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  1. Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. | PSNet

    psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
    May 21, 2014 - Special or Theme Issue Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Citation Text: Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395…

  2. Appendixfmhaahqrkick-Off (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixFMHAAHQRKick-Off.pdf
    January 15, 2008 - MHA/AHRQ Kick-Off Event: Adding Clinical Lab Data to Minnesota’s Statewide Administrative Database Tuesday, Jan. 15, 2008 9 a.m. – 4:30 p.m. MHA was awarded a two-year contract from the Agency for Healthcare Research and Quality to add clinical lab data to the administrative billing database that is alr…

  3. How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. | PSNet

    psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
    February 09, 2012 - Study Classic How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. Citation Text: Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…

  4. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. | PSNet

    psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality-based-clinical
    July 27, 2022 - Study Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Citation Text: Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2…

  5. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet

    psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
    February 02, 2022 - Book/Report Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. Citation Text: Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …

  6. Health care quality and safety in a correctional system: creating goals and performance measures for improvement. | PSNet

    psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
    May 18, 2022 - Commentary Health care quality and safety in a correctional system: creating goals and performance measures for improvement. Citation Text: Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…

  7. Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklist-audits-may-be-misleading-improving-implementation-and-adherence
    November 24, 2021 - Study Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. Citation Text: Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving th…

  8. 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…

  9. 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…

  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. 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…

  12. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. | PSNet

    psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
    April 17, 2024 - Study Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Citation Text: Zerillo JA, Tardiff SA, Flood D, et al. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Jt Comm J Qual Patient Saf. 2024;50(7):492-49…

  13. 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 …

  14. Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet

    psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
    May 24, 2012 - Study Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. Citation Text: Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…

  15. Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. | PSNet

    psnet.ahrq.gov/issue/beyond-burnout-physician-wellness-hierarchy-designed-prioritize-interventions-systems-level
    July 19, 2023 - Review Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. Citation Text: Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 20…

  16. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-satisfaction-and-quality-care-systematic-review-and-meta
    November 18, 2016 - Review Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. Citation Text: Li LZ, Yang P, Singer SJ, et al. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open. 2…

  17. Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

    psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
    December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…

  18. 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…

  19. Protocol-based computer reminders, the quality of care and the non-perfectability of man. | PSNet

    psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man
    April 24, 2018 - Study Classic Protocol-based computer reminders, the quality of care and the non-perfectability of man. Citation Text: McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. C…

  20. Crew resource management improved perception of patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/crew-resource-management-improved-perception-patient-safety-operating-room
    April 27, 2010 - Study Crew resource management improved perception of patient safety in the operating room. Citation Text: Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual. 2010;25(1):60-3. doi:10.1177/1062860609351…
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