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Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). | PSNet

psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi

June 29, 2022 - Study Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). Citation Text: Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…

Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-contributory-factors-and-severity-medication-errors-associated-direct-acting-oral

December 22, 2021 - Review Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis. Citation Text: Al Rowily A, Jalal Z, Price MJ, et al. Prevalence, contributory factors and severity of med…

Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. | PSNet

psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid

August 11, 2021 - Study Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. Citation Text: Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patient…

Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-emergency-department-process-improvement-package-suicide-prevention-ed-safe-2-cluster

March 09, 2022 - Study Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. Citation Text: Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…

Accuracy of harm scores entered into an event reporting system. | PSNet

psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system

October 19, 2022 - Study Accuracy of harm scores entered into an event reporting system. Citation Text: Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. Copy Citation For…

Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. | PSNet

psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among

October 27, 2021 - Study Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. Citation Text: Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvemen…

Retained surgical items: a problem yet to be solved. | PSNet

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September 24, 2014 - Study Retained surgical items: a problem yet to be solved. Citation Text: Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026. Copy Citation Format: …

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet

psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports

July 06, 2022 - Study Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Citation Text: Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. C…

EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? | PSNet

psnet.ahrq.gov/issue/ems-non-conveyance-safe-practice-decrease-ed-crowding-or-threat-patient-safety

January 12, 2022 - Study EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? Citation Text: Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12…

The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. | PSNet

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November 10, 2021 - Review The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. Citation Text: Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with serious mental illness and medical c…

Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/implicit-racialethnic-bias-among-health-care-professionals-and-its-influence-health-care

August 04, 2021 - Review Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. Citation Text: Hall WJ, Chapman MV, Lee KM, et al. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a s…

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. | PSNet

psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians

March 11, 2020 - Study Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. Citation Text: Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. BMJ Qual Sa…

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. | PSNet

psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies

April 09, 2013 - Study Classic The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. Citation Text: Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…

Bar-coding surgical sponges to improve safety: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial

March 02, 2011 - Study Classic Bar-coding surgical sponges to improve safety: a randomized controlled trial. Citation Text: Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. | PSNet

psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long

July 13, 2022 - Study Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. Citation Text: Agnoli A, Xing G, Tancredi DJ, et al. Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. JAMA.…

Long-term risk of overdose or mental health crisis after opioid dose tapering. | PSNet

psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering

August 25, 2021 - Study Long-term risk of overdose or mental health crisis after opioid dose tapering. Citation Text: Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2…

Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. | PSNet

psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative

December 29, 2014 - Study Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. Citation Text: Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hosp…

Changes in prevalence of health care-associated infections in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/changes-prevalence-health-care-associated-infections-us-hospitals

December 18, 2014 - Study Classic Changes in prevalence of health care-associated infections in U.S. hospitals. Citation Text: Magill SS, O'Leary E, Janelle SJ, et al. Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals. N Engl J Med. 2018;379(18):1732-1744…

Communication regarding adverse neonatal birth events: experiences of parents and clinicians. | PSNet

psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians

May 13, 2020 - Study Communication regarding adverse neonatal birth events: experiences of parents and clinicians. Citation Text: Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-…

The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. | PSNet

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November 03, 2008 - Study The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. Citation Text: Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team activation patient characteristics a…

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