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A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. | PSNet

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March 16, 2022 - Study A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. Citation Text: Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with mat…

Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. | PSNet

psnet.ahrq.gov/issue/clinical-decision-support-alert-malfunctions-analysis-and-empirically-derived-taxonomy

December 04, 2016 - Study Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. Citation Text: Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jam…

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. | PSNet

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September 22, 2010 - Study Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Citation Text: Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectiv…

An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. | PSNet

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September 16, 2020 - Commentary An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. Citation Text: Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:…

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. | PSNet

psnet.ahrq.gov/issue/room-hazards-comparison-differences-safety-hazard-recognition-among-various-hospital-based

April 01, 2020 - Study Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. Citation Text: Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard …

Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. | PSNet

psnet.ahrq.gov/issue/improving-allergy-documentation-retrospective-electronic-health-record-system-wide-patient

June 15, 2022 - Study Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. Citation Text: Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patie…

A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. | PSNet

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September 01, 2014 - Special or Theme Issue Classic A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. Citation Text: A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. Yokoe DS, Mermel LA,…

Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. | PSNet

psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes

November 06, 2015 - Study Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. Citation Text: Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse O…

A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. | PSNet

psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary

March 11, 2011 - Study A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. Citation Text: Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primar…

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. | PSNet

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May 19, 2021 - Study Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. Citation Text: Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients …

Is patient safety improving? National trends in patient safety indicators: 1998–2007. | PSNet

psnet.ahrq.gov/issue/patient-safety-improving-national-trends-patient-safety-indicators-1998-2007

March 21, 2012 - Study Is patient safety improving? National trends in patient safety indicators: 1998–2007. Citation Text: Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi…

Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. | PSNet

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December 21, 2022 - Study Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. Citation Text: Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…

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 …

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet

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March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. Citation Text: van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. | PSNet

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June 08, 2022 - Study What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. Citation Text: Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resul…

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. | PSNet

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September 08, 2021 - Study Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. Citation Text: Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital‐wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10…

Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet

psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home

April 28, 2021 - Study Adverse events in long-term care residents transitioning from hospital back to nursing home. Citation Text: Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…

A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. | PSNet

psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice

May 23, 2012 - Review A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. Citation Text: Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. …

A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. | PSNet

psnet.ahrq.gov/issue/scoping-review-non-professional-medication-practices-and-medication-safety-outcomes-during

May 12, 2021 - Review A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Citation Text: Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health…

Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. | PSNet

psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity

December 16, 2020 - Study Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. Citation Text: Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…

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