus-infection-health-care-workers-living-rapid-review

March 02, 2011 - Review Emerging Classic Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. Citation Text: Chou R, Dana T, Buckley DI, et al. Epidemiology of and risk factors for coronavirus infection in health care workers:…

Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. | PSNet

psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-canadian-regional

March 18, 2020 - Study Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. Citation Text: Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic…

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections

February 22, 2017 - Study Classic Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. Citation Text: Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…

Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohort study of acute stroke care. | PSNet

psnet.ahrq.gov/issue/weekly-variation-health-care-quality-day-and-time-admission-nationwide-registry-based

September 24, 2014 - Study Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohort study of acute stroke care. Citation Text: Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission: a nationwide, …

Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? | PSNet

psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt

May 19, 2021 - Study Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Citation Text: Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56…

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