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  1. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet

    psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
    February 01, 2011 - Study Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. Citation Text: Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …

  2. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet

    psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
    June 24, 2020 - Study Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Citation Text: Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…

  3. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. | PSNet

    psnet.ahrq.gov/issue/accident-analysis-large-scale-technological-disasters-applied-anaesthetic-complication
    November 16, 2022 - Study Classic Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Citation Text: Eagle CJ, Davies JM, Reason J. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Can J An…

  4. Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. | PSNet

    psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
    October 19, 2022 - Study Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. Citation Text: Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE ord…

  5. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. | PSNet

    psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled-evaluation-second
    February 23, 2011 - Study Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. Citation Text: Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 20…

  6. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. | PSNet

    psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
    May 18, 2022 - Study Factors associated with malpractice claim payout: an analysis of closed emergency department claims. Citation Text: Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. Jt Comm J Qual Pati…

  7. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. | PSNet

    psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing
    March 11, 2020 - Study What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. Citation Text: Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. …

  8. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet

    psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
    October 09, 2024 - Study The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Citation Text: Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Pa…

  9. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
    November 17, 2021 - Study Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Citation Text: Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patie…

  10. A comprehensive departmental care review model: requirements, structure, and flow. | PSNet

    psnet.ahrq.gov/issue/comprehensive-departmental-care-review-model-requirements-structure-and-flow
    July 06, 2022 - Commentary A comprehensive departmental care review model: requirements, structure, and flow. Citation Text: Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. d…

  11. The impact of the use of employee functional flexibility on patient safety. | PSNet

    psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
    January 12, 2022 - Study The impact of the use of employee functional flexibility on patient safety. Citation Text: Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562. Copy Citatio…

  12. Incomplete EHR adoption: late uptake of patient safety and cost control functions. | PSNet

    psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
    July 25, 2011 - Commentary Incomplete EHR adoption: late uptake of patient safety and cost control functions. Citation Text: Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26. Copy Citation …

  13. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. | PSNet

    psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
    May 25, 2016 - Study "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Citation Text: Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000…

  14. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. | PSNet

    psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
    August 22, 2018 - Study Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Citation Text: Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program dire…

  15. Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. | PSNet

    psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international
    November 20, 2015 - Study Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. Citation Text: Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): internat…

  16. New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. | PSNet

    psnet.ahrq.gov/issue/new-graduate-registered-nurses-risk-mitigation-strategies-ensure-safety-and-successful
    September 28, 2022 - Commentary New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. Citation Text: Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to ensure safety and successful transition to …

  17. Implementation of patient safety structures and processes in the patient-centered medical home. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
    September 28, 2022 - Study Implementation of patient safety structures and processes in the patient-centered medical home. Citation Text: Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…

  18. Safety participation at the direct care level: results of a patient questionnaire. | PSNet

    psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire
    August 26, 2020 - Study Safety participation at the direct care level: results of a patient questionnaire. Citation Text: Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506. Copy Cita…

  19. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
    February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

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

    psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
    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…
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