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  1. Safety perceptions of health care leaders in 2 Canadian academic acute care centers. | PSNet

    psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers
    March 14, 2022 - Study Safety perceptions of health care leaders in 2 Canadian academic acute care centers. Citation Text: Goldstein DH, Nyce JM, Van Den Kerkhof EG. Safety Perceptions of Health Care Leaders in 2 Canadian Academic Acute Care Centers. J Patient Saf. 2017;13(2):62-68. doi:10.1097/PTS.00000…

  2. Medication administration errors in nursing homes using an automated medication dispensing system. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
    January 23, 2019 - Study Medication administration errors in nursing homes using an automated medication dispensing system. Citation Text: van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…

  3. Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet

    psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
    September 18, 2009 - Study Medicare payment for selected adverse events: building the business case for investing in patient safety. Citation Text: Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millw…

  4. Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. | PSNet

    psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and
    October 26, 2022 - Study Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. Citation Text: Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…

  5. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. | PSNet

    psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
    December 12, 2014 - Study Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Citation Text: Manias E, Rixon S, Williams A, et al. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Health …

  6. The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/impact-trained-assistance-error-rates-anaesthesia-simulation-based-randomised-controlled
    January 28, 2009 - Study The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. Citation Text: Weller JM, Merry AF, Robinson BJ, et al. The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. …

  7. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. | PSNet

    psnet.ahrq.gov/issue/effects-discharge-time-out-quality-hospital-discharge-summaries
    December 31, 2014 - Study The effects of a 'discharge time-out' on the quality of hospital discharge summaries. Citation Text: Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. BMJ Qual Saf. 2012;21(10):885-90. Copy Citation F…

  8. Improving resident morning sign-out by use of daily events reports. | PSNet

    psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
    March 04, 2020 - Study Improving resident morning sign-out by use of daily events reports. Citation Text: Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. Copy Citation Format: …

  9. Postoperative sepsis in the United States. | PSNet

    psnet.ahrq.gov/issue/postoperative-sepsis-united-states
    January 12, 2022 - Study Postoperative sepsis in the United States. Citation Text: Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  10. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. | PSNet

    psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
    November 13, 2009 - Study Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6)…

  11. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. | PSNet

    psnet.ahrq.gov/issue/delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement-anticoagulation
    March 04, 2020 - Commentary Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Citation Text: Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…

  12. Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. | PSNet

    psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
    March 17, 2021 - Study Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. Citation Text: Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. …

  13. Factors related to serious safety events in a children's hospital patient safety collaborative. | PSNet

    psnet.ahrq.gov/issue/factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative
    February 16, 2022 - Study Factors related to serious safety events in a children's hospital patient safety collaborative. Citation Text: Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi…

  14. Errors in medication history at hospital admission: prevalence and predicting factors. | PSNet

    psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
    October 14, 2020 - Study Errors in medication history at hospital admission: prevalence and predicting factors. Citation Text: Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…

  15. Shifting indirect patient care duties to after hours in the era of work hours restrictions. | PSNet

    psnet.ahrq.gov/issue/shifting-indirect-patient-care-duties-after-hours-era-work-hours-restrictions
    February 18, 2011 - Study Shifting indirect patient care duties to after hours in the era of work hours restrictions. Citation Text: Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097…

  16. Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. | PSNet

    psnet.ahrq.gov/issue/development-and-usability-testing-agency-healthcare-research-and-quality-common-formats
    October 12, 2022 - Study Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. Citation Text: Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …

  17. Failure to rescue female patients undergoing high-risk surgery. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
    October 25, 2017 - Study Failure to rescue female patients undergoing high-risk surgery. Citation Text: Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574. Copy Citation Format: …

  18. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. | PSNet

    psnet.ahrq.gov/issue/lawrence-d-dorr-surgical-techniques-technologies-award-running-two-rooms-does-not-compromise
    July 29, 2020 - Study The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. Citation Text: Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Ro…

  19. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study
    March 24, 2021 - Study Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. Citation Text: Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjope…

  20. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type-2-diabetes-longitudinal-cohort
    August 04, 2021 - Study Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Citation Text: Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Diabet Med. 2018…
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