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9861. Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
      June 07, 2017 - Study Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. Citation Text: OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…

9862. Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. | PSNet
      psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
      March 24, 2019 - Study Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. Citation Text: Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…

9863. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. | PSNet
      psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
      August 11, 2021 - Study Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. Citation Text: Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1…

9864. Creating a safer health care system: finding the constraint. | PSNet
      psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
      February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

9865. Does error and adverse event reporting by physicians and nurses differ? | PSNet
      psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
      February 24, 2011 - Study Does error and adverse event reporting by physicians and nurses differ? Citation Text: Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. Copy Citation Format: G…

9866. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet
      psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
      March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Citation Text: Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…

9867. Failure to rescue female patients undergoing high-risk surgery. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
      October 25, 2017 - Study Failure to rescue female patients undergoing high-risk surgery. Citation Text: Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574. Copy Citation Format: …

9868. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. | PSNet
      psnet.ahrq.gov/issue/adverse-events-italian-nursing-homes-during-covid-19-epidemic-national-survey
      December 16, 2020 - Study Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Citation Text: Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465. Copy Citation…

9869. Can we rely on patients' reports of adverse events? | PSNet
      psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
      December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

9870. Improving communication with primary care physicians at the time of hospital discharge. | PSNet
      psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
      November 16, 2022 - Study Improving communication with primary care physicians at the time of hospital discharge. Citation Text: Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…

9871. Interruptions and distractions in healthcare: review and reappraisal. | PSNet
      psnet.ahrq.gov/issue/interruptions-and-distractions-healthcare-review-and-reappraisal
      January 19, 2011 - Review Classic Interruptions and distractions in healthcare: review and reappraisal. Citation Text: Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2…

9872. Fall prevention in acute care hospitals: a randomized trial. | PSNet
      psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
      February 01, 2023 - Study Classic Fall prevention in acute care hospitals: a randomized trial. Citation Text: Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567. Copy Citat…

9873. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. | PSNet
      psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
      February 02, 2022 - Commentary Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Citation Text: Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…

9874. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. | PSNet
      psnet.ahrq.gov/issue/prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after-harmful-patient-safety
      February 23, 2022 - Review Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. Citation Text: Richmond JG, Burgess N. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety inciden…

9875. Piloting a patient safety and quality improvement co-curriculum. | PSNet
      psnet.ahrq.gov/issue/piloting-patient-safety-and-quality-improvement-co-curriculum
      March 22, 2023 - Commentary Piloting a patient safety and quality improvement co-curriculum. Citation Text: Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357. doi:10.1080/20009666.2017.14038…

9876. The many faces of error disclosure: a common set of elements and a definition. | PSNet
      psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
      December 16, 2009 - Study Classic The many faces of error disclosure: a common set of elements and a definition. Citation Text: Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…

9877. Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. | PSNet
      psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
      September 22, 2021 - Study Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. Citation Text: Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…

9878. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. | PSNet
      psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
      August 25, 2011 - Study Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Citation Text: Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…

9879. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. | PSNet
      psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
      March 14, 2012 - Review Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. Citation Text: de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn…

9880. SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet
      psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
      November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. Citation Text: De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…