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  1. Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program. | PSNet

    psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical-unit-based
    March 21, 2012 - Study Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program. Citation Text: Lin DM, Carson KA, Lubomski LH, et al. Statewide Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based Safety P…

  2. A multidisciplinary approach to reduce central line-associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections
    November 16, 2022 - Study A multidisciplinary approach to reduce central line-associated bloodstream infections. Citation Text: McMullan C, Propper G, Schuhmacher C, et al. A multidisciplinary approach to reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2013;39(2):61-69. …

  3. Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. | PSNet

    psnet.ahrq.gov/issue/understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews
    September 11, 2018 - Book/Report Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. Citation Text: Understanding the knowledge gaps in whistleblowing and speaking up…

  4. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. | PSNet

    psnet.ahrq.gov/issue/presafe-model-barriers-and-facilitators-patients-providing-feedback-experiences-safety
    January 08, 2020 - Study PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Citation Text: De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(…

  5. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. | PSNet

    psnet.ahrq.gov/issue/american-college-surgeons-and-surgical-infection-society-surgical-site-infection-guidelines
    October 23, 2018 - Review American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. Citation Text: Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll …

  6. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. | PSNet

    psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
    February 24, 2011 - Study Classic Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. Citation Text: Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4)…

  7. Caregiver fatigue: implications for patient and staff safety—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/caregiver-fatigue-implications-patient-and-staff-safety-part-1-and-part-2
    September 23, 2020 - Commentary Caregiver fatigue: implications for patient and staff safety—part 1 and part 2. Citation Text: Blouin AS, Smith-Miller CA, Harden J, et al. Caregiver Fatigue: Implications for Patient and Staff Safety, Part 1. J Nurs Adm. 2016;46(6):329-35. doi:10.1097/NNA.0000000000000353. …

  8. A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. | PSNet

    psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
    September 23, 2020 - Study A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. Citation Text: Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…

  9. 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…

  10. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. | PSNet

    psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
    December 08, 2021 - Study Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. Citation Text: Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…

  11. Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized
    December 31, 2014 - Study Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…

  12. Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklist-audits-may-be-misleading-improving-implementation-and-adherence
    November 24, 2021 - Study Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. Citation Text: Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving th…

  13. Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
    December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

  14. Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. | PSNet

    psnet.ahrq.gov/issue/evidence-based-interventions-reduce-adverse-events-hospitals-systematic-review-systematic
    December 04, 2015 - Review Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. Citation Text: Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. BMJ …

  15. Identifying high-risk medication: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
    June 27, 2011 - Review Identifying high-risk medication: a systematic literature review. Citation Text: Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. Copy Citation Fo…

  16. Real-time automated paging and decision support for critical laboratory abnormalities. | PSNet

    psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
    April 30, 2014 - Study Real-time automated paging and decision support for critical laboratory abnormalities. Citation Text: Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…

  17. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. | PSNet

    psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
    February 24, 2021 - Study Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. Citation Text: Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nur…

  18. Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
    August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…

  19. Medical adverse events in the US 2018 mortality data. | PSNet

    psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
    December 21, 2022 - Study Medical adverse events in the US 2018 mortality data. Citation Text: Oura P. Medical adverse events in the US 2018 mortality data. Prev Med Rep. 2021;24:101574. doi:10.1016/j.pmedr.2021.101574. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  20. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. | PSNet

    psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
    December 05, 2018 - Study Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. Citation Text: Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiot…
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