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The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet

psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection

May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

Analysis of risk factors for adverse drug events in critically ill patients. | PSNet

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October 26, 2010 - Study Analysis of risk factors for adverse drug events in critically ill patients. Citation Text: Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473.…

Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

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August 25, 2010 - Commentary Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…

Impact of an electronic health record transition on chemotherapy error reporting | PSNet

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June 17, 2020 - Study Impact of an electronic health record transition on chemotherapy error reporting Citation Text: Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/10781552198…

Reducing central line–associated bloodstream infections in North Carolina NICUs. | PSNet

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February 15, 2011 - Study Reducing central line–associated bloodstream infections in North Carolina NICUs. Citation Text: Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000. …

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet

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June 16, 2011 - Study Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Citation Text: Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…

Patient safety and error reduction in surgical pathology. | PSNet

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January 08, 2016 - Review Patient safety and error reduction in surgical pathology. Citation Text: Nakhleh RE. Patient safety and error reduction in surgical pathology. Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2. Copy Citation Format: DOI Go…

Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. | PSNet

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December 01, 2010 - Study Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Citation Text: Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Se…

Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. | PSNet

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December 10, 2014 - Study Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Citation Text: Simons PAM, Houben RMA, Backes HH, et al. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):18…

Health care work environments, employee satisfaction, and patient safety: care provider perspectives. | PSNet

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October 12, 2011 - Study Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Citation Text: Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Health Care Manage Rev. 2007;32(1):2-11. …

Development and usability of a behavioural marking system for performance assessment of obstetrical teams. | PSNet

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June 28, 2017 - Study Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Citation Text: Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Hea…

Structural racism in behavioral health presentation and management. | PSNet

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September 23, 2020 - Commentary Structural racism in behavioral health presentation and management. Citation Text: Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133. Copy Citation Format: …

Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet

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November 18, 2016 - Commentary Curriculum development and implementation of a national interprofessional fellowship in patient safety. Citation Text: Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet

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March 25, 2009 - Study Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. Citation Text: Freeth D, Ayida G, Berridge EJ, et al. Multidisciplinary obstetric simulated emergency scenarios (MOSES): p…

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. | PSNet

psnet.ahrq.gov/issue/mislabeled-units-umbilical-cord-blood-detected-quality-assurance-program-transplantation

October 19, 2022 - Study Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. Citation Text: McCullough JS, McKenna D, Kadidlo D, et al. Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation cente…

Care at the point of impact: insights into the second-victim experience. | PSNet

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January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

Incidents and errors in neonatal intensive care: a review of the literature. | PSNet

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June 15, 2011 - Review Incidents and errors in neonatal intensive care: a review of the literature. Citation Text: Snijders C, van Lingen RA, Molendijk A, et al. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8. Copy Cit…

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs

September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. | PSNet

psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported

January 30, 2019 - Newspaper/Magazine Article A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. Citation Text: Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. ProPublica and NBC N…

Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care

June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

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