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  1. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. | PSNet

    psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
    December 02, 2020 - Study High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Citation Text: Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…

  2. FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. | PSNet

    psnet.ahrq.gov/issue/fda-alerts-patients-and-health-care-professionals-epipen-auto-injector-errors-related-device
    April 07, 2019 - Press Release/Announcement FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. Citation Text: FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctio…

  3. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. | PSNet

    psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
    December 02, 2020 - Study Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. Citation Text: Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …

  4. Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. | PSNet

    psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease-2019-pandemic
    September 02, 2020 - Commentary Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. Citation Text: Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an epicenter of the coronav…

  5. Outcomes of emergency department patients presenting with adverse drug events. | PSNet

    psnet.ahrq.gov/issue/outcomes-emergency-department-patients-presenting-adverse-drug-events
    April 22, 2011 - Study Outcomes of emergency department patients presenting with adverse drug events. Citation Text: Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.0…

  6. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
    April 22, 2011 - Study Classic Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. Citation Text: Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Stud…

  7. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

    psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
    February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…

  8. Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. | PSNet

    psnet.ahrq.gov/issue/severe-illness-getting-noticed-sooner-signs-kids-developing-illness-recognition-tool-connect
    September 23, 2020 - Study Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. Citation Text: Gilleland J, Bayfield D, Bayliss A, et al. Severe illness getting noticed sooner – SIGNS-for-Kids: developing an illness recognition tool to c…

  9. Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. | PSNet

    psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events-after-hospital
    April 27, 2022 - Study Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. Citation Text: Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. Res S…

  10. Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach. | PSNet

    psnet.ahrq.gov/issue/healthcare-related-infections-within-nursing-homes-nhs-qualitative-study-care-practices-based
    August 24, 2022 - Study Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach. Citation Text: Lefosse G, Rasero L, Bellandi T, et al. Healthcare-related infections within nursing homes (NHS): A qualitative study of care practices based…

  11. What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. | PSNet

    psnet.ahrq.gov/issue/what-quality-and-safety-care-patients-admitted-clinically-inappropriate-wards-systematic
    February 15, 2023 - Review What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. Citation Text: La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review. J Ge…

  12. What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. | PSNet

    psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety
    March 29, 2023 - Study What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. Citation Text: Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality Improvement and Patient S…

  13. Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/changes-unprofessional-behaviour-teamwork-and-co-operation-among-hospital-staff-during-covid
    January 31, 2024 - Study Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID-19 pandemic. Citation Text: Westbrook JI, McMullan R, Urwin R, et al. Changes in unprofessional behaviour, teamwork and co‐operation among hospital staff during the COVID‐19 pandem…

  14. Correlation between hospital finances and quality and safety of patient care. | PSNet

    psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care
    January 12, 2022 - Study Correlation between hospital finances and quality and safety of patient care. Citation Text: Akinleye DD, McNutt L-A, Lazariu V, et al. Correlation between hospital finances and quality and safety of patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124. C…

  15. Health care-associated infections among critically ill children in the US, 2013-2018. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2013-2018
    May 18, 2022 - Study Health care-associated infections among critically ill children in the US, 2013-2018. Citation Text: Hsu HE, Mathew R, Wang R, et al. Health care-associated infections among critically ill children in the US, 2013-2018. JAMA Pediatr. 2020;174(12):1176-1183. doi:10.1001/jamapediatri…

  16. Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021. | PSNet

    psnet.ahrq.gov/issue/emotional-exhaustion-among-us-health-care-workers-and-during-covid-19-pandemic-2019-2021
    August 24, 2022 - Study Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021. Citation Text: Sexton JB, Adair KC, Proulx J, et al. Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021. JAMA Netw Open. 2022;5(9)…

  17. Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. | PSNet

    psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation
    April 12, 2023 - Study Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. Citation Text: Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…

  18. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. | PSNet

    psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
    July 31, 2019 - Study Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Citation Text: Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…

  19. Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. | PSNet

    psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
    January 19, 2022 - Study Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. Citation Text: Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and comm…

  20. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. | PSNet

    psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
    October 27, 2021 - Study Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. Citation Text: Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…
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