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How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. | PSNet

psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study

March 18, 2013 - Study Classic How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospect…

Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or

October 18, 2023 - Review Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review. Citation Text: Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction models for in-hospital adverse drug ev…

Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies

March 10, 2021 - Review Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. Citation Text: Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…

Predictors of gaps in patient safety and quality in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us-hospitals

December 23, 2020 - Study Predictors of gaps in patient safety and quality in U.S. hospitals. Citation Text: Unruh L, Hofler R. Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals. Health Serv Res. 2016;51(6):2258-2281. doi:10.1111/1475-6773.12468. Copy Citation Format: DOI Goog…

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. | PSNet

psnet.ahrq.gov/issue/usability-computerised-drug-monitoring-programme-detect-adverse-drug-events-and-non

December 21, 2014 - Study Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. Citation Text: Auger C, Forster AJ, Oake N, et al. Usability of a computerised drug monitoring programme to detect adverse drug events and non-comp…

Association of changing hospital readmission rates with mortality rates after hospital discharge. | PSNet

psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge

August 20, 2018 - Study Classic Association of changing hospital readmission rates with mortality rates after hospital discharge. Citation Text: Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality Rates After Hospital Discharge. …

A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge. | PSNet

psnet.ahrq.gov/issue/multi-method-exploratory-evaluation-service-designed-improve-medication-safety-patients

July 22, 2020 - Study A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge. Citation Text: Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to…

Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. | PSNet

psnet.ahrq.gov/issue/patient-factors-and-hospital-outcomes-associated-atypical-presentation-hospitalized-older

June 29, 2022 - Study Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. Citation Text: Marziliano A, Burns E, Chauhan L, et al. Patient factors and hospital outcomes associated with atypical pres…

The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature. | PSNet

psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency

May 25, 2011 - Review The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature. Citation Text: Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry syst…

Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial

December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. Citation Text: Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. | PSNet

psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical

September 11, 2019 - Study Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. Citation Text: Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ…

"SWARMing" to improve patient care: a novel approach to root cause analysis. | PSNet

psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis

September 23, 2020 - Study "SWARMing" to improve patient care: a novel approach to root cause analysis. Citation Text: Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. Copy Citation Format: …

Simulation-based assessment of the management of critical events by board-certified anesthesiologists. | PSNet

psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists

February 19, 2010 - Study Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Citation Text: Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…

Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. | PSNet

psnet.ahrq.gov/issue/burnout-and-its-relationship-self-reported-quality-patient-care-and-adverse-events-during

August 25, 2021 - Study Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses. Citation Text: Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self‐reported quality of patient care and adv…

Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. | PSNet

psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically

February 15, 2012 - Study Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. Citation Text: Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent g…

Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. | PSNet

psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision

December 21, 2022 - Study Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. Citation Text: Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors am…

The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. | PSNet

psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart-failure-readmissions

September 09, 2020 - Study The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. Citation Text: Carthon MB, Lasater KB, Sloane DM, et al. The quality of hospital work environments and missed nursing care is linked t…

Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. | PSNet

psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case

December 15, 2011 - Study Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. Citation Text: Rosen AK, Loveland S, Shin MH, et al. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Adminis…

Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. | PSNet

psnet.ahrq.gov/issue/feasibility-patient-reported-diagnostic-errors-following-emergency-department-discharge-pilot

August 19, 2020 - Study Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. Citation Text: Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot stud…

Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet

psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired

October 30, 2024 - Study Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. Citation Text: Padula WV, Black JM, Davidson PM, et al. Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions. J …

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