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Impact of Medicare's nonpayment program on hospital-acquired conditions. | PSNet

psnet.ahrq.gov/issue/impact-medicares-nonpayment-program-hospital-acquired-conditions

December 21, 2014 - Review Impact of Medicare's nonpayment program on hospital-acquired conditions. Citation Text: Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680. C…

A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet

psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety

October 26, 2022 - Study A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. Citation Text: Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…

Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. | PSNet

psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical

August 13, 2014 - Commentary Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. Citation Text: Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. | PSNet

psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital

November 10, 2015 - Commentary Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. Citation Text: Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication administration standard to address hospit…

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. | PSNet

psnet.ahrq.gov/issue/sustaining-reductions-catheter-related-bloodstream-infections-michigan-intensive-care-units

May 25, 2011 - Study Classic Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. Citation Text: Pronovost P, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream infections…

Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. | PSNet

psnet.ahrq.gov/issue/prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after-harmful-patient-safety

February 23, 2022 - Review Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. Citation Text: Richmond JG, Burgess N. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety inciden…

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. | PSNet

psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety

February 09, 2011 - Study Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. Citation Text: Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of…

The impact of clinically undiagnosed injuries on survival estimates. | PSNet

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April 03, 2024 - Study The impact of clinically undiagnosed injuries on survival estimates. Citation Text: Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164. Copy Citation Format…

Can we rely on patients' reports of adverse events? | PSNet

psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events

December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

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April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

When no news is bad news: improving diagnostic testing communication through patient engagement. | PSNet

psnet.ahrq.gov/issue/when-no-news-bad-news-improving-diagnostic-testing-communication-through-patient-engagement

August 20, 2018 - Study When no news is bad news: improving diagnostic testing communication through patient engagement. Citation Text: Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26…

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims

September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. | PSNet

psnet.ahrq.gov/issue/comparing-measures-patient-safety-inpatient-care-provided-veterans-within-and-outside-va

March 04, 2011 - Study Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. Citation Text: Weeks WB, West AN, Rosen AK, et al. Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA sys…

The Economic Measurement of Medical Errors. | PSNet

psnet.ahrq.gov/issue/economic-measurement-medical-errors

March 23, 2022 - Book/Report The Economic Measurement of Medical Errors. Citation Text: The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. Copy Citation Save Save t…

The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national

March 04, 2011 - Review The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Citation Text: Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chroni…

The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care

November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

Role of pharmacist counseling in preventing adverse drug events after hospitalization. | PSNet

psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization

November 16, 2022 - Study Classic Role of pharmacist counseling in preventing adverse drug events after hospitalization. Citation Text: Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug events after hospitalization. Arch Intern M…

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. | PSNet

psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician

January 03, 2017 - Study Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. Citation Text: Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Phys…

Cost of health care-associated infections in the United States. | PSNet

psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states

November 02, 2022 - Study Cost of health care-associated infections in the United States. Citation Text: Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845. Copy Citation Format: …

Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. | PSNet

psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful

September 23, 2020 - Commentary Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. Citation Text: Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…

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