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  1. Performance of a trigger tool for identifying adverse events in oncology. | PSNet

    psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology
    May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…

  2. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
    November 17, 2021 - Study Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Citation Text: Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patie…

  3. Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. | PSNet

    psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
    April 10, 2024 - Commentary Emerging Classic Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. Citation Text: Colman N, Doughty C, Arnold J, et al. Simulation-based clinical systems testing for healthcare spaces: from intake thr…

  4. Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients. | PSNet

    psnet.ahrq.gov/issue/worldwide-incidence-surgical-site-infections-general-surgical-patients-systematic-review-and
    August 11, 2021 - Review Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients. Citation Text: Gillespie BM, Harbeck EL, Rattray M, et al. Worldwide incidence of surgical site infections in general surgical patients: a syste…

  5. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. | PSNet

    psnet.ahrq.gov/issue/universal-surveillance-methicillin-resistant-staphylococcus-aureus-3-affiliated-hospitals
    December 23, 2008 - Study Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Citation Text: Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…

  6. Piloting a patient safety and quality improvement co-curriculum. | PSNet

    psnet.ahrq.gov/issue/piloting-patient-safety-and-quality-improvement-co-curriculum
    March 22, 2023 - Commentary Piloting a patient safety and quality improvement co-curriculum. Citation Text: Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357. doi:10.1080/20009666.2017.14038…

  7. Fall prevention with the Smart Socks System reduces hospital fall rates. | PSNet

    psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
    September 09, 2020 - Study Fall prevention with the Smart Socks System reduces hospital fall rates. Citation Text: Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653. Copy Citatio…

  8. Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. | PSNet

    psnet.ahrq.gov/issue/fidelity-and-impact-patient-safety-huddles-teamwork-and-safety-culture-evaluation-huddle
    August 25, 2021 - Study Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. Citation Text: Lamming L, Montague J, Crosswaite K, et al. Fidelity and the impact of patient safety huddles on teamwork and safety …

  9. Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. | PSNet

    psnet.ahrq.gov/issue/description-and-evaluation-interprofessional-patient-safety-course-health-professions-and
    July 19, 2023 - Commentary Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. Citation Text: Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety Course for Health Professio…

  10. Health care provider factors associated with patient-reported adverse events and harm. | PSNet

    psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
    June 19, 2019 - Study Health care provider factors associated with patient-reported adverse events and harm. Citation Text: Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…

  11. Double checking the administration of medicines: what is the evidence? A systematic review. | PSNet

    psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
    June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…

  12. Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. | PSNet

    psnet.ahrq.gov/issue/assessing-information-sources-elucidate-diagnostic-process-errors-radiologic-imaging-human
    May 29, 2019 - Study Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. Citation Text: Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors frame…

  13. Implementation of patient safety structures and processes in the patient-centered medical home. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
    September 28, 2022 - Study Implementation of patient safety structures and processes in the patient-centered medical home. Citation Text: Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…

  14. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet

    psnet.ahrq.gov/issue/human-ai-teaming-critical-care-comparative-analysis-data-scientists-and-clinicians
    July 10, 2013 - Study Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. Citation Text: Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians'…

  15. Experience of learning from everyday work in daily safety huddles: a multi-method study. | PSNet

    psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
    June 23, 2021 - Study Experience of learning from everyday work in daily safety huddles: a multi-method study. Citation Text: Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-…

  16. Using an inpatient portal to engage families in pediatric hospital care. | PSNet

    psnet.ahrq.gov/issue/using-inpatient-portal-engage-families-pediatric-hospital-care
    September 13, 2023 - Study Using an inpatient portal to engage families in pediatric hospital care. Citation Text: Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070. Copy Citation …

  17. Risk factors for adverse events in emergency department procedural sedation for children. | PSNet

    psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
    January 19, 2014 - Study Risk factors for adverse events in emergency department procedural sedation for children. Citation Text: Bhatt M, Johnson DW, Chan J, et al. Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. JAMA Pediatr. 2017;171(10):957-964. doi:10.1001/jam…

  18. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review
    October 28, 2020 - Review Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Citation Text: Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q.…

  19. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). | PSNet

    psnet.ahrq.gov/issue/rural-va-multi-center-medication-reconciliation-quality-improvement-study-r-va-marquis
    September 30, 2020 - Study The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Citation Text: Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2)…

  20. How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? | PSNet

    psnet.ahrq.gov/issue/how-physicians-implicit-prejudice-against-obese-and-mentally-ill-moderated-specialty-and
    January 19, 2022 - Study How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? Citation Text: FitzGerald C, Mumenthaler C, Berner D, et al. How is physicians’ implicit prejudice against the obese and mentally ill moderated by specialty and experienc…
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