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  1. Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. | PSNet

    psnet.ahrq.gov/issue/medicares-hospital-acquired-condition-reduction-program-and-community-diversity-united-states
    May 13, 2020 - Study Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. Citation Text: Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Div…

  2. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. | PSNet

    psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
    January 22, 2014 - Study Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. Citation Text: Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis …

  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. 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…

  5. Results of a national neurosurgery resident survey on duty hour regulations. | PSNet

    psnet.ahrq.gov/issue/results-national-neurosurgery-resident-survey-duty-hour-regulations
    September 29, 2017 - Study Results of a national neurosurgery resident survey on duty hour regulations. Citation Text: Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989. Co…

  6. 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…

  7. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. | PSNet

    psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
    August 23, 2023 - Study Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Citation Text: Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…

  8. 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…

  9. 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…

  10. The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

    psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities
    March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

  11. Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet

    psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
    June 10, 2020 - Study Vital signs: changes in opioid prescribing in the United States, 2006-2015. Citation Text: Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4. Copy…

  12. Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

    psnet.ahrq.gov/issue/long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
    May 01, 2019 - Study Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health …

  13. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

    psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
    October 17, 2018 - Study Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. Citation Text: Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…

  14. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. | PSNet

    psnet.ahrq.gov/issue/handoffs-safety-culture-and-practices-evidence-hospital-survey-patient-safety-culture
    June 21, 2015 - Study Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. Citation Text: Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Serv Res. 2016;16…

  15. Development and implementation of a suicide prevention checklist to create a safe environment. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-suicide-prevention-checklist-create-safe-environment
    August 04, 2021 - Study Development and implementation of a suicide prevention checklist to create a safe environment. Citation Text: Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160…

  16. Predicting avoidable hospital events in Maryland. | PSNet

    psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
    April 06, 2022 - Study Predicting avoidable hospital events in Maryland. Citation Text: Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891. Copy Citation Format: DOI Google Scholar BibTeX En…

  17. Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet

    psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
    September 18, 2009 - Study Medicare payment for selected adverse events: building the business case for investing in patient safety. Citation Text: Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millw…

  18. The effect of race and sex on physicians' recommendations for cardiac catheterization. | PSNet

    psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
    July 15, 2020 - Study The effect of race and sex on physicians' recommendations for cardiac catheterization. Citation Text: Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 2002;340(8):618-626. doi:10.1056/nejm…

  19. A study of innovative patient safety education. | PSNet

    psnet.ahrq.gov/issue/study-innovative-patient-safety-education
    April 28, 2021 - Study A study of innovative patient safety education. Citation Text: Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach. 2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x. Copy Citation Format: DOI Google Scholar PubMed BibT…

  20. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

    psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
    August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …
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