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Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet

psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92

September 01, 2021 - Study Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Citation Text: Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Patien…

Health care safety during the pandemic and beyond--building a system that ensures resilience. | PSNet

psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience

July 20, 2022 - Commentary Health care safety during the pandemic and beyond--building a system that ensures resilience. Citation Text: Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…

Evaluation of communication and safety behaviors during hospital-wide code response simulation. | PSNet

psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation

February 23, 2022 - Study Evaluation of communication and safety behaviors during hospital-wide code response simulation. Citation Text: Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…

Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. | PSNet

psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes

August 12, 2020 - Study Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. Citation Text: Wang X, Wilson C, Holmes K. Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. J Gerontol Soc Work. 2021:1-17. doi:10.1080/016…

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. | PSNet

psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage-system

July 29, 2020 - Commentary Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Citation Text: Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.78…

The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. | PSNet

psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications

June 09, 2021 - Commentary The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. Citation Text: Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…

When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. | PSNet

psnet.ahrq.gov/issue/when-agency-fails-analysis-association-between-hospital-agency-staffing-and-quality-outcomes

September 11, 2024 - Study When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Citation Text: Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Ma…

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. | PSNet

psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers

July 07, 2021 - Review Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. Citation Text: White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve m…

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

psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting

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. …

Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety." | PSNet

psnet.ahrq.gov/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and

August 26, 2011 - Commentary Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…

Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. | PSNet

psnet.ahrq.gov/issue/clinicians-use-health-information-exchange-technologies-medication-reconciliation-us

August 04, 2021 - Study Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. Citation Text: Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medicat…

Burden of serious harms from diagnostic error in the USA. | PSNet

psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa

June 03, 2020 - Study Burden of serious harms from diagnostic error in the USA. Citation Text: Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. Copy Citation Format: DO…

Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. | PSNet

psnet.ahrq.gov/issue/mortality-among-patients-va-hospitals-first-2-years-following-acgme-resident-duty-hour-reform

February 18, 2011 - Study Classic Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. Citation Text: Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME residen…

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

psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self

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;…

Variation in quality of urgent health care provided during commercial virtual visits. | PSNet

psnet.ahrq.gov/issue/variation-quality-urgent-health-care-provided-during-commercial-virtual-visits

November 02, 2016 - Study Variation in quality of urgent health care provided during commercial virtual visits. Citation Text: Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/…

Consequences of inadequate sign-out for patient care. | PSNet

psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care

November 07, 2012 - Study Classic Consequences of inadequate sign-out for patient care. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. Copy Cit…

Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office

December 15, 2010 - Study Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. Citation Text: Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Proble…

Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience. | PSNet

psnet.ahrq.gov/issue/declines-hospitalizations-acute-cardiovascular-conditions-during-covid-19-pandemic

April 24, 2018 - Study Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience. Citation Text: Bhatt AS, Moscone A, McElrath EE, et al. Declines in Hospitalizations for Acute Cardiovascular Conditions During the COVID-19 Pandem…

Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. | PSNet

psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation

May 15, 2013 - Study Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. Citation Text: Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge: development and validation of a prediction …

Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. | PSNet

psnet.ahrq.gov/issue/deficiencies-emergency-preparedness-veterans-health-administration-telemental-health-care-va

August 02, 2023 - Book/Report Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. Citation Text: Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Location…

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