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The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample

November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

Prevalence and Economic Burden of Medication Errors in the NHS England. | PSNet

psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england

September 11, 2018 - Book/Report Prevalence and Economic Burden of Medication Errors in the NHS England. Citation Text: Prevalence and Economic Burden of Medication Errors in the NHS England. Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Intervention…

Safety culture in the operating room: variability among perioperative healthcare workers. | PSNet

psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers

November 17, 2021 - Study Safety culture in the operating room: variability among perioperative healthcare workers. Citation Text: Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/…

Medical error—the third leading cause of death in the US. | PSNet

psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

September 16, 2020 - Commentary Medical error—the third leading cause of death in the US. Citation Text: Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. | PSNet

psnet.ahrq.gov/issue/prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-us-acute-care

August 20, 2018 - Study Classic Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. Citation Text: Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis-Associated Mortality in US Acu…

Medication safety event reporting: factors that contribute to safety events during times of organizational stress. | PSNet

psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times

June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…

Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. | PSNet

psnet.ahrq.gov/issue/delayed-recognition-deterioration-patients-general-wards-mostly-caused-human-related

December 21, 2017 - Study Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. Citation Text: van Galen LS, Struik PW, Driesen BEJM, et al. Delayed Recognition of Deterioration of Patients …

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. | PSNet

psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery

June 21, 2023 - EMERGING INNOVATIONS A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. Citation Text: Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery oly…

How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. | PSNet

psnet.ahrq.gov/issue/how-nurses-and-physicians-judge-their-own-quality-care-deteriorating-patients-medical-wards

November 20, 2015 - Study How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. Citation Text: Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality of care for…

What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. | PSNet

psnet.ahrq.gov/issue/what-stage-are-low-income-and-middle-income-countries-lmics-patient-safety-curriculum

October 23, 2019 - Study What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. Citation Text: Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and mi…

Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. | PSNet

psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global

December 09, 2020 - Study Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. Citation Text: Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…

Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/unannounced-versus-announced-hospital-surveys-nationwide-cluster-randomized-controlled-trial

September 20, 2023 - Study Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. Citation Text: Ehlers LH, Simonsen KB, Jensen MB, et al. Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. Int J Qual Health Care. 2017;29…

The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial. | PSNet

psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature-closure-after

February 16, 2022 - Study The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial. Citation Text: Avesar M, Erez A, Essakow J, et al. The effects of rudenes…

Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/primary-care-medication-safety-surveillance-integrated-primary-and-secondary-care-electronic

November 25, 2015 - Study Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. Citation Text: Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated Primary and Secondary …

Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study

September 23, 2020 - Study Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. Citation Text: Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414.…

The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet

psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri

November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…

Effects of nursing rounds on patients' call light use, satisfaction, and safety. | PSNet

psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety

September 01, 2021 - Study Effects of nursing rounds on patients' call light use, satisfaction, and safety. Citation Text: Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. Copy Citation Format: Go…

Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet

psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end

June 30, 2021 - Commentary Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? Citation Text: Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable advers…

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. | PSNet

psnet.ahrq.gov/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical

May 05, 2021 - Commentary 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. Citation Text: Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…

Patient voices in hospital safety during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/patient-voices-hospital-safety-during-covid-19-pandemic

March 17, 2021 - Study Patient voices in hospital safety during the COVID-19 pandemic. Citation Text: Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19 pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711. Copy Citation Format: …

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