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Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet

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April 17, 2024 - Study Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. Citation Text: Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…

Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. | PSNet

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April 24, 2018 - Commentary Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. Citation Text: Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incor…

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). | PSNet

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February 04, 2015 - Study Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). Citation Text: Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…

Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. | PSNet

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May 12, 2021 - Study Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. Citation Text: Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a quali…

To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. | PSNet

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November 02, 2022 - Study To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. Citation Text: Garfield S, Teo V, Chan L, et al. To what extent is the World Health Organization's Medication Safety Challenge being…

Improving critical incident reporting in primary care through education and involvement. | PSNet

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September 07, 2022 - Study Improving critical incident reporting in primary care through education and involvement. Citation Text: Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…

Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. | PSNet

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November 02, 2016 - Study Classic Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. Citation Text: Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualit…

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. | PSNet

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October 27, 2021 - Study Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. Citation Text: Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…

Impact of repeated reimbursement penalties on hospital total quality scores. | PSNet

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November 16, 2022 - Study Impact of repeated reimbursement penalties on hospital total quality scores. Citation Text: Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. Copy Citati…

Making safety training stickier: a richer model of safety training engagement and transfer. | PSNet

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October 06, 2021 - Review Making safety training stickier: a richer model of safety training engagement and transfer. Citation Text: Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2…

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. | PSNet

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August 04, 2021 - Study "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. Citation Text: Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use …

Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. | PSNet

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November 01, 2017 - Study Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. Citation Text: Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary interventio…

Outcomes of emergency department patients presenting with adverse drug events. | PSNet

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April 22, 2011 - Study Outcomes of emergency department patients presenting with adverse drug events. Citation Text: Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.0…

A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. | PSNet

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November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…

Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. | PSNet

psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events

September 03, 2014 - Study Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. Citation Text: Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach t…

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

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December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. | PSNet

psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial

September 11, 2024 - Study Classic Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. Citation Text: Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety performance on hospi…

The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. | PSNet

psnet.ahrq.gov/issue/effects-hospital-safety-scores-total-price-out-pocket-cost-and-household-income-consumers

July 02, 2014 - Study The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. Citation Text: Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost, and Household Incom…

Application of patient safety indicators internationally: a pilot study among seven countries. | PSNet

psnet.ahrq.gov/issue/application-patient-safety-indicators-internationally-pilot-study-among-seven-countries

November 15, 2017 - Study Application of patient safety indicators internationally: a pilot study among seven countries. Citation Text: Drösler SE, Klazinga NS, Romano PS, et al. Application of patient safety indicators internationally: a pilot study among seven countries. Int J Qual Health Care. 2009;21(…

Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. | PSNet

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October 19, 2022 - Study Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. Citation Text: Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-Acquired Condition Reduction Program. Am J Med Qual. 2017;32…

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