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Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet

psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach

November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey

December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

Can patient safety be measured by surveys of patient experiences? | PSNet

psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-experiences

March 04, 2020 - Study Can patient safety be measured by surveys of patient experiences? Citation Text: Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274. Copy Citation Format: Google Sc…

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. | PSNet

psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten

December 20, 2023 - Study High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. Citation Text: Hartel MJ, Staub LP, Röder C, et al. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten …

Medical adverse events in the US 2018 mortality data. | PSNet

psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data

December 21, 2022 - Study Medical adverse events in the US 2018 mortality data. Citation Text: Oura P. Medical adverse events in the US 2018 mortality data. Prev Med Rep. 2021;24:101574. doi:10.1016/j.pmedr.2021.101574. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. | PSNet

psnet.ahrq.gov/issue/quality-traditional-surveillance-public-reporting-nosocomial-bloodstream-infection-rates

August 20, 2018 - Study Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. Citation Text: Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:1…

Does crew resource management training work? An update, an extension, and some critical needs. | PSNet

psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs

January 02, 2017 - Review Does crew resource management training work? An update, an extension, and some critical needs. Citation Text: Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:…

Patient engagement with surgical site infection prevention: an expert panel perspective. | PSNet

psnet.ahrq.gov/issue/patient-engagement-surgical-site-infection-prevention-expert-panel-perspective

June 03, 2020 - Review Patient engagement with surgical site infection prevention: an expert panel perspective. Citation Text: Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an expert panel perspective. Antimicrob Resist Infect Control. 2017;6:45.…

Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. | PSNet

psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive

February 19, 2014 - Study Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. Citation Text: Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill patients through screening intensive…

Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. | PSNet

psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and

January 27, 2021 - Study Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. Citation Text: Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…

Serious incidents after death: content analysis of incidents reported to a national database. | PSNet

psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database

October 03, 2018 - Study Serious incidents after death: content analysis of incidents reported to a national database. Citation Text: Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 2017;111(2):57-64. doi…

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient

September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. | PSNet

psnet.ahrq.gov/issue/effectiveness-pharmacist-nurse-intervention-resolving-medication-discrepancies-patients

December 03, 2014 - Study Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. Citation Text: Setter SM, Corbett CF, Neumiller JJ, et al. Effectiveness of a pharmacist-nurse intervention on resolving medication…

Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. | PSNet

psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers-2000-2021

October 30, 2024 - Study Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Citation Text: DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.154…

Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. | PSNet

psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine

October 19, 2022 - Study Classic Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Citation Text: Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …

Use of administrative data to find substandard care: validation of the complications screening program. | PSNet

psnet.ahrq.gov/issue/use-administrative-data-find-substandard-care-validation-complications-screening-program

September 30, 2015 - Study Classic Use of administrative data to find substandard care: validation of the complications screening program. Citation Text: Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. do…

Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. | PSNet

psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest

July 31, 2013 - Study Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. Citation Text: Kim J-sung, Bae H-J, Sohn CH, et al. Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. Crit Care. 2020;24(1):305.…

Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet

psnet.ahrq.gov/issue/adoption-national-quality-forum-safe-practices-magnet-hospitals

May 15, 2019 - Study Adoption of National Quality Forum safe practices by magnet hospitals. Citation Text: Jayawardhana J, Welton JM, Lindrooth R. Adoption of National Quality Forum Safe Practices by Magnet® Hospitals. JONA: The Journal of Nursing Administration. 2011;41(9). doi:10.1097/nna.0b013e318…

Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions. | PSNet

psnet.ahrq.gov/issue/prescribing-elderly-part-i-sensitivity-elderly-adverse-drug-reactions

January 11, 2017 - Review Classic Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions. Citation Text: Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions*. J Am Geriatr Soc. 2015;36(2…

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