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A hospitalization from hell: a patient's perspective on quality. | PSNet

psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality

July 19, 2023 - Commentary Classic A hospitalization from hell: a patient's perspective on quality. Citation Text: Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-39. Copy Citation Format: Google Scholar…

Clinical criteria to screen for inpatient diagnostic errors: a scoping review. | PSNet

psnet.ahrq.gov/issue/clinical-criteria-screen-inpatient-diagnostic-errors-scoping-review

December 12, 2018 - Review Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Citation Text: Shenvi EC, El-Kareh R. Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Diagnosis (Berl). 2015;2(1):3-19. doi:10.1515/dx-2014-0047. Copy Citation Forma…

Literacy and misunderstanding prescription drug labels. | PSNet

psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels

September 17, 2010 - Study Classic Literacy and misunderstanding prescription drug labels. Citation Text: Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. Copy Citation Format: Google Scho…

Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet

psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case

January 22, 2017 - Study Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. Citation Text: Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and A…

A model for the departmental quality management infrastructure within an academic health system. | PSNet

psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system

August 08, 2018 - Commentary A model for the departmental quality management infrastructure within an academic health system. Citation Text: Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…

Safety climate, safety climate strength, and length of stay in the NICU. | PSNet

psnet.ahrq.gov/issue/safety-climate-safety-climate-strength-and-length-stay-nicu

February 06, 2019 - Study Safety climate, safety climate strength, and length of stay in the NICU. Citation Text: Tawfik DS, Thomas EJ, Vogus TJ, et al. Safety climate, safety climate strength, and length of stay in the NICU. BMC Health Serv Res. 2019;19(1):738. doi:10.1186/s12913-019-4592-1. Copy Citatio…

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals

December 31, 2014 - Study Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. Citation Text: Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a quali…

The costs of adverse drug events in community hospitals. | PSNet

psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals

February 18, 2011 - Study The costs of adverse drug events in community hospitals. Citation Text: Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. | PSNet

psnet.ahrq.gov/issue/communication-training-adverse-events-and-quality-measures-2-retrospective-database-analyses

August 04, 2021 - Study Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. Citation Text: Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washi…

Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet

psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence

October 28, 2020 - Commentary Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. Citation Text: Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…

Operational measurement of diagnostic safety: state of the science. | PSNet

psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science-0

September 28, 2022 - Commentary Emerging Classic Operational measurement of diagnostic safety: state of the science. Citation Text: Singh H, Bradford A, Goeschel CA. Operational measurement of diagnostic safety: state of the science. Diagnosis (Berl). 2021;8(1):51-66. doi:10.1515/dx…

Communication discrepancies between physicians and hospitalized patients. | PSNet

psnet.ahrq.gov/issue/communication-discrepancies-between-physicians-and-hospitalized-patients

October 12, 2022 - Study Classic Communication discrepancies between physicians and hospitalized patients. Citation Text: Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302-1307. doi:10.1001/archintern…

Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms

June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

A Tale of Two Stories: Contrasting Views of Patient Safety. | PSNet

psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety

March 27, 2005 - Book/Report Classic A Tale of Two Stories: Contrasting Views of Patient Safety. Citation Text: A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997. Copy Citation …

Rapid response systems: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis

January 29, 2018 - Review Rapid response systems: a systematic review and meta-analysis. Citation Text: Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. Copy Citation Format: DOI Google Schola…

Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. | PSNet

psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward

September 24, 2016 - Study Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. Citation Text: Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. J Pat…

How long and how much are nurses now working? | PSNet

psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working

April 01, 2024 - Study How long and how much are nurses now working? Citation Text: Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs. 2006;106(4):60-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

What is safety leadership? A systematic review of definitions. | PSNet

psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-definitions

October 26, 2022 - Review What is safety leadership? A systematic review of definitions. Citation Text: Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. Copy Citation Format: DOI Google…

Safety of inpatient care in surgical settings: cohort study. | PSNet

psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study

May 15, 2024 - Study Safety of inpatient care in surgical settings: cohort study. Citation Text: Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. Copy Citation Format: DOI Google Schol…

Use of a novel, modified fishbone diagram to analyze diagnostic errors. | PSNet

psnet.ahrq.gov/issue/use-novel-modified-fishbone-diagram-analyze-diagnostic-errors

February 13, 2019 - Commentary Use of a novel, modified fishbone diagram to analyze diagnostic errors. Citation Text: Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040. Copy Citation…

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