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COVID-19 and open notes: a new method to enhance patient safety and trust. | PSNet

psnet.ahrq.gov/issue/covid-19-and-open-notes-new-method-enhance-patient-safety-and-trust

December 08, 2021 - Commentary COVID-19 and open notes: a new method to enhance patient safety and trust. Citation Text: Blease CR, Salmi L, Hägglund M, et al. COVID-19 and open notes: a new method to enhance patient safety and trust. JMIR Ment Health. 2021;8(6):e29314. doi:10.2196/29314. Copy Citation …

Risk reduction strategy to decrease incidence of retained surgical items. | PSNet

psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items

July 06, 2022 - Study Risk reduction strategy to decrease incidence of retained surgical items. Citation Text: Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. Copy …

Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/unprecedented-solutions-extraordinary-times-helping-long-term-care-settings-deal-covid-19

January 12, 2022 - Commentary Emerging Classic Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. Citation Text: Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term car…

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet

psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting

March 24, 2021 - Study Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. Citation Text: Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…

Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. | PSNet

psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician

September 23, 2020 - Study Classic Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Citation Text: Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commerciall…

Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

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June 29, 2011 - Commentary Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Citation Text: Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). | PSNet

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February 04, 2015 - Study Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). Citation Text: Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…

When bad things happen: training medical students to anticipate the aftermath of medical errors. | PSNet

psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors

July 29, 2020 - Study When bad things happen: training medical students to anticipate the aftermath of medical errors. Citation Text: Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591…

Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. | PSNet

psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned

November 17, 2021 - Study Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. Citation Text: Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication…

Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. | PSNet

psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure

November 02, 2016 - Study Classic Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. Citation Text: Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualit…

Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. | PSNet

psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events

November 08, 2023 - Study Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. Citation Text: Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and …

Six major steps to make investigations of suicide valuable for learning and prevention. | PSNet

psnet.ahrq.gov/issue/six-major-steps-make-investigations-suicide-valuable-learning-and-prevention

December 07, 2022 - Review Six major steps to make investigations of suicide valuable for learning and prevention. Citation Text: Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1…

How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. | PSNet

psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure

June 16, 2021 - Review Emerging Classic How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Citation Text: Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…

Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions. | PSNet

psnet.ahrq.gov/issue/developing-surgical-and-anesthesia-resident-patient-safety-competencies-through-systems-based

August 03, 2017 - Study Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions. Citation Text: Bagian JP, Paull DE, DeRosier JM. Developing surgical and anesthesia resi…

Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. | PSNet

psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-medications-prescribing

March 17, 2021 - Study Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. Citation Text: Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing…

The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. | PSNet

psnet.ahrq.gov/issue/effects-hospital-safety-scores-total-price-out-pocket-cost-and-household-income-consumers

July 02, 2014 - Study The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. Citation Text: Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost, and Household Incom…

Application of patient safety indicators internationally: a pilot study among seven countries. | PSNet

psnet.ahrq.gov/issue/application-patient-safety-indicators-internationally-pilot-study-among-seven-countries

November 15, 2017 - Study Application of patient safety indicators internationally: a pilot study among seven countries. Citation Text: Drösler SE, Klazinga NS, Romano PS, et al. Application of patient safety indicators internationally: a pilot study among seven countries. Int J Qual Health Care. 2009;21(…

Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/changes-unprofessional-behaviour-teamwork-and-co-operation-among-hospital-staff-during-covid

January 31, 2024 - Study Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID-19 pandemic. Citation Text: Westbrook JI, McMullan R, Urwin R, et al. Changes in unprofessional behaviour, teamwork and co‐operation among hospital staff during the COVID‐19 pandem…

Indication alerts intercept drug name confusion errors during computerized entry of medication orders. | PSNet

psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication

August 28, 2019 - Study Indication alerts intercept drug name confusion errors during computerized entry of medication orders. Citation Text: Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One. 2014;9(7):e10…

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. | PSNet

psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format

July 22, 2020 - Study Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. Citation Text: Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…

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