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  1. Clinical predictors for unsafe direct discharge home patients from intensive care units. | PSNet

    psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units
    January 12, 2011 - Study Clinical predictors for unsafe direct discharge home patients from intensive care units. Citation Text: Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.…

  2. The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. | PSNet

    psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver
    September 19, 2016 - Study The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. Citation Text: Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes:…

  3. Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. | PSNet

    psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care
    March 17, 2021 - Study Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. Citation Text: Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long-term and acute care settings: a proo…

  4. Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet

    psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing
    May 08, 2017 - Study Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Citation Text: Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…

  5. The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

    psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
    November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

  6. Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. | PSNet

    psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
    July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…

  7. Estimating deaths due to medical error: the ongoing controversy and why it matters. | PSNet

    psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
    December 30, 2014 - Commentary Estimating deaths due to medical error: the ongoing controversy and why it matters. Citation Text: Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144. …

  8. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. | PSNet

    psnet.ahrq.gov/issue/predictors-and-outcomes-patient-safety-culture-cross-sectional-comparative-study
    March 22, 2023 - Study Predictors and outcomes of patient safety culture: a cross-sectional comparative study. Citation Text: Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889. Copy Citati…

  9. Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. | PSNet

    psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-bloodstream-infections-related-central
    March 30, 2022 - Review Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. Citation Text: Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related…

  10. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. | PSNet

    psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
    May 06, 2015 - Review Surgical technology and operating-room safety failures: a systematic review of quantitative studies. Citation Text: Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;…

  11. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. | PSNet

    psnet.ahrq.gov/issue/evaluation-culture-safety-survey-clinicians-and-managers-academic-medical-center
    September 28, 2010 - Study Classic Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Citation Text: Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academ…

  12. The role of hospital managers in quality and patient safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/role-hospital-managers-quality-and-patient-safety-systematic-review
    December 30, 2014 - Review The role of hospital managers in quality and patient safety: a systematic review. Citation Text: Parand A, Dopson S, Renz A, et al. The role of hospital managers in quality and patient safety: a systematic review. BMJ Open. 2014;4(9):e005055. doi:10.1136/bmjopen-2014-005055. Cop…

  13. Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact. | PSNet

    psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning
    January 24, 2024 - Study Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact. Citation Text: Jeffs L, Bruno F, Zeng RL, et al. Integrating implementation science in a quality and patient safety improvement learning collabor…

  14. Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. | PSNet

    psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores
    September 29, 2017 - Study Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. Citation Text: Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes…

  15. Determinants of adverse events in vascular surgery. | PSNet

    psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
    March 21, 2012 - Study Determinants of adverse events in vascular surgery. Citation Text: Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045. Copy Citation Format: …

  16. Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
    June 04, 2014 - Study Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. Citation Text: Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. A…

  17. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet

    psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
    June 30, 2021 - Commentary Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? Citation Text: Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable advers…

  18. Safety culture and complications after bariatric surgery. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
    August 02, 2015 - Study Safety culture and complications after bariatric surgery. Citation Text: Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085. Copy Citation Format: DOI …

  19. Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. | PSNet

    psnet.ahrq.gov/issue/clinician-well-being-assessment-and-interventions-joint-commission-accredited-hospitals-and
    June 07, 2023 - Study Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. Citation Text: Longo BA, Schmaltz SP, Williams SC, et al. Clinician well-being assessment and interventions in Joint Commission-accredited hospitals an…

  20. Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/validation-new-icd-10-based-patient-safety-indicators-identification-hospital-complications
    April 19, 2023 - Study Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. Citation Text: McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…
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