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  1. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. | PSNet

    psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
    December 18, 2013 - Study Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Citation Text: Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…

  2. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. | PSNet

    psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
    December 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …

  3. Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet

    psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
    December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. Citation Text: Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. Copy Citation …

  4. Patient safety strategies targeted at diagnostic errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review
    March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…

  5. Interpreting and coding causal relationships for quality and safety using ICD-11. | PSNet

    psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11
    November 15, 2017 - Commentary Interpreting and coding causal relationships for quality and safety using ICD-11. Citation Text: Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12…

  6. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. | PSNet

    psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory
    August 10, 2022 - Study The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. Citation Text: Upadhyay S, Weech-Maldonado R, Opoku-Agyeman W. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspect…

  7. Comparing NICU teamwork and safety climate across two commonly used survey instruments. | PSNet

    psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
    November 20, 2019 - Study Comparing NICU teamwork and safety climate across two commonly used survey instruments. Citation Text: Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-20…

  8. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. | PSNet

    psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional
    September 04, 2024 - Study Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. Citation Text: Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational…

  9. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. | PSNet

    psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
    November 14, 2018 - Review Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Citation Text: Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…

  10. Accidental deaths, saved lives, and improved quality. | PSNet

    psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
    February 04, 2015 - Commentary Classic Accidental deaths, saved lives, and improved quality. Citation Text: Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. C…

  11. Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
    December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

  12. Medical adverse events in the US 2018 mortality data. | PSNet

    psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
    December 21, 2022 - Study Medical adverse events in the US 2018 mortality data. Citation Text: Oura P. Medical adverse events in the US 2018 mortality data. Prev Med Rep. 2021;24:101574. doi:10.1016/j.pmedr.2021.101574. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

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

    psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
    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…

  14. Nursing bedside clinical handover—an integrated review of issues and tools. | PSNet

    psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
    July 07, 2021 - Review Nursing bedside clinical handover—an integrated review of issues and tools. Citation Text: Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706. Copy Citat…

  15. Association of state-level opioid-reduction policies with pediatric opioid poisoning. | PSNet

    psnet.ahrq.gov/issue/association-state-level-opioid-reduction-policies-pediatric-opioid-poisoning
    September 09, 2020 - Study Association of state-level opioid-reduction policies with pediatric opioid poisoning. Citation Text: Toce MS, Michelson K, Hudgins J, et al. Association of state-level opioid-reduction policies with pediatric opioid poisoning. JAMA Pediatr. 2020;74(10):961-968. doi:10.1001/jamapedi…

  16. Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. | PSNet

    psnet.ahrq.gov/issue/enhanced-end-life-care-associated-deploying-rapid-response-team-pilot-study
    December 24, 2008 - Study Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. Citation Text: Vazquez R, Gheorghe C, Grigoriyan A, et al. Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. J Hosp Med. 2009;4(7):449-52. doi:10.1002…

  17. Wrong-patient orders in obstetrics. | PSNet

    psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
    September 23, 2020 - Study Wrong-patient orders in obstetrics. Citation Text: Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, et al. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021;138(2):229-235. doi:10.1097/aog.0000000000004474. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  18. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

    psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
    September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

  19. Cultural transformation after implementation of crew resource management: is it really possible? | PSNet

    psnet.ahrq.gov/issue/cultural-transformation-after-implementation-crew-resource-management-it-really-possible
    November 16, 2022 - Study Cultural transformation after implementation of crew resource management: is it really possible? Citation Text: Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390…

  20. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. | PSNet

    psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
    May 29, 2019 - Study Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. Citation Text: Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …
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