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psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
June 22, 2017 - Study
Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department.
Citation Text:
Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergen…
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psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
June 03, 2020 - Study
Classic
Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial.
Citation Text:
Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…
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psnet.ahrq.gov/issue/exploring-mediating-effects-between-nursing-leadership-and-patient-safety-person-centred
October 08, 2016 - Study
Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review.
Citation Text:
Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: a literatu…
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization
January 27, 2021 - Study
Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services
Citation Text:
Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…
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psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
June 28, 2010 - Study
Development of a measure of patient safety event learning responses.
Citation Text:
Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x.
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psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-prescribing-systems
December 21, 2022 - Review
A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important?
Citation Text:
Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use electronic prescribing…
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psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
March 17, 2021 - Study
Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates.
Citation Text:
Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…
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psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
September 21, 2016 - Study
Increased risk of burnout for physicians and nurses involved in a patient safety incident.
Citation Text:
Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1…
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psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
December 09, 2020 - Study
Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.
Citation Text:
Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. BMJ Qual …
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - SPOTLIGHT CASE
Double Trouble
Citation Text:
Gurwitz JH. Double Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
Summar…
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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - In Conversation With… Susan Haas, MD, MSc
March 1, 2019
In Conversation With… Susan Haas, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
Editor's note: Dr. Haas is an obstetrician–gynecologist and co-Principal Investigator for Ariadne Labs'
work focused on health…
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psnet.ahrq.gov/node/43429/psn-pdf
October 11, 2016 - CA sitting on millions in hospital fines.
October 11, 2016
Clark C.
https://psnet.ahrq.gov/issue/ca-sitting-millions-hospital-fines
Although California has collected an estimated $15 million in penalties from hospitals for adverse events,
this news piece describes how much of the money has yet to be allocated or s…
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psnet.ahrq.gov/node/36516/psn-pdf
January 07, 2011 - Examining medication errors in a tertiary hospital.
January 7, 2011
Maricle K, Whitehead L, Rhodes M. Examining medication errors in a tertiary hospital. J Nurs Care Qual.
2007;22(1):20-27.
https://psnet.ahrq.gov/issue/examining-medication-errors-tertiary-hospital
The researchers used observational methods to iden…
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psnet.ahrq.gov/node/39939/psn-pdf
June 27, 2018 - Hospitals collaborate to prevent wrong-site surgery.
June 27, 2018
Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.
https://psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery
This article describes a wrong-site surgery prevention program and how it was succ…
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psnet.ahrq.gov/node/43676/psn-pdf
November 12, 2014 - Is surgery safer at a teaching hospital?
November 12, 2014
Webster H. US News & World Report. October 27, 2014.
https://psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
This magazine article explores whether receiving care at a teaching hospital affects patient safety and
highlights how the demands of the educ…
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psnet.ahrq.gov/node/35844/psn-pdf
April 22, 2011 - Can you prevent adverse drug events after hospital
discharge?
April 22, 2011
Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2.
https://psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
The author shares two cases of postdischarge adve…
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psnet.ahrq.gov/node/38368/psn-pdf
July 30, 2015 - Childrens' Hospitals' Solutions for Patient Safety.
July 30, 2015
https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
This Web site provides resources related to a collaborative effort involving more than 80 hospitals with a
goal of reducing health care–associated conditions, readmissions, and…
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psnet.ahrq.gov/node/35775/psn-pdf
July 20, 2010 - Development and implementation of a hospital-based
patient safety program.
July 20, 2010
Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program.
Pediatr Radiol. 2006;36(4):291-8.
https://psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety…
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psnet.ahrq.gov/node/36213/psn-pdf
September 30, 2010 - Patient self-medication--a change in hospital practice.
September 30, 2010
Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs.
2006;15(8):962-70.
https://psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
The investigators studied an inpati…