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  1. Scaling the EQUIPPED medication safety program: traditional and hub-and-spoke implementation models. | PSNet

    psnet.ahrq.gov/issue/scaling-equipped-medication-safety-program-traditional-and-hub-and-spoke-implementation
    January 19, 2022 - Study Scaling the EQUIPPED medication safety program: traditional and hub-and-spoke implementation models. Citation Text: Vandenberg AE, Hwang U, Das S, et al. Scaling the EQUIPPED medication safety program: traditional and hub‐and‐spoke implementation models. J Am Geriatr Soc. 2024;72(7…

  2. Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. | PSNet

    psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine
    August 15, 2012 - Study Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. Citation Text: Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals. Am J …

  3. Patients use an internet technology to report when things go wrong. | PSNet

    psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
    July 21, 2009 - Study Patients use an internet technology to report when things go wrong. Citation Text: Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. Copy Citation Format: Google Scholar PubMe…

  4. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. | PSNet

    psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review
    June 18, 2008 - Study A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality rev…

  5. A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. | PSNet

    psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
    May 17, 2018 - Study A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. Citation Text: Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…

  6. The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America. | PSNet

    psnet.ahrq.gov/issue/role-quality-improvement-and-patient-safety-academic-promotion-results-survey-chairs
    July 13, 2016 - Study The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America. Citation Text: Staiger TO, Wong EY, Schleyer AM, et al. The role of quality improvement and patient safety in academic prom…

  7. A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/randomized-clinical-trial-compare-use-safety-net-enclosures-standard-restraints-agitated
    September 07, 2022 - Study A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. Citation Text: Nawaz H, Abbas A, Sarfraz A, et al. A randomized clinical trial to compare the use of safety net enclosures with standard restrain…

  8. The global burden of unsafe medical care: analytic modelling of observational studies. | PSNet

    psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies
    September 29, 2017 - Study Classic The global burden of unsafe medical care: analytic modelling of observational studies. Citation Text: Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf.…

  9. The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. | PSNet

    psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site
    November 16, 2022 - Study The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. Citation Text: Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal surge…

  10. A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. | PSNet

    psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
    December 20, 2023 - Study A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. Citation Text: Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…

  11. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. | PSNet

    psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
    September 25, 2008 - Study Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Citation Text: Moore TJ, Furberg CD, Mattison DR, et al. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Pharmacoe…

  12. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
    October 14, 2020 - Study Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Citation Text: M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth …

  13. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. | PSNet

    psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical-outcomes-and-patient
    November 03, 2021 - Review Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. Citation Text: Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient saf…

  14. Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
    June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

  15. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. | PSNet

    psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
    July 21, 2017 - Study Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. Citation Text: Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;…

  16. Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. | PSNet

    psnet.ahrq.gov/issue/does-patients-payer-matter-hospital-patient-safety-study-urban-hospitals
    November 05, 2008 - Study Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. Citation Text: Clement JP, Lindrooth R, Chukmaitov AS, et al. Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. Med Care. 2007;45(2):131-8. Copy Citat…

  17. No harm found when nurse anesthetists work without supervision by physicians. | PSNet

    psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
    August 04, 2021 - Study No harm found when nurse anesthetists work without supervision by physicians. Citation Text: Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966. Copy Citat…

  18. The accuracy of medical dispatch—a systematic review. | PSNet

    psnet.ahrq.gov/issue/accuracy-medical-dispatch-systematic-review
    March 12, 2025 - Review The accuracy of medical dispatch—a systematic review. Citation Text: Bohm K, Kurland L. The accuracy of medical dispatch - a systematic review. Scand J Trauma Resusc Emerg Med. 2018;26(1):94. doi:10.1186/s13049-018-0528-8. Copy Citation Format: DOI Google Scholar Pub…

  19. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
    November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

  20. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. | PSNet

    psnet.ahrq.gov/issue/association-anesthesiologist-staffing-ratio-surgical-patient-morbidity-and-mortality
    July 06, 2022 - Study Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. Citation Text: Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1…
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