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Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet

psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety

September 18, 2009 - Study Medicare payment for selected adverse events: building the business case for investing in patient safety. Citation Text: Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millw…

Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19. | PSNet

psnet.ahrq.gov/issue/assessing-dangers-hospital-stay-patients-developmental-disability-england-2017-19

October 26, 2022 - Study Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19. Citation Text: Friebel R, Maynou L. Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19. Health Aff (Millwood). 2022;41(10):1…

Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. | PSNet

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May 13, 2020 - Government Resource Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Citation Text: Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35…

Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. | PSNet

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November 16, 2022 - Study Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. Citation Text: Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferen…

Analysis of risk factors for patient safety events occurring in the emergency department. | PSNet

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January 26, 2022 - Study Analysis of risk factors for patient safety events occurring in the emergency department. Citation Text: Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…

Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet

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May 18, 2022 - Study Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Citation Text: Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. Copy Citati…

Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

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November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

Laboratory safety monitoring of chronic medications in ambulatory care settings. | PSNet

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January 06, 2017 - Study Laboratory safety monitoring of chronic medications in ambulatory care settings. Citation Text: Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525…

Design of an evidence-based "second victim" curriculum for nurse anesthetists. | PSNet

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February 15, 2023 - Commentary Design of an evidence-based "second victim" curriculum for nurse anesthetists. Citation Text: Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists. AANA J. 2016;84(2):107-113. Copy Citation Format: Google Scholar P…

Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. | PSNet

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October 26, 2010 - Study Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Citation Text: Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health …

Wound-care teams for preventing and treating pressure ulcers. | PSNet

psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers

June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. Citation Text: Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2. Copy Citation Format:…

Is it rational to pursue zero suicides among patients in health care? | PSNet

psnet.ahrq.gov/issue/it-rational-pursue-zero-suicides-among-patients-health-care

October 18, 2023 - Commentary Is it rational to pursue zero suicides among patients in health care? Citation Text: Mokkenstorm JK, Kerkhof AJFM, Smit JH, et al. Is It Rational to Pursue Zero Suicides Among Patients in Health Care? Suicide Life Threat Behav. 2018;48(6):745-754. doi:10.1111/sltb.12396. Cop…

The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet

psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units

March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…

"They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences

November 29, 2017 - Study "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. Citation Text: Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…

Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. | PSNet

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October 31, 2012 - Study Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Citation Text: Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f…

Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling. | PSNet

psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc-issues-voluntary-nationwide-recall-cisatracurium-besylate

February 03, 2021 - Press Release/Announcement Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling. Citation Text: Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP…

The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet

psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare

January 18, 2023 - Study The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. Citation Text: Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID‐19 infection with Patient Safety Indicator‐12 events in a multisite healthcare …

The use of technology for urgent clinician to clinician communications: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/use-technology-urgent-clinician-clinician-communications-systematic-review-literature

September 09, 2015 - Review The use of technology for urgent clinician to clinician communications: a systematic review of the literature. Citation Text: Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. I…

Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members. | PSNet

psnet.ahrq.gov/issue/sustainable-effective-implementation-surgical-preprocedural-checklist-attestation-format-all

July 31, 2013 - Study Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members. Citation Text: Porter AJ, Narimasu JY, Mulroy MF, et al. Sustainable, effective implementation of a surgical preprocedural checklist: an "attestati…

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency

August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

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