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Trends and patterns in reporting of patient safety situations in transplantation. | PSNet

psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation

October 19, 2022 - Study Trends and patterns in reporting of patient safety situations in transplantation. Citation Text: Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. …

Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. | PSNet

psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative

April 12, 2023 - Study Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. Citation Text: Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. JAMA Intern Med. 2024…

Nurse decision making in the prearrest period. | PSNet

psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period

July 29, 2020 - Study Nurse decision making in the prearrest period. Citation Text: Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res. 2010;19(1):21-37. doi:10.1177/1054773809353161. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Rapid response systems: a systematic review and meta-analysis. | PSNet

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January 29, 2018 - Review Rapid response systems: a systematic review and meta-analysis. Citation Text: Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. Copy Citation Format: DOI Google Schola…

Provider interruptions and patient perceptions of care: an observational study in the emergency department. | PSNet

psnet.ahrq.gov/issue/provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department

June 26, 2024 - Study Provider interruptions and patient perceptions of care: an observational study in the emergency department. Citation Text: Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;…

The role of emotion in patient safety: are we brave enough to scratch beneath the surface? | PSNet

psnet.ahrq.gov/issue/role-emotion-patient-safety-are-we-brave-enough-scratch-beneath-surface

January 09, 2014 - Review The role of emotion in patient safety: are we brave enough to scratch beneath the surface? Citation Text: Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/014…

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet

psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection

May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women

August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

Failure events in transition of care for surgical patients. | PSNet

psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients

October 19, 2022 - Study Failure events in transition of care for surgical patients. Citation Text: Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. Copy Citation Format: …

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. | PSNet

psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ

April 28, 2021 - Study Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Citation Text: Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qua…

Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice

August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet

psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes

May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

Racial and ethnic harm in patient care is a patient safety issue. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue

October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

Effect of day of the week on short- and long-term mortality after emergency general surgery. | PSNet

psnet.ahrq.gov/issue/effect-day-week-short-and-long-term-mortality-after-emergency-general-surgery

January 23, 2019 - Study Effect of day of the week on short- and long-term mortality after emergency general surgery. Citation Text: Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.100…

Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. | PSNet

psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention

May 14, 2008 - Study Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Citation Text: Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785-91. Copy Citation Fo…

Measurement as a performance driver: the case for a national measurement system to improve patient safety. | PSNet

psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety

September 01, 2018 - Review Measurement as a performance driver: the case for a national measurement system to improve patient safety. Citation Text: Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…

What's in a name? Provider perception of injured John Doe patients. | PSNet

psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients

September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …

Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. | PSNet

psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational

June 01, 2022 - Review Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. Citation Text: Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational Outcom…

Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu

August 15, 2016 - Study Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. Citation Text: Pelieu I, Djadi-Prat J, Consoli SM, et al. Impact of organizational culture on preventability assessment of selec…

A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. | PSNet

psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay

December 23, 2011 - Study A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Citation Text: Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Med C…

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