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  1. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). | PSNet

    psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
    October 30, 2024 - Study Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). Citation Text: Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…

  2. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet

    psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
    March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

  3. Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. | PSNet

    psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate
    February 29, 2012 - Study Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. Citation Text: Taylor JA, Dominici F, Agnew J, et al. Do nurse and patient injuries share common antecedents? An analysis of associations with safety cl…

  4. Evidence-based organization and patient safety strategies in European hospitals. | PSNet

    psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
    January 20, 2016 - Study Evidence-based organization and patient safety strategies in European hospitals. Citation Text: Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…

  5. To forgive, divine. | PSNet

    psnet.ahrq.gov/issue/forgive-divine
    November 11, 2020 - Commentary To forgive, divine. Citation Text: Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  6. A communication training program to encourage speaking-up behavior in surgical oncology. | PSNet

    psnet.ahrq.gov/issue/communication-training-program-encourage-speaking-behavior-surgical-oncology
    May 18, 2022 - Study A communication training program to encourage speaking-up behavior in surgical oncology. Citation Text: D'Agostino TA, Bialer PA, Walters CB, et al. A Communication Training Program to Encourage Speaking-Up Behavior in Surgical Oncology. AORN J. 2017;106(4):295-305. doi:10.1016/j.a…

  7. Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
    September 27, 2016 - Commentary Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. Citation Text: Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…

  8. Interventions to promote safety culture in cancer care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-promote-safety-culture-cancer-care-systematic-review
    August 09, 2023 - Review Interventions to promote safety culture in cancer care: a systematic review. Citation Text: Le D, Lim CH, Fazelzad R, et al. Interventions to promote safety culture in cancer care: a systematic review. J Patient Saf. 2024;20(1):48-56. doi:10.1097/pts.0000000000001181. Copy Citat…

  9. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet

    psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
    June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Citation Text: Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…

  10. An evolution of reporting: identifying the missing link. | PSNet

    psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link
    August 17, 2022 - Commentary An evolution of reporting: identifying the missing link. Citation Text: Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761. Copy Citation Format: …

  11. Perception of patient safety culture in pediatric long-term care settings. | PSNet

    psnet.ahrq.gov/issue/perception-patient-safety-culture-pediatric-long-term-care-settings
    May 10, 2023 - Study Perception of patient safety culture in pediatric long-term care settings. Citation Text: Hessels AJ, Murray MT, Cohen B, et al. Perception of Patient Safety Culture in Pediatric Long-Term Care Settings. J Healthc Qual. 2018;40(6):384-391. doi:10.1097/JHQ.0000000000000134. Copy C…

  12. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. | PSNet

    psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis
    June 15, 2011 - Study Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Citation Text: Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based o…

  13. Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. | PSNet

    psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
    October 12, 2016 - Book/Report Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. Citation Text: Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Poo…

  14. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. | PSNet

    psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
    September 23, 2020 - Commentary The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Citation Text: Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…

  15. Embracing multiple aims in healthcare improvement and innovation. | PSNet

    psnet.ahrq.gov/issue/embracing-multiple-aims-healthcare-improvement-and-innovation
    June 24, 2020 - Commentary Embracing multiple aims in healthcare improvement and innovation. Citation Text: Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. Copy Citation Fo…

  16. The "physician-led chart audit": engaging providers in fortifying a culture of safety. | PSNet

    psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety
    November 20, 2013 - Study The "physician-led chart audit": engaging providers in fortifying a culture of safety. Citation Text: Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…

  17. Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. | PSNet

    psnet.ahrq.gov/issue/development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and
    November 01, 2017 - Commentary Emerging Classic Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. Citation Text: Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for P…

  18. Surgical site infection prevention: a review. | PSNet

    psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
    February 15, 2023 - Review Surgical site infection prevention: a review. Citation Text: Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  19. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. | PSNet

    psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient
    April 29, 2015 - Study Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Citation Text: Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…

  20. Practical challenges of introducing WHO surgical checklist: UK pilot experience. | PSNet

    psnet.ahrq.gov/issue/practical-challenges-introducing-who-surgical-checklist-uk-pilot-experience
    September 26, 2012 - Study Practical challenges of introducing WHO surgical checklist: UK pilot experience. Citation Text: Vats A, Vincent CA, Nagpal K, et al. Practical challenges of introducing WHO surgical checklist: UK pilot experience. BMJ. 2010;340(jan13 2). doi:10.1136/bmj.b5433. Copy Citation …
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