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6781. Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. | PSNet
      psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
      May 11, 2016 - Study Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. Citation Text: Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. do…

6782. Relationship between nurse burnout, patient and organizational outcomes: systematic review. | PSNet
      psnet.ahrq.gov/issue/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review
      December 01, 2021 - Review Relationship between nurse burnout, patient and organizational outcomes: systematic review. Citation Text: Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.101…

6783. To Err Is Human: Building a Safer Health System. | PSNet
      psnet.ahrq.gov/issue/err-human-building-safer-health-system
      July 08, 2016 - Book/Report Classic To Err Is Human: Building a Safer Health System. Citation Text: To Err Is Human: Building a Safer Health System. Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: Nati…

6784. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. | PSNet
      psnet.ahrq.gov/issue/qualitative-positive-deviance-study-explore-exceptionally-safe-care-medical-wards-older
      March 02, 2016 - Study A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. Citation Text: Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Qual Saf. …

6785. Medication safety in neonatal care: a review of medication errors among neonates. | PSNet
      psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
      August 15, 2016 - Review Medication safety in neonatal care: a review of medication errors among neonates. Citation Text: Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. Copy Ci…

6786. A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
      August 23, 2023 - Study A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. Citation Text: Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …

6787. Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. | PSNet
      psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary
      September 01, 2018 - Study Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. Citation Text: Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…

6788. A critical review: moral injury in nurses in the aftermath of a patient safety incident. | PSNet
      psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
      July 22, 2020 - Review Emerging Classic A critical review: moral injury in nurses in the aftermath of a patient safety incident. Citation Text: Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety incident. J Nurs Schola…

6789. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. | PSNet
      psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care
      May 12, 2021 - Study Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. Citation Text: Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care…

6790. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration
      May 17, 2023 - Study Delays in care during the COVID-19 pandemic in the Veterans Health Administration. Citation Text: Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. …

6791. A call to action: next steps to advance diagnosis education in the health professions. | PSNet
      psnet.ahrq.gov/issue/call-action-next-steps-advance-diagnosis-education-health-professions
      November 25, 2020 - Commentary A call to action: next steps to advance diagnosis education in the health professions. Citation Text: Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.151…

6792. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. | PSNet
      psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic
      March 08, 2023 - Review Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Citation Text: Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A syste…

6793. Engaging patients as vigilant partners in safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review
      February 06, 2019 - Review Classic Engaging patients as vigilant partners in safety: a systematic review. Citation Text: Schwappach DLB. Engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010;67(2):119-148. doi:10.1177/1077558709342254. Co…

6794. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet
      psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
      September 23, 2020 - Study Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Citation Text: Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a …

6795. Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. | PSNet
      psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia
      June 07, 2023 - Study Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. Citation Text: Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…

6796. Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. | PSNet
      psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
      February 03, 2011 - Study Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. Citation Text: Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…

6797. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. | PSNet
      psnet.ahrq.gov/issue/detection-rates-mild-cognitive-impairment-primary-care-united-states-medicare-population
      February 16, 2022 - Study Detection rates of mild cognitive impairment in primary care for the United States Medicare population. Citation Text: Liu Y, Jun H, Becker A, et al. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. J Prev Alz Dis. 2024;11:7–12…

6798. Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. | PSNet
      psnet.ahrq.gov/issue/nurse-staffing-nursing-assistants-and-hospital-mortality-retrospective-longitudinal-cohort
      July 11, 2018 - Study Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. Citation Text: Griffiths P, Maruotti A, Saucedo AR, et al. Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.  BMJ Qual Saf. 2019;28(…

6799. Temporal clustering of critical illness events on medical wards. | PSNet
      psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards
      January 31, 2024 - Study Temporal clustering of critical illness events on medical wards. Citation Text: Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards. JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629. Copy Citation F…

6800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49630/psn-pdf
      July 01, 2011 - doctor at the time of discharge, or immediately faxed a discharge summary or letter to convey the last measured … Effect of a simple two-step warfarin dosing algorithm on anticoagulant control as measured by time in