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  1. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet

    psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
    March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

  2. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

    psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
    August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

  3. How safe are paediatric emergency departments? A national prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/how-safe-are-paediatric-emergency-departments-national-prospective-cohort-study
    May 20, 2020 - Study How safe are paediatric emergency departments? A national prospective cohort study. Citation Text: Plint AC, Newton AS, Stang A, et al. How safe are paediatric emergency departments? A national prospective cohort study. BMJ Qual Saf. 2022;31(11):806-817. doi:10.1136/bmjqs-2021-0146…

  4. Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity. | PSNet

    psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations-between-racialized
    June 16, 2021 - Study Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity. Citation Text: Jeffers NK, Berger BO, Marea CX, et al. Investigating the impact of structural raci…

  5. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

    psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
    June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

  6. Errors of diagnosis in pediatric practice: a multisite survey. | PSNet

    psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey
    November 13, 2024 - Study Errors of diagnosis in pediatric practice: a multisite survey. Citation Text: Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. Copy Citation Format: DOI Goog…

  7. Completion of recommended tests and referrals in telehealth vs in-person visits. | PSNet

    psnet.ahrq.gov/issue/completion-recommended-tests-and-referrals-telehealth-vs-person-visits
    January 31, 2024 - Study Completion of recommended tests and referrals in telehealth vs in-person visits. Citation Text: Zhong A, Amat MJ, Anderson TS, et al. Completion of recommended tests and referrals in telehealth vs in-person visits. JAMA Netw Open. 2023;6(11):e2343417. doi:10.1001/jamanetworkopen.20…

  8. Registered nurses' efforts to ensure safety for home-dwelling older patients. | PSNet

    psnet.ahrq.gov/issue/registered-nurses-efforts-ensure-safety-home-dwelling-older-patients
    July 19, 2019 - Study Registered nurses' efforts to ensure safety for home-dwelling older patients. Citation Text: Lindberg C, Fock J, Nilsen P, et al. Registered nurses' efforts to ensure safety for home‐dwelling older patients. Scand J Caring Sci. 2022. doi:10.1111/scs.13142. Copy Citation Forma…

  9. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. | PSNet

    psnet.ahrq.gov/issue/effect-facility-complexity-perceptions-safety-climate-operating-room-size-matters
    December 21, 2014 - Study The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Citation Text: Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25…

  10. Improving the bar-coded medication administration system at the Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
    November 18, 2009 - Study Improving the bar-coded medication administration system at the Department of Veterans Affairs. Citation Text: Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…

  11. Adverse drug events caused by serious medication administration errors. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors
    December 19, 2009 - Study Adverse drug events caused by serious medication administration errors. Citation Text: Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. Copy Citation …

  12. Use of administrative data to find substandard care: validation of the complications screening program. | PSNet

    psnet.ahrq.gov/issue/use-administrative-data-find-substandard-care-validation-complications-screening-program
    September 30, 2015 - Study Classic Use of administrative data to find substandard care: validation of the complications screening program. Citation Text: Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. do…

  13. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? | PSNet

    psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
    September 21, 2016 - Study Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? Citation Text: Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 20…

  14. Perceptions of hospital safety climate and incidence of readmission. | PSNet

    psnet.ahrq.gov/issue/perceptions-hospital-safety-climate-and-incidence-readmission
    March 25, 2015 - Study Perceptions of hospital safety climate and incidence of readmission. Citation Text: Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission. Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x. Copy Citation …

  15. Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. | PSNet

    psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-observational-study-factors
    April 24, 2018 - Study Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. Citation Text: Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-sectional observat…

  16. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. | PSNet

    psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada
    June 17, 2020 - Study Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. Citation Text: Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…

  17. Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing
    June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

  18. Activation of a medical emergency team using an electronic medical recording–based screening system. | PSNet

    psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system
    September 06, 2017 - Study Activation of a medical emergency team using an electronic medical recording–based screening system. Citation Text: Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. …

  19. Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
    July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. Citation Text: Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…

  20. Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. | PSNet

    psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety
    April 06, 2011 - Study Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. Citation Text: Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. Cop…
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