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psnet.ahrq.gov/issue/assessing-impact-real-time-random-safety-audits-through-full-propensity-score-matching
March 09, 2022 - Study
Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system.
Citation Text:
Bodí M, Samper MA, Sirgo G, et al. Assessing the impact of real-time random safety audits through full propensity scor…
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psnet.ahrq.gov/issue/closing-gap-infection-prevention-staffing-recommendations-results-beta-version-apic-staffing
December 20, 2023 - Study
Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator.
Citation Text:
Bartles R, Reese S, Gumbar A. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC …
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
August 10, 2022 - Study
Classic
Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm.
Citation Text:
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…
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psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
September 09, 2015 - Commentary
An implementation strategy for a multicenter pediatric rapid response system in Ontario.
Citation Text:
Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient …
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psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
February 11, 2015 - Study
Is physician mentorship associated with the occurrence of adverse patient safety events?
Citation Text:
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…
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psnet.ahrq.gov/issue/differential-safety-between-top-ranked-cancer-hospitals-and-their-affiliates-complex-cancer
July 24, 2019 - Study
Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery.
Citation Text:
Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 20…
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psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
September 23, 2015 - Study
Weekend hospitalization and additional risk of death: an analysis of inpatient data.
Citation Text:
Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.1200…
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
October 31, 2011 - Study
The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.
Citation Text:
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…
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psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
April 14, 2021 - Study
Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study.
Citation Text:
Ballangrud R, Hedelin B, Hall-Lord ML. Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. Intensive Crit Care Nurs. 2012;28(6…
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psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
February 10, 2012 - Organizational Policy/Guidelines
Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology.
Citation Text:
Nak…
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psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care
October 16, 2024 - Study
Optimizing patient safety in clinical trials by improving transitions of care.
Citation Text:
Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001…
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psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated
March 23, 2012 - Study
Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative.
Citation Text:
Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus a…
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psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
September 14, 2022 - Study
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals.
Citation Text:
Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…
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psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff
September 23, 2020 - Study
Development of a multicomponent intervention to decrease racial bias among healthcare staff.
Citation Text:
Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…
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psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare
June 05, 2019 - Study
Surgical patient safety outcomes in critical access hospitals: how do they compare?
Citation Text:
Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176.
C…
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psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
May 04, 2016 - Study
The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week.
Citation Text:
Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…
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psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic
March 24, 2019 - Study
Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.
Citation Text:
Wang H-F, Jin J-F,…
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psnet.ahrq.gov/issue/contextual-errors-and-failures-individualizing-patient-care-multicenter-study
October 29, 2012 - Study
Classic
Contextual errors and failures in individualizing patient care: a multicenter study.
Citation Text:
Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…
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psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/response-failure-report-march-2007
In response to "Failure to Report" (March 2007)
Letter
To the editors:
Dr. Sp…
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psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors
July 21, 2021 - Study
Associations of physicians’ prescribing experience, work hours, and workload with prescription errors.
Citation Text:
Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…