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The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. | PSNet

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June 12, 2019 - Study The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. Citation Text: Lee R, Baeza JI, Fulop NJ. The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. BMJ Qual Saf…

Using a learning system approach to improve safety for prone-position ventilation patients. | PSNet

psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients

January 10, 2024 - Study Using a learning system approach to improve safety for prone-position ventilation patients. Citation Text: Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone-position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.10…

A systematic review of the prevalence and types of adverse events in interfacility critical care transfers by paramedics. | PSNet

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November 25, 2020 - Review A systematic review of the prevalence and types of adverse events in interfacility critical care transfers by paramedics. Citation Text: Alabdali A, Fisher JD, Trivedy C, et al. A Systematic Review of the Prevalence and Types of Adverse Events in Interfacility Critical Care Transf…

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. | PSNet

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February 24, 2021 - Commentary Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. Citation Text: Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Inter…

Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet

psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement

January 18, 2013 - Review Emerging Classic Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. Citation Text: Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and im…

"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. | PSNet

psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation

January 03, 2017 - Study "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Citation Text: Shaikh U, Natale JAE, Till DA, et al. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Pediatr Emerg Care. 2…

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary

May 11, 2022 - Study The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. Citation Text: Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …

Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. | PSNet

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December 14, 2022 - Review Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. Citation Text: Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…

Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. | PSNet

psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health

June 28, 2011 - Review Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. Citation Text: Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. | PSNet

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October 21, 2011 - Study Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Citation Text: Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a commun…

Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet

psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative

December 16, 2015 - Study Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. Citation Text: Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…

Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet

psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united

November 01, 2017 - Study Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. Citation Text: Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the U…

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. | PSNet

psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus

September 20, 2011 - Study Classic The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. Citation Text: Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Saf…

Five-year audit of adherence to an anaesthesia pre-induction checklist. | PSNet

psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist

May 19, 2021 - Study Five-year audit of adherence to an anaesthesia pre-induction checklist. Citation Text: Fuchs A, Frick S, Huber M, et al. Five‐year audit of adherence to an anaesthesia pre‐induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. Copy Citation Format: …

The PROMISES Project. | PSNet

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January 30, 2019 - Multi-use Website The PROMISES Project. Citation Text: The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…

The application of the Global Trigger Tool: a systematic review. | PSNet

psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review

December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. | PSNet

psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review

December 21, 2014 - Review Emerging Classic Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. Citation Text: Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…

Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. | PSNet

psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection

November 16, 2016 - Review Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. Citation Text: Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of …

Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. | PSNet

psnet.ahrq.gov/issue/improving-safety-evaluating-impact-supply-chain-and-drug-shortages-health-systems

November 04, 2020 - Commentary Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Citation Text: Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Hosp Pharm. 2023;58(2):120-124.…

Perspectives on anesthesia and perioperative patient safety: past, present, and future. | PSNet

psnet.ahrq.gov/issue/perspectives-anesthesia-and-perioperative-patient-safety-past-present-and-future

June 19, 2019 - Commentary Perspectives on anesthesia and perioperative patient safety: past, present, and future. Citation Text: Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past, present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/…

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