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What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. | PSNet

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October 23, 2019 - Study What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. Citation Text: Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and mi…

Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement. | PSNet

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May 29, 2019 - Study Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement. Citation Text: Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement. Health Af…

Early death after discharge from emergency departments: analysis of national US insurance claims data. | PSNet

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June 25, 2018 - Study Classic Early death after discharge from emergency departments: analysis of national US insurance claims data. Citation Text: Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance cl…

Multifaceted interventions improve adherence to the surgical checklist. | PSNet

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November 07, 2012 - Study Multifaceted interventions improve adherence to the surgical checklist. Citation Text: Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. Copy Citation Forma…

System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. | PSNet

psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency

August 31, 2022 - Study System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Citation Text: Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):…

Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. | PSNet

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May 17, 2017 - Study Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. Citation Text: Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…

The management of test results in primary care: does an electronic medical record make a difference? | PSNet

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April 12, 2011 - Study The management of test results in primary care: does an electronic medical record make a difference? Citation Text: Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic medical record make a difference? Fam Med. 2010;42(5):327-33…

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. | PSNet

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November 16, 2022 - Study Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Citation Text: Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality ra…

Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. | PSNet

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September 29, 2017 - Study Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. Citation Text: Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes…

Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. | PSNet

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July 22, 2020 - Commentary Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. Citation Text: Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a pharmacy department’s approach to a…

A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. | PSNet

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September 23, 2020 - Study A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. Citation Text: Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit: increasing the implementatio…

Primary care closed claims experience of Massachusetts malpractice insurers. | PSNet

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August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…

Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. | PSNet

psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty

July 08, 2020 - Study Classic Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. Citation Text: Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…

Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. | PSNet

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November 04, 2020 - Study Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. Citation Text: Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in…

Do patient safety indicators explain increased weekend mortality? | PSNet

psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality

June 01, 2011 - Study Do patient safety indicators explain increased weekend mortality? Citation Text: Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. Copy Citation Format: …

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. | PSNet

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May 05, 2021 - Commentary 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. Citation Text: Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…

Claims, errors, and compensation payments in medical malpractice litigation. | PSNet

psnet.ahrq.gov/issue/claims-errors-and-compensation-payments-medical-malpractice-litigation

March 02, 2011 - Study Classic Claims, errors, and compensation payments in medical malpractice litigation. Citation Text: Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33.…

Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital. | PSNet

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April 06, 2022 - Study Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital. Citation Text: Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national sample of ped…

Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital

November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. | PSNet

psnet.ahrq.gov/issue/learning-complaints-healthcare-realist-review-academic-literature-policy-evidence-and-front

January 12, 2022 - Review Emerging Classic Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. Citation Text: van Dael J, Reader TW, Gillespie A, et al. Learning from complaints in healthcare: a realist review o…

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