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  1. A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis. | PSNet

    psnet.ahrq.gov/issue/transactional-second-victim-model-experiences-affected-healthcare-professionals-acute-somatic
    April 20, 2022 - Review A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis. Citation Text: Schiess C, Schwappach DLB, Schwendimann R, et al. A Transactional "Second-Victim" Model-Experiences of Affected H…

  2. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? | PSNet

    psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
    February 22, 2023 - Study Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? Citation Text: Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-1…

  3. Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. | PSNet

    psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and
    January 27, 2021 - Study Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. Citation Text: Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…

  4. Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. | PSNet

    psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
    March 12, 2014 - Study Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. Citation Text: Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…

  5. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. | PSNet

    psnet.ahrq.gov/issue/qualitative-formative-evaluation-patient-centred-patient-safety-intervention-delivered
    February 22, 2019 - Study A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. Citation Text: Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in …

  6. Shifting indirect patient care duties to after hours in the era of work hours restrictions. | PSNet

    psnet.ahrq.gov/issue/shifting-indirect-patient-care-duties-after-hours-era-work-hours-restrictions
    February 18, 2011 - Study Shifting indirect patient care duties to after hours in the era of work hours restrictions. Citation Text: Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097…

  7. Serious incidents after death: content analysis of incidents reported to a national database. | PSNet

    psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
    October 03, 2018 - Study Serious incidents after death: content analysis of incidents reported to a national database. Citation Text: Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 2017;111(2):57-64. doi…

  8. Safety perceptions of health care leaders in 2 Canadian academic acute care centers. | PSNet

    psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers
    March 14, 2022 - Study Safety perceptions of health care leaders in 2 Canadian academic acute care centers. Citation Text: Goldstein DH, Nyce JM, Van Den Kerkhof EG. Safety Perceptions of Health Care Leaders in 2 Canadian Academic Acute Care Centers. J Patient Saf. 2017;13(2):62-68. doi:10.1097/PTS.00000…

  9. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. | PSNet

    psnet.ahrq.gov/issue/policy-and-practice-use-root-cause-analysis-investigate-clinical-adverse-events-mind-gap
    December 09, 2020 - Study Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Citation Text: Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011…

  10. How accurately do older adult emergency department patients recall their medications? | PSNet

    psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their-medications
    September 02, 2020 - Study How accurately do older adult emergency department patients recall their medications? Citation Text: Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…

  11. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. | PSNet

    psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
    January 16, 2013 - Study Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. Citation Text: Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…

  12. Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

    psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
    March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

  13. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

    psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
    September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

  14. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

    psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
    March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

  15. Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
    July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. Citation Text: Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…

  16. Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. | PSNet

    psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18
    January 02, 2017 - Study Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. Citation Text: Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient S…

  17. Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. | PSNet

    psnet.ahrq.gov/issue/exploring-impact-consultants-experience-hospital-mortality-day-week-retrospective-analysis
    August 04, 2015 - Study Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. Citation Text: Ruiz M, Bottle A, Aylin PP. Exploring the impact of consultants’ experience on hospital mortality by day of the week: a …

  18. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. | PSNet

    psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
    October 19, 2022 - Study Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. Citation Text: Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 cons…

  19. Impact of a daily huddle on safety in perioperative services. | PSNet

    psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
    March 03, 2021 - Study Impact of a daily huddle on safety in perioperative services. Citation Text: Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. Copy Citation …

  20. Hospital COVID-19 burden and adverse event rates. | PSNet

    psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
    June 22, 2022 - Study Hospital COVID-19 burden and adverse event rates. Citation Text: Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936. Copy Citation Format: DOI Google Scho…
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