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  1. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. | PSNet

    psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events
    July 02, 2014 - Study Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Citation Text: Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21…

  2. Electronic health record–related events in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
    April 03, 2018 - Study Classic Electronic health record–related events in medical malpractice claims. Citation Text: Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…

  3. Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults
    August 14, 2024 - Review Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. Citation Text: Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Communi…

  4. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. | PSNet

    psnet.ahrq.gov/issue/association-opioid-consumption-profiles-after-hospitalization-risk-adverse-health-care-events
    May 05, 2021 - Study Association of opioid consumption profiles after hospitalization with risk of adverse health care events. Citation Text: Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…

  5. Stress on the ward: evidence of safety tipping points in hospitals. | PSNet

    psnet.ahrq.gov/issue/stress-ward-evidence-safety-tipping-points-hospitals
    November 13, 2024 - Study Stress on the ward: evidence of safety tipping points in hospitals. Citation Text: Kuntz L, Mennicken R, Scholtes S. Stress on the Ward: Evidence of Safety Tipping Points in Hospitals. Manage Sci. 2014;61(4). doi:10.1287/mnsc.2014.1917. Copy Citation Format: DOI Googl…

  6. Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
    September 22, 2021 - Study Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…

  7. Health care-associated infections among critically ill children in the US, 2007-2012. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2007-2012
    April 05, 2013 - Study Health care-associated infections among critically ill children in the US, 2007-2012. Citation Text: Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014…

  8. Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

    psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
    August 09, 2017 - Study Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…

  9. 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…

  10. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. | PSNet

    psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety
    June 29, 2022 - Study Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. Citation Text: Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Ped…

  11. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet

    psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy
    September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

  12. Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. | PSNet

    psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
    December 18, 2017 - Study Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. Citation Text: Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-revi…

  13. Incidence and predictors of opioid prescription at discharge after traumatic injury. | PSNet

    psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
    July 02, 2019 - Study Classic Incidence and predictors of opioid prescription at discharge after traumatic injury. Citation Text: Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at Discharge After Traumatic Injury. JAMA Surg. 2017;…

  14. Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. | PSNet

    psnet.ahrq.gov/issue/use-temporary-nurses-and-nurse-and-patient-safety-outcomes-acute-care-hospital-units
    March 24, 2021 - Study Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. Citation Text: Bae S-H, Mark BA, Fried B. Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. Health Care Manage Rev. 2010;35(4):333-344. doi:10.109…

  15. Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: a cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/education-and-training-nurses-use-advanced-medical-technologies-home-care-related-patient
    July 15, 2020 - Study Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: a cross-sectional survey. Citation Text: ten Haken I, Ben Allouch S, van Harten WH. Education and training of nurses in the use of advanced medical technologies in h…

  16. Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. | PSNet

    psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done
    August 31, 2022 - Study Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. Citation Text: Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…

  17. What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study. | PSNet

    psnet.ahrq.gov/issue/what-does-safety-mental-healthcare-transitions-mean-service-users-and-other-stakeholder
    February 02, 2022 - Study What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study. Citation Text: Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service users and other stakeho…

  18. Alcoholism and American healthcare: the case for a patient safety approach. | PSNet

    psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
    March 30, 2022 - Review Alcoholism and American healthcare: the case for a patient safety approach. Citation Text: Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952. Copy C…

  19. Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications. | PSNet

    psnet.ahrq.gov/issue/concordance-hospital-ranks-and-category-ratings-using-current-technical-specification-us
    September 29, 2018 - Study Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications. Citation Text: Barclay ME, Dixon-Woods M, Lyratzopoulos G. Concordance of hospital ranks and category ratings using th…

  20. Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/weekend-specialist-intensity-and-admission-mortality-acute-hospital-trusts-england-cross
    November 25, 2020 - Study Classic Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. Citation Text: Aldridge C, Bion J, Boyal A, et al. Weekend specialist intensity and admission mortality in acute hospital trusts in E…
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