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The association between sepsis and potential medical injury among hospitalized patients. | PSNet

psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients

July 15, 2014 - Study The association between sepsis and potential medical injury among hospitalized patients. Citation Text: Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556. …

Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. | PSNet

psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative

September 25, 2024 - Study Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. Citation Text: Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…

A medication error prevention survey: five years of results. | PSNet

psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results

March 26, 2015 - Study A medication error prevention survey: five years of results. Citation Text: Cusano FL, Chambers C, Summach L. A medication error prevention survey: five years of results. J Oncol Pharm Pract. 2009;15(2):87-93. doi:10.1177/1078155208099284. Copy Citation Format: DOI …

"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. | PSNet

psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge

December 18, 2013 - Study "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Citation Text: Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. | PSNet

psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal

July 01, 2017 - Commentary Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. Citation Text: Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…

An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet

psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis

June 21, 2017 - Study An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. Citation Text: Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis…

Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training

January 17, 2012 - Study Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Citation Text: Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…

Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. | PSNet

psnet.ahrq.gov/issue/computerized-prescriber-order-entry-and-opportunities-medication-errors-comparison-tradition

April 02, 2008 - Study Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. Citation Text: Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to traditi…

Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment

May 24, 2023 - Study Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…

Organizational climate determinants of resident safety culture in nursing homes. | PSNet

psnet.ahrq.gov/issue/organizational-climate-determinants-resident-safety-culture-nursing-homes

June 24, 2020 - Study Organizational climate determinants of resident safety culture in nursing homes. Citation Text: Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053.…

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. | PSNet

psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork

June 24, 2015 - Study Classic Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Citation Text: Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in t…

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet

psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia

May 06, 2009 - Study The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. Citation Text: Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…

Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet

psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem

March 13, 2013 - Study Retained guidewires in the Veterans Health Administration: getting to the root of the problem. Citation Text: Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…

Rapidly increasing rapid response team activation rates. | PSNet

psnet.ahrq.gov/issue/rapidly-increasing-rapid-response-team-activation-rates

February 18, 2015 - Study Rapidly increasing rapid response team activation rates. Citation Text: Braaten JS, deGunst G, Bilys K. Rapidly Increasing Rapid Response Team Activation Rates. Jt Comm J Qual Patient Saf. 2015;41(9):421-427. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

Patient safety begins with proper planning: a quantitative method to improve hospital design. | PSNet

psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design

July 19, 2023 - Study Patient safety begins with proper planning: a quantitative method to improve hospital design. Citation Text: Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative method to improve hospital design. Qual Saf Health Care. 2010;19(5):46…

Establishing psychological safety in clinical supervision: multi-professional perspectives. | PSNet

psnet.ahrq.gov/issue/establishing-psychological-safety-clinical-supervision-multi-professional-perspectives

October 13, 2021 - Commentary Establishing psychological safety in clinical supervision: multi-professional perspectives. Citation Text: Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi‐professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111…

Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases. | PSNet

psnet.ahrq.gov/issue/association-overlapping-surgery-patient-outcomes-large-series-neurosurgical-cases

November 16, 2022 - Study Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases. Citation Text: Howard BM, Holland CM, Mehta C, et al. Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases. JAMA Surg. 2018;153(4):313-321…

Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program | PSNet

psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance

May 12, 2021 - Study Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program Citation Text: Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322…

Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. | PSNet

psnet.ahrq.gov/issue/shape-matters-neglected-feature-medication-safety-why-regulating-shape-medication-containers

December 09, 2020 - Commentary Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. Citation Text: Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication contain…

How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet

psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals

October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

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