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Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. | PSNet

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August 25, 2021 - Study Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Citation Text: Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval …

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

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April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

Identification of common themes from never events data published by NHS England. | PSNet

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April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

The effect of nursing care delivery models on quality and safety outcomes of care: A cross‐sectional survey study of medical‐surgical nurses. | PSNet

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September 04, 2024 - Study The effect of nursing care delivery models on quality and safety outcomes of care: A cross‐sectional survey study of medical‐surgical nurses. Citation Text: Havaei F, MacPhee M, Dahinten S. The effect of nursing care delivery models on quality and safety outcomes of care: A cross-s…

Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? | PSNet

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March 08, 2023 - Study Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? Citation Text: Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the World Health Organizat…

Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. | PSNet

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February 13, 2019 - Review Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. Citation Text: Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …

When the lights go down in the delivery room: lessons from a ransomware attack. | PSNet

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September 02, 2020 - Commentary When the lights go down in the delivery room: lessons from a ransomware attack. Citation Text: Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…

The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. | PSNet

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August 24, 2022 - Study The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. Citation Text: Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining …

Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet

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October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …

Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

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January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

Identifying what is known about improving operating room to intensive care handovers: a scoping review. | PSNet

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September 23, 2020 - Review Identifying what is known about improving operating room to intensive care handovers: a scoping review. Citation Text: Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…

CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. | PSNet

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December 06, 2023 - Study CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. Citation Text: Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136…

Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. | PSNet

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August 15, 2018 - Study Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. Citation Text: Chen SI, Fox ER, Hall K, et al. Despite Federal Legislation, Shortages Of Drugs Used In Acute Care Settings Remain Persistent And Prolonged. Health Aff (Millw…

An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review. | PSNet

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June 29, 2022 - Review An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review. Citation Text: Mao X, Jia P, Zhang L, et al. An Evaluation of the Effects of Human Factors and Ergonomics on Health Care and Patient Safety Practices: A S…

Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. | PSNet

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May 19, 2021 - Study Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. Citation Text: Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…

Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. | PSNet

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April 15, 2020 - Study Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. Citation Text: Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experienc…

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…

Patient error: a preliminary taxonomy. | PSNet

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June 02, 2010 - Study Patient error: a preliminary taxonomy. Citation Text: Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. | PSNet

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January 03, 2017 - Study Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional …

Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. | PSNet

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April 24, 2018 - Study Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. Citation Text: Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…

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