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  1. psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators
    March 16, 2022 - Study Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, Citation Text: Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg.…
  2. psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
    June 04, 2014 - Study Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. Citation Text: Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. A…
  3. psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
    March 20, 2019 - Study A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Citation Text: Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming…
  4. psnet.ahrq.gov/issue/changing-dynamics-drug-overdose-epidemic-united-states-1979-through-2016
    November 21, 2021 - Study Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Citation Text: Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.…
  5. psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy
    September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …
  6. psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
    June 08, 2022 - Review Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. Citation Text: Goekcimen K, Schwendimann R, Pfeiffer Y, et al. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. J Patient Sa…
  7. psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
    April 03, 2024 - Study Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. Citation Text: Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…
  8. psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
    January 12, 2022 - Study Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. Citation Text: Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …
  9. psnet.ahrq.gov/issue/innovative-patient-safety-curriculum-using-ipad-game-passed-improved-patient-safety-concepts
    November 16, 2022 - Study Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. Citation Text: Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED) Improved Patient Safety Concepts in Unde…
  10. psnet.ahrq.gov/issue/do-user-applied-safety-labels-medication-syringes-reduce-incidence-medication-errors-during
    February 28, 2024 - Review Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review. Citation Text: Mikhail J, Grantham H, King L. Do User-Applied Safety Label…
  11. psnet.ahrq.gov/issue/undertaking-risk-and-relational-work-manage-vulnerability-acute-medical-patients-involvement
    September 29, 2021 - Study Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS. Citation Text: Sutton E, Martin G, Eborall H, et al. Undertaking risk and relational work to manage vulnerability: acute medical patients’ involvement in …
  12. psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
    February 14, 2024 - Study Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. Citation Text: Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…
  13. psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission
    July 10, 2024 - Study Home health agency patient experience measures and their relationship to Joint Commission accreditation. Citation Text: Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …
  14. psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
    October 27, 2021 - Study Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals Citation Text: Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…
  15. psnet.ahrq.gov/issue/effect-real-time-pediatric-icu-safety-bundle-dashboard-quality-improvement-measures
    June 21, 2015 - Study Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. Citation Text: Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):41…
  16. psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
    February 15, 2011 - Study Patient characteristics and the occurrence of never events. Citation Text: Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. Copy Citation Format: DOI Google Schol…
  17. psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
    November 14, 2018 - Study Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. Citation Text: Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a p…
  18. psnet.ahrq.gov/issue/resident-and-rn-perceptions-impact-medical-emergency-team-education-and-patient-safety
    September 24, 2010 - Study Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center. Citation Text: Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical emergency team on education and patien…
  19. psnet.ahrq.gov/issue/patient-reported-incident-hospital-instrument-prih-i-assessments-data-quality-test-retest
    March 20, 2015 - Study The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest reliability and hospital-level reliability. Citation Text: Bjertnaes O, Skudal KE, Iversen HH, et al. The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessment…
  20. psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
    June 14, 2011 - Study Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Citation Text: Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…