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The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. | PSNet

psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience

October 04, 2011 - Study The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. Citation Text: Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience…

Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit

May 31, 2023 - Study Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis. Citation Text: Bhonagiri D, Pilcher D, Bailey MJ. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retros…

What we know about designing an effective improvement intervention (but too often fail to put into practice). | PSNet

psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice

September 06, 2017 - Commentary What we know about designing an effective improvement intervention (but too often fail to put into practice). Citation Text: Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…

Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. | PSNet

psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors

May 16, 2012 - Study Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. Citation Text: Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …

Human factors–focused reporting system for improving care quality and safety in hospital wards. | PSNet

psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards

February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …

Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? | PSNet

psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad

September 23, 2020 - Study Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? Citation Text: Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad Practice? Ann…

EHR safety: the way forward to safe and effective systems. | PSNet

psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems

December 12, 2012 - Commentary EHR safety: the way forward to safe and effective systems. Citation Text: Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618. Copy Citation Format: …

Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. | PSNet

psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and

July 02, 2019 - Study Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. Citation Text: Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…

E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. | PSNet

psnet.ahrq.gov/issue/e-learning-risk-management-opportunity-sharing-knowledge-and-experiences-patient-safety

November 18, 2020 - Commentary E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Citation Text: Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Int J He…

Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. | PSNet

psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management

August 04, 2021 - Study Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. Citation Text: Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. | PSNet

psnet.ahrq.gov/issue/detection-potential-look-alikesound-alike-medication-errors-using-veterans-affairs

October 04, 2011 - Study Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. Citation Text: Zacher JM, Cunningham FE, Zhao X, et al. Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. …

Inadequate preoperative team briefings lead to more intraoperative adverse events. | PSNet

psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events

June 07, 2023 - Study Inadequate preoperative team briefings lead to more intraoperative adverse events. Citation Text: Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. Cop…

Hospital progress in reducing error: the impact of external interventions. | PSNet

psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions

December 04, 2016 - Study Hospital progress in reducing error: the impact of external interventions. Citation Text: Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20. Copy Citation Format: DOI Google S…

AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. | PSNet

psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and-opioid-stewardship

December 10, 2024 - Webinar AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. Citation Text: Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:0…

Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. | PSNet

psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality

July 26, 2023 - Commentary Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. Citation Text: Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for implementing machine learning solutions …

Artificial intelligence in health care: accountability and safety. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety

December 20, 2023 - Commentary Classic Artificial intelligence in health care: accountability and safety. Citation Text: Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.2…

AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. | PSNet

psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-reduce-emergency-department-boarding-and

November 12, 2008 - Press Release/Announcement AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Citation Text: AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Agency for Healt…

Incoming interns recognize inadequate physical examination as a cause of patient harm. | PSNet

psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm

July 20, 2022 - Study Incoming interns recognize inadequate physical examination as a cause of patient harm. Citation Text: Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/…

Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards

March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

Modes of failure in venous thromboembolism prophylaxis. | PSNet

psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis

October 19, 2022 - Study Modes of failure in venous thromboembolism prophylaxis. Citation Text: Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. Copy Citation Format: DOI Google Scholar…

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