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2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations

July 06, 2022 - Study 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety

January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

Evaluation of communication and safety behaviors during hospital-wide code response simulation. | PSNet

psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation

February 23, 2022 - Study Evaluation of communication and safety behaviors during hospital-wide code response simulation. Citation Text: Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…

National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic

November 30, 2022 - Study National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Citation Text: Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;…

Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. | PSNet

psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013

June 21, 2023 - Study Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. Citation Text: Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…

Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. | PSNet

psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities

June 02, 2021 - Study Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. Citation Text: Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and …

Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. | PSNet

psnet.ahrq.gov/issue/patient-race-and-opioid-misuse-history-influence-provider-risk-perceptions-future-opioid

March 24, 2021 - Study Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. Citation Text: Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems. Am Ps…

Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral

October 28, 2020 - Study Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. Citation Text: Arnaoutakis GJ, Ogami T, Aranda‐Michel E, et al. Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers…

Association of current opioid use with serious adverse events among older adult survivors of breast cancer. | PSNet

psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast

February 15, 2023 - Study Association of current opioid use with serious adverse events among older adult survivors of breast cancer. Citation Text: Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…

Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. | PSNet

psnet.ahrq.gov/issue/status-implementation-world-health-organization-multimodal-hand-hygiene-strategy-united

November 13, 2024 - Study Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. Citation Text: Allegranzi B, Conway L, Larson EL, et al. Status of the implementation of the World Health Organization multimodal hand …

The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet

psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk

October 18, 2023 - Study The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. Citation Text: Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computeri…

Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study. | PSNet

psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge

July 08, 2008 - Study Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study. Citation Text: Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re-admission after hospital discharge: a propen…

Patient safety culture and the association with safe resident care in nursing homes. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes

September 19, 2018 - Study Patient safety culture and the association with safe resident care in nursing homes. Citation Text: Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns0…

Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic

December 08, 2021 - Review Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. Citation Text: Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. B…

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults. | PSNet

psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially

October 13, 2018 - Study Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults. Citation Text: McGinty EE, Bicket MC, Seewald NJ, et al. Effects of state opioid prescribing laws on use of opioid and other pain treatments among commerciall…

Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals

July 31, 2019 - Study Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. Citation Text: Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospectiv…

Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/weekend-specialist-intensity-and-admission-mortality-acute-hospital-trusts-england-cross

November 25, 2020 - Study Classic Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. Citation Text: Aldridge C, Bion J, Boyal A, et al. Weekend specialist intensity and admission mortality in acute hospital trusts in E…

Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. | PSNet

psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and

October 13, 2021 - Study Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Citation Text: Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Cortegi…

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative

July 31, 2019 - Review The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Citation Text: Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. | PSNet

psnet.ahrq.gov/issue/critical-care-nurses-physical-and-mental-health-worksite-wellness-support-and-medical-errors

March 21, 2018 - Study Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. Citation Text: Melnyk BM, Tan A, Hsieh AP, et al. Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. Am J Crit Care. 2021;30(3):176-184. do…

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