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Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study. | PSNet

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September 29, 2021 - Study Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study. Citation Text: Dunbar NM, Kaufman RM. Factors associated with wrong blood in tube errors: an international case series – The BEST collaborative study. Transfusion (Paris…

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet

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April 04, 2011 - Study Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Citation Text: Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. | PSNet

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January 17, 2024 - Review Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Prevalence, causes and severity of medication administration errors in the…

Comparing VA and Non-VA quality of care: a systematic review. | PSNet

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May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. | PSNet

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October 16, 2019 - Study Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Citation Text: Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Hea…

Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

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June 29, 2011 - Commentary Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Citation Text: Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …

Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? | PSNet

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May 01, 2015 - Study Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? Citation Text: Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric …

Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet

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July 31, 2024 - Study Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. Citation Text: Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patien…

Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet

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July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet

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October 27, 2021 - Study Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals Citation Text: Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…

Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. | PSNet

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March 18, 2020 - Review Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. Citation Text: Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…

Medication errors during medical emergencies in a large, tertiary care, academic medical center. | PSNet

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July 31, 2013 - Study Medication errors during medical emergencies in a large, tertiary care, academic medical center. Citation Text: Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482…

Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. | PSNet

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October 12, 2016 - Study Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. Citation Text: Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods a…

The impact of hospital-acquired conditions on Medicare program payments. | PSNet

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November 18, 2016 - Study The impact of hospital-acquired conditions on Medicare program payments. Citation Text: Kandilov AMG, Coomer NM, Dalton K. The impact of hospital-acquired conditions on Medicare program payments. Medicare Medicaid Res Rev. 2014;4(4). doi:10.5600/mmrr.004.04.a01. Copy Citation …

Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning. | PSNet

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April 24, 2019 - Study Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning. Citation Text: Brown A, Nidumolu A, Stanhope A, et al. Can first-y…

Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. | PSNet

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August 20, 2018 - Study Classic Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. Citation Text: Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis-Associated Mortality in US Acu…

Rate of undesirable events at beginning of academic year: retrospective cohort study. | PSNet

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June 08, 2010 - Study Classic Rate of undesirable events at beginning of academic year: retrospective cohort study. Citation Text: Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. do…

Patient characteristics and the occurrence of never events. | PSNet

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February 15, 2011 - Study Patient characteristics and the occurrence of never events. Citation Text: Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. Copy Citation Format: DOI Google Schol…

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet

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April 19, 2017 - Study Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. Citation Text: Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…

Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. | PSNet

psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion

July 02, 2019 - Study Classic Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. Citation Text: Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Bill…

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