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  1. Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
    February 14, 2017 - Review Strategies for improving patient safety culture in hospitals: a systematic review. Citation Text: Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-0…

  2. Association between Leapfrog safe practices score and hospital mortality in major surgery. | PSNet

    psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery
    September 29, 2017 - Study Association between Leapfrog safe practices score and hospital mortality in major surgery. Citation Text: Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…

  3. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. | PSNet

    psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united
    October 09, 2019 - Study Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. Citation Text: Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…

  4. A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
    August 24, 2022 - Study A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. Citation Text: Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the report…

  5. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. | PSNet

    psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
    May 25, 2022 - Study Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. Citation Text: Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and nea…

  6. Hospital leadership and quality improvement: rhetoric versus reality. | PSNet

    psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-reality
    May 07, 2014 - Study Hospital leadership and quality improvement: rhetoric versus reality. Citation Text: Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. Copy Citation Format: DOI Google Scholar…

  7. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet

    psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
    May 25, 2022 - Commentary A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Citation Text: Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …

  8. Reported clinical incidents of children with intellectual disability: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
    March 16, 2022 - Study Reported clinical incidents of children with intellectual disability: a qualitative analysis. Citation Text: Ong N, Mimmo L, Barnett D, et al. Reported clinical incidents of children with intellectual disability: a qualitative analysis. Dev Med Child Neurol. 2022;64(11):1359-1365. …

  9. The "weekend effect" in pediatric surgery—increased mortality for children undergoing urgent surgery during the weekend. | PSNet

    psnet.ahrq.gov/issue/weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-urgent-surgery
    February 01, 2012 - Study Classic The "weekend effect" in pediatric surgery—increased mortality for children undergoing urgent surgery during the weekend. Citation Text: Goldstein SD, Papandria DJ, Aboagye J, et al. The "weekend effect" in pediatric surgery - increased mortality fo…

  10. Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet

    psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
    March 24, 2021 - Commentary Two fatal cases of accidental intrathecal vincristine administration: learning from death events. Citation Text: Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…

  11. Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet

    psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care
    July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …

  12. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet

    psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
    February 14, 2024 - Study Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. Citation Text: Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…

  13. Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. | PSNet

    psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners
    October 03, 2012 - Study Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. Citation Text: Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…

  14. Impact of rapid response system implementation on critical deterioration events in children. | PSNet

    psnet.ahrq.gov/issue/impact-rapid-response-system-implementation-critical-deterioration-events-children
    November 06, 2015 - Study Impact of rapid response system implementation on critical deterioration events in children. Citation Text: Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:1…

  15. Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet

    psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
    November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …

  16. Home health agency patient experience measures and their relationship to Joint Commission accreditation. | PSNet

    psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission
    July 10, 2024 - Study Home health agency patient experience measures and their relationship to Joint Commission accreditation. Citation Text: Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …

  17. Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/validation-new-icd-10-based-patient-safety-indicators-identification-hospital-complications
    April 19, 2023 - Study Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. Citation Text: McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…

  18. Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. | PSNet

    psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe
    June 28, 2013 - Study Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. Citation Text: Faisy C, Davagnar C, Ladiray D, et al. Nurse workload and inexperienced medica…

  19. Accuracy of pediatric trauma field triage: a systematic review. | PSNet

    psnet.ahrq.gov/issue/accuracy-pediatric-trauma-field-triage-systematic-review
    November 04, 2020 - Review Accuracy of pediatric trauma field triage: a systematic review. Citation Text: van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050. Copy Citation Fo…

  20. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals. | PSNet

    psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-us-news-and
    May 19, 2021 - Study Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals. Citation Text: Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US …
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