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  1. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. | PSNet

    psnet.ahrq.gov/issue/preventable-harm-index-effective-motivator-facilitate-drive-zero
    January 15, 2014 - Commentary The Preventable Harm Index: an effective motivator to facilitate the drive to zero. Citation Text: Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.201…

  2. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. | PSNet

    psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus-reporting-behavior
    September 29, 2017 - Study Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. Citation Text: Halbesleben JRB, Wakefield BJ, Wakefield DS, et al. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30(…

  3. Hospital patients' reports of medical errors and undesirable events in their health care. | PSNet

    psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care
    July 06, 2012 - Study Hospital patients' reports of medical errors and undesirable events in their health care. Citation Text: Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.11…

  4. The influence of bullying on nursing practice errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
    January 30, 2019 - Review The influence of bullying on nursing practice errors: a systematic review. Citation Text: Johnson AH, Benham‐Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923. Copy Citation Format: DOI …

  5. Intraoperative patient information handover between anesthesia providers. | PSNet

    psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
    November 24, 2021 - Study Intraoperative patient information handover between anesthesia providers. Citation Text: Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001. Copy C…

  6. Patient safety and mental health-a growing quality gap in Canada. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quality-gap-canada
    February 19, 2010 - Commentary Patient safety and mental health-a growing quality gap in Canada. Citation Text: Waddell AE, Gratzer D. Patient safety and mental health-a growing quality gap in Canada. Can J Psychiatry. 2022;67(4):246-249. doi:10.1177/07067437211036596. Copy Citation Format: DO…

  7. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. | PSNet

    psnet.ahrq.gov/issue/transforming-communication-and-safety-culture-intrapartum-care-multi-organization-blueprint
    May 21, 2019 - Commentary Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Citation Text: Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(…

  8. Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

    psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
    January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

  9. Implementation of a structured hospital-wide morbidity and mortality rounds model. | PSNet

    psnet.ahrq.gov/issue/implementation-structured-hospital-wide-morbidity-and-mortality-rounds-model
    January 20, 2015 - Study Implementation of a structured hospital-wide morbidity and mortality rounds model. Citation Text: Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…

  10. Detection and prevention of medication misadventures in general practice. | PSNet

    psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
    May 13, 2020 - Study Detection and prevention of medication misadventures in general practice. Citation Text: Tam KWT, Kwok KH, Fan YMC, et al. Detection and prevention of medication misadventures in general practice. Int J Qual Health Care. 2008;20(3):192-9. doi:10.1093/intqhc/mzn002. Copy Citatio…

  11. The spectrum of hospitalization-associated harm in the elderly. | PSNet

    psnet.ahrq.gov/issue/spectrum-hospitalization-associated-harm-elderly
    April 06, 2022 - Commentary The spectrum of hospitalization-associated harm in the elderly. Citation Text: Schattner A. The spectrum of hospitalization-associated harm in the elderly. Eur J Intern Med. 2023;115(Sept):29-33. doi:10.1016/j.ejim.2023.05.025. Copy Citation Format: DOI Google Sc…

  12. Patient safety climate in primary care: age matters. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-primary-care-age-matters
    June 11, 2010 - Study Patient safety climate in primary care: age matters. Citation Text: Holden LM, Watts DD, Walker PH. Patient safety climate in primary care: age matters. J Patient Saf. 2009;5(1):23-28. doi:10.1097/PTS.0b013e318199d4bf. Copy Citation Format: DOI Google Scholar PubMed…

  13. Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet

    psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
    August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

  14. Clinical and financial implications of second-opinion surgical pathology review. | PSNet

    psnet.ahrq.gov/issue/clinical-and-financial-implications-second-opinion-surgical-pathology-review
    August 04, 2021 - Study Clinical and financial implications of second-opinion surgical pathology review. Citation Text: Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa…

  15. Putting the patient in patient safety investigations: barriers and strategies for involvement. | PSNet

    psnet.ahrq.gov/issue/putting-patient-patient-safety-investigations-barriers-and-strategies-involvement
    June 23, 2021 - Review Putting the patient in patient safety investigations: barriers and strategies for involvement. Citation Text: Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pt…

  16. Towards a more patient-centered approach to medication safety. | PSNet

    psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
    January 22, 2025 - Review Towards a more patient-centered approach to medication safety. Citation Text: Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532. Copy Citation Format: DOI Googl…

  17. The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. | PSNet

    psnet.ahrq.gov/issue/effects-resident-level-training-rate-pediatric-prescription-errors-academic-emergency
    October 19, 2022 - Study The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. Citation Text: Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric prescription errors in an academic…

  18. Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. | PSNet

    psnet.ahrq.gov/issue/comparison-adverse-events-during-procedural-sedation-between-specially-trained-pediatric
    August 21, 2008 - Study Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. Citation Text: Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between specially tra…

  19. Types and patterns of safety concerns in home care: client and family caregiver perspectives. | PSNet

    psnet.ahrq.gov/issue/types-and-patterns-safety-concerns-home-care-client-and-family-caregiver-perspectives
    December 29, 2014 - Study Types and patterns of safety concerns in home care: client and family caregiver perspectives. Citation Text: Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):21…

  20. Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet

    psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall
    December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…
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