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Relationship between patient safety and hospital surgical volume. | PSNet

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May 04, 2012 - Study Relationship between patient safety and hospital surgical volume. Citation Text: Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x. Copy Citati…

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. | PSNet

psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors

July 19, 2023 - Study Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. Citation Text: Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …

Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet

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March 05, 2025 - Study Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. Citation Text: Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing…

The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. | PSNet

psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study

July 21, 2017 - Study The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. Citation Text: O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(…

Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients. | PSNet

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June 27, 2018 - Study Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients. Citation Text: Cooper WO, Spain DA, Guillamondegui O, et al. Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complication…

Hospital readmission and parent perceptions of their child's hospital discharge. | PSNet

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July 03, 2016 - Study Hospital readmission and parent perceptions of their child's hospital discharge. Citation Text: Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt0…

Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. | PSNet

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September 24, 2016 - Study Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. Citation Text: Magrabi F, Li SYW, Day R, et al. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects…

Managing the prevention of retained surgical instruments: what is the value of counting? | PSNet

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September 25, 2008 - Study Classic Managing the prevention of retained surgical instruments: what is the value of counting? Citation Text: Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. …

Reducing medication errors for adults in hospital settings. | PSNet

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March 09, 2022 - Review Reducing medication errors for adults in hospital settings. Citation Text: Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. Copy Cita…

Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study. | PSNet

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January 27, 2021 - Study Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study. Citation Text: Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriat…

An ethnographic study of health information technology use in three intensive care units. | PSNet

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January 14, 2014 - Study An ethnographic study of health information technology use in three intensive care units. Citation Text: Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1…

Rates of surgical consultations after emergency department admission in Black and White Medicare patients. | PSNet

psnet.ahrq.gov/issue/rates-surgical-consultations-after-emergency-department-admission-black-and-white-medicare

February 10, 2021 - Study Rates of surgical consultations after emergency department admission in Black and White Medicare patients. Citation Text: Roberts SE, Rosen CB, Keele LJ, et al. Rates of surgical consultations after emergency department admission in Black and White Medicare patients. JAMA Surg. 202…

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet

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October 27, 2021 - Study Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals Citation Text: Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…

How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. | PSNet

psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting

July 21, 2017 - Study How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. Citation Text: O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital settin…

Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. | PSNet

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December 21, 2022 - Study Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. Citation Text: Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…

Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. | PSNet

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July 27, 2022 - Study Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. Citation Text: Freise L, Neves AL, Flott K, et al. Assessment of patients' ability to review electronic health record information to identi…

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-safety-pulse-oximetry-remote-patient-monitoring-patients-covid-19

October 05, 2022 - Review Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. Citation Text: Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a syste…

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care

September 21, 2008 - Study NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. Citation Text: Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Pe…

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. | PSNet

psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three

October 23, 2018 - Study Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. Citation Text: Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three pa…

Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral

October 28, 2020 - Study Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. Citation Text: Arnaoutakis GJ, Ogami T, Aranda‐Michel E, et al. Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers…

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