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Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. | PSNet

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September 29, 2017 - Study Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. Citation Text: Fink DA, Kilday D, Cao Z, et al. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalization…

Trainee autonomy and patient safety. | PSNet

psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety

November 03, 2021 - Commentary Trainee autonomy and patient safety. Citation Text: George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet

psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical

January 03, 2017 - Study Classic Organizational factors associated with high performance in quality and safety in academic medical centers. Citation Text: Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…

Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial | PSNet

psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-intervention-adverse-drug-events-cluster

April 29, 2018 - Study Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Citation Text: Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…

Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national

November 29, 2023 - Study Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, Galvin I. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patie…

Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet

psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry

September 28, 2017 - Study Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. Citation Text: Motamedi M, Degeling C, M. Carter S. Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry int…

Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. | PSNet

psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high

August 30, 2017 - Study Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Citation Text: Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…

Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. | PSNet

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March 05, 2025 - Study Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. Citation Text: Holmes L, Enwere M, Mason R, et al. Medical misadventures as …

Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. | PSNet

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March 24, 2019 - Study Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. Citation Text: Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…

Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. | PSNet

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June 28, 2011 - Review Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. Citation Text: Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…

Test-retest reliability of an experienced Global Trigger Tool review team. | PSNet

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August 03, 2022 - Study Test-retest reliability of an experienced Global Trigger Tool review team. Citation Text: Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433. Copy …

What happens to the medication regimens of older adults during and after an acute hospitalization? | PSNet

psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization

May 19, 2021 - Study What happens to the medication regimens of older adults during and after an acute hospitalization? Citation Text: Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…

Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. | PSNet

psnet.ahrq.gov/issue/association-health-literacy-postoperative-outcomes-patients-undergoing-major-abdominal

May 08, 2017 - Study Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. Citation Text: Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2…

Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet

psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis

June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …

Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study. | PSNet

psnet.ahrq.gov/issue/microbiological-evaluation-two-hand-hygiene-procedures-achieved-healthcare-workers-during

June 13, 2011 - Study Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study. Citation Text: Kac G, Podglajen I, Gueneret M, et al. Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers…

Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. | PSNet

psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information

May 31, 2017 - Study Emerging Classic Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. Citation Text: Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure …

Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes

March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment

August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs. | PSNet

psnet.ahrq.gov/issue/can-patients-contribute-safer-care-meetings-healthcare-professionals-cross-sectional-survey

November 22, 2017 - Study Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs. Citation Text: Ericsson C, Skagerström J, Schildmeijer K, et al. Can patients contribute to safer care in meetings with healthcare professio…

Adverse events and burnout: the moderating effects of workgroup identification and safety climate. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-burnout-moderating-effects-workgroup-identification-and-safety-climate

February 09, 2022 - Study Adverse events and burnout: the moderating effects of workgroup identification and safety climate. Citation Text: Vogus TJ, Ramanujam R, Novikov Z, et al. Adverse events and burnout: the moderating effects of workgroup identification and safety climate. Med Care. 2020;58(7):594-600…

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