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Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. | PSNet

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November 29, 2023 - Book/Report Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. Citation Text: Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administra…

Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. | PSNet

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March 25, 2020 - Study Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. Citation Text: Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans H…

Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. | PSNet

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May 29, 2019 - Study Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. Citation Text: Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors frame…

A model for improving health care quality for transgender and gender nonconforming patients. | PSNet

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August 12, 2020 - Commentary A model for improving health care quality for transgender and gender nonconforming patients. Citation Text: Ding JM, Ehrenfeld JM, Edmiston EK, et al. A model for improving health care quality for transgender and gender nonconforming patients. Jt Comm J Qual Patient Saf. 2020;…

Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. | PSNet

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September 23, 2020 - Study Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. Citation Text: Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. | PSNet

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November 09, 2022 - Study Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. Citation Text: Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescr…

Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet

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July 10, 2013 - Study Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. Citation Text: Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians'…

Patients' perception of types of errors in palliative care—results from a qualitative interview study. | PSNet

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December 04, 2016 - Study Patients' perception of types of errors in palliative care—results from a qualitative interview study. Citation Text: Kiesewetter I, Schulz CM, Bausewein C, et al. Patients' perception of types of errors in palliative care - results from a qualitative interview study. BMC Palliat C…

Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. | PSNet

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July 19, 2023 - Study Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. Citation Text: Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…

Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. | PSNet

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February 15, 2011 - Study Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. Citation Text: Smucker DR, Regan S, Elder NC, et al. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. J Palliat Med. 20…

Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. | PSNet

psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic

September 22, 2021 - Study Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. Citation Text: Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…

Parent–provider miscommunications in hospitalized children. | PSNet

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May 08, 2017 - Study Parent–provider miscommunications in hospitalized children. Citation Text: Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190. Copy Citation Format: DOI Google Sc…

Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems

June 26, 2024 - Study Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study. Citation Text: Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nu…

Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. | PSNet

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November 16, 2022 - Study Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. Citation Text: Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvemen…

Family support role in hospital rapid response teams: a scoping review. | PSNet

psnet.ahrq.gov/issue/family-support-role-hospital-rapid-response-teams-scoping-review

September 16, 2020 - Review Family support role in hospital rapid response teams: a scoping review. Citation Text: Howlett O, Gleeson R, Jackson L, et al. Family support role in hospital rapid response teams: a scoping review. JBI Evid Synth. 2022;20(8):2001-2024. doi:10.11124/jbies-21-00189. Copy Citation…

Health information exchange in emergency medicine. | PSNet

psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine

October 07, 2013 - Commentary Health information exchange in emergency medicine. Citation Text: Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018. Copy Citation Format: DOI Google …

Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet

psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and

September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…

Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. | PSNet

psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-critique-postpartum-readmission-rate

September 22, 2021 - Commentary Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. Citation Text: Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality m…

Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. | PSNet

psnet.ahrq.gov/issue/provider-bias-prescribing-opioid-analgesics-study-electronic-medical-records-hospital

September 30, 2020 - Study Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. Citation Text: Keister LA, Stecher C, Aronson B, et al. Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emer…

A framework to assess patient-reported adverse outcomes arising during hospitalization. | PSNet

psnet.ahrq.gov/issue/framework-assess-patient-reported-adverse-outcomes-arising-during-hospitalization

December 06, 2017 - Study A framework to assess patient-reported adverse outcomes arising during hospitalization. Citation Text: Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:…

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