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  1. Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

    psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
    August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

  2. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
    February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

  3. The impact of the 80-hour work week on appropriate resident case coverage. | PSNet

    psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
    June 18, 2008 - Study The impact of the 80-hour work week on appropriate resident case coverage. Citation Text: Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003. Copy …

  4. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. | PSNet

    psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command
    August 12, 2020 - Commentary Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Citation Text: Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patie…

  5. Project ECHO: Hepatitis C Ambulatory Care Quality Improvement in New Mexico Through Health Information Technology - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/project-echo-hepatitis-c-ambulatory-care-quality-improvement-new-mexico-through/annual-summary/2012
    January 01, 2012 - Project ECHO: Hepatitis C Ambulatory Care Quality Improvement in New Mexico Through Health Information Technology - 2012 Project Name Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology Principal Investigator Arora, Sanjeev …

  6. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
    April 01, 2010 - Study Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. Citation Text: Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1…

  7. Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. | PSNet

    psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
    October 12, 2011 - Study Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. Citation Text: Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experi…

  8. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study
    November 12, 2014 - Study Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Citation Text: Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Int J Qual Health Care. 2014;2…

  9. Determining current insulin pen use practices and errors in the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/determining-current-insulin-pen-use-practices-and-errors-inpatient-setting
    June 29, 2016 - Study Determining current insulin pen use practices and errors in the inpatient setting. Citation Text: Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…

  10. Maternal sleepiness and risk of infant drops in the postpartum period. | PSNet

    psnet.ahrq.gov/issue/maternal-sleepiness-and-risk-infant-drops-postpartum-period
    October 19, 2022 - Study Maternal sleepiness and risk of infant drops in the postpartum period. Citation Text: Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001. Cop…

  11. Fifteen years after To Err Is Human: a success story to learn from. | PSNet

    psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
    August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

  12. Families’ experiences of central-line infection in children: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/families-experiences-central-line-infection-children-qualitative-study
    July 29, 2020 - Study Families’ experiences of central-line infection in children: a qualitative study. Citation Text: Soto C, Dixon-Woods M, Tarrant C. Families’ experiences of central-line infection in children: a qualitative study. Arch Dis Child. 2022;107(11):1038-1042. doi:10.1136/archdischild-2022…

  13. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. | PSNet

    psnet.ahrq.gov/issue/disaster-ergonomics-human-factors-covid-19-pandemic-emergency-management
    September 30, 2020 - Commentary Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Citation Text: Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. …

  14. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. | PSNet

    psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
    January 24, 2018 - Study Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. Citation Text: Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual …

  15. Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic
    February 12, 2020 - Commentary Patient safety and quality improvement adaptation during the COVID-19 pandemic. Citation Text: Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…

  16. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. | PSNet

    psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event
    October 07, 2020 - Commentary The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. Citation Text: Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. …

  17. Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program. | PSNet

    psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical-unit-based
    March 21, 2012 - Study Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program. Citation Text: Lin DM, Carson KA, Lubomski LH, et al. Statewide Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based Safety P…

  18. Developing perioperative Covid-19 testing protocols to restore surgical services. | PSNet

    psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
    February 12, 2020 - Commentary Developing perioperative Covid-19 testing protocols to restore surgical services. Citation Text: Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19. Copy Citation Format: …

  19. The impact of clinically undiagnosed injuries on survival estimates. | PSNet

    psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates
    April 03, 2024 - Study The impact of clinically undiagnosed injuries on survival estimates. Citation Text: Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164. Copy Citation Format…

  20. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. | PSNet

    psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
    December 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …
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