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Hospital discharge documentation and risk of rehospitalisation. | PSNet

psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation

March 25, 2015 - Study Hospital discharge documentation and risk of rehospitalisation. Citation Text: Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. Copy Citation Format: …

Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? | PSNet

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November 13, 2019 - Review Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? Citation Text: Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126. C…

Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. | PSNet

psnet.ahrq.gov/issue/achieving-diagnostic-excellence-roadmaps-develop-and-use-patient-reported-measures-equity

November 02, 2022 - Commentary Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Citation Text: McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int…

Journey to no preventable risk: The Baylor Health Care System patient safety experience. | PSNet

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November 23, 2014 - Commentary Journey to no preventable risk: The Baylor Health Care System patient safety experience. Citation Text: Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…

Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. | PSNet

psnet.ahrq.gov/issue/triggers-bundles-protocols-and-checklists-what-every-maternal-care-provider-needs-know

October 19, 2022 - Review Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. Citation Text: Arora KS, Shields LE, Grobman WA, et al. Triggers, bundles, protocols, and checklists--what every maternal care provider needs to know. Am J Obstet Gynecol. 2016;214(4):444…

An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. | PSNet

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June 17, 2015 - Review An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. Citation Text: Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what the literature …

Relationship between quality of care and negligence litigation in nursing homes. | PSNet

psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes

September 07, 2011 - Study Relationship between quality of care and negligence litigation in nursing homes. Citation Text: Studdert DM, Spittal MJ, Mello MM, et al. Relationship between quality of care and negligence litigation in nursing homes. N Engl J Med. 2011;364(13):1243-1250. doi:10.1056/nejmsa100933…

Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. | PSNet

psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign

November 26, 2014 - Review Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. Citation Text: Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp…

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | PSNet

psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice-partner-research

January 18, 2013 - Study Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Citation Text: Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…

A team disclosure of error educational activity: objective outcomes. | PSNet

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January 31, 2018 - Study A team disclosure of error educational activity: objective outcomes. Citation Text: Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883. Copy Citation Forma…

The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. | PSNet

psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals

January 19, 2022 - Study The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Citation Text: Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…

Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet

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May 19, 2021 - Study Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. Citation Text: Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…

Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. | PSNet

psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational

June 01, 2022 - Review Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. Citation Text: Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational Outcom…

Economic evaluation of the impact of medication errors reported by US clinical pharmacists. | PSNet

psnet.ahrq.gov/issue/economic-evaluation-impact-medication-errors-reported-us-clinical-pharmacists

February 02, 2011 - Study Economic evaluation of the impact of medication errors reported by US clinical pharmacists. Citation Text: Samp JC, Touchette DR, Marinac JS, et al. Economic evaluation of the impact of medication errors reported by U.S. clinical pharmacists. Pharmacotherapy. 2014;34(4):350-7. doi:…

Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative

July 21, 2021 - Study Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. Citation Text: Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. BMJ Qual Saf. 2021…

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet

psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis

March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet

psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum

August 03, 2017 - Commentary Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Citation Text: Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…

Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children

January 12, 2022 - Study Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. Citation Text: Carlotti APCP, Bachette LG, Carmona F, et al. Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective Study.…

Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. | PSNet

psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and

January 27, 2016 - Study Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Citation Text: Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient…

Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. | PSNet

psnet.ahrq.gov/issue/leader-safety-storytelling-qualitative-analysis-attributes-effective-safety-storytelling-and

November 16, 2022 - Study Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. Citation Text: Benetti PJ, Kanse L, Fruhen LS, et al. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and it…

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