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Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. | PSNet

psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging

August 12, 2020 - Study Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. Citation Text: Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring …

Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. | PSNet

psnet.ahrq.gov/issue/building-patient-trust-hospitals-combination-hospital-related-factors-and-health-care

April 14, 2021 - Study Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Citation Text: Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Jt Comm…

Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. | PSNet

psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study

May 19, 2021 - Review Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. Citation Text: Blume KS, Dietermann K, Kirchner‐Heklau U, et al. Staffing levels and nursing‐sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5…

Improving employee voice about transgressive or disruptive behavior: a case study. | PSNet

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June 16, 2021 - Study Improving employee voice about transgressive or disruptive behavior: a case study. Citation Text: Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.00000000000…

Improving resident handoffs for children transitioning from the intensive care unit. | PSNet

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January 12, 2022 - Study Improving resident handoffs for children transitioning from the intensive care unit. Citation Text: Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…

Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. | PSNet

psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital

March 24, 2021 - Commentary Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. Citation Text: Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…

Human factors analysis of latent safety threats in a pediatric critical care unit. | PSNet

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April 28, 2021 - Study Human factors analysis of latent safety threats in a pediatric critical care unit. Citation Text: Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc…

Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. | PSNet

psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted

March 15, 2023 - Study Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. Citation Text: Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit. | PSNet

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July 19, 2023 - Study Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit. Citation Text: Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a …

Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. | PSNet

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November 05, 2008 - Study Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. Citation Text: Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischa…

The relationship between hospital systems load and patient harm. | PSNet

psnet.ahrq.gov/issue/relationship-between-hospital-systems-load-and-patient-harm

November 12, 2008 - Study The relationship between hospital systems load and patient harm. Citation Text: Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. Copy Citation Format…

Why studying human behavior is a critical component of patient safety. | PSNet

psnet.ahrq.gov/issue/why-studying-human-behavior-critical-component-patient-safety

January 15, 2020 - Commentary Why studying human behavior is a critical component of patient safety. Citation Text: Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. Copy Citation F…

Inequities in quality and safety outcomes for hospitalized children with intellectual disability. | PSNet

psnet.ahrq.gov/issue/inequities-quality-and-safety-outcomes-hospitalized-children-intellectual-disability

June 15, 2022 - Study Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Citation Text: Mimmo L, Harrison R, Travaglia J, et al. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Dev Med Child Neurol. 2022;64(…

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet

psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff

April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…

Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet

psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity

February 23, 2022 - Commentary Advancing health equity in patient safety: a reckoning, challenge and opportunity. Citation Text: Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. Copy Citation Fo…

The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety

November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. | PSNet

psnet.ahrq.gov/issue/delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement-anticoagulation

March 04, 2020 - Commentary Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Citation Text: Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…

A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/data-driven-approach-evaluate-barcode-assisted-medication-preparation-alerts-large-academic

October 19, 2022 - Study A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Citation Text: Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic me…

Surgical glove perforation and the risk of surgical site infection. | PSNet

psnet.ahrq.gov/issue/surgical-glove-perforation-and-risk-surgical-site-infection

March 02, 2011 - Study Surgical glove perforation and the risk of surgical site infection. Citation Text: Misteli H, Weber WP, Reck S, et al. Surgical glove perforation and the risk of surgical site infection. Arch Surg. 2009;144(6):553-8; discussion 558. doi:10.1001/archsurg.2009.60. Copy Citation …

Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet

psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school

February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at Harvard Medical School. Citation Text: Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. Copy Citation F…

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