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Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet

psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge

July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…

Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. | PSNet

psnet.ahrq.gov/issue/impact-diagnosis-timing-indicators-measures-safety-comorbidity-and-case-mix-groupings

June 28, 2011 - Study Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. Citation Text: Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupi…

The frequency of missed test results and associated treatment delays in a highly computerized health system. | PSNet

psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health

July 22, 2009 - Study The frequency of missed test results and associated treatment delays in a highly computerized health system. Citation Text: Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. …

Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. | PSNet

psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws

October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…

The care transitions intervention: translating from efficacy to effectiveness. | PSNet

psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness

August 18, 2021 - Study Classic The care transitions intervention: translating from efficacy to effectiveness. Citation Text: Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med. 2011;171(14):1232-7. …

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2014

September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration--2014. Am J Health Syst Pharm…

The impact of eHealth on the quality and safety of health care: a systematic overview. | PSNet

psnet.ahrq.gov/issue/impact-ehealth-quality-and-safety-health-care-systematic-overview

December 14, 2016 - Review The impact of eHealth on the quality and safety of health care: a systematic overview. Citation Text: Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed…

An mHealth design to promote medication safety in children with medical complexity. | PSNet

psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity

July 14, 2010 - Study An mHealth design to promote medication safety in children with medical complexity. Citation Text: Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…

An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. | PSNet

psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety

June 08, 2010 - Study An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. Citation Text: Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare managers to assess patient enga…

Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. | PSNet

psnet.ahrq.gov/issue/frontline-nurses-clinical-judgment-recognizing-understanding-and-responding-patient

December 01, 2021 - Study Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. Citation Text: Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: …

Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare workers - a nationwide cross-sectional study. | PSNet

psnet.ahrq.gov/issue/exploring-fear-clinical-errors-associations-socio-demographic-professional-burnout-and-mental

October 30, 2024 - Study Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare workers - a nationwide cross-sectional study. Citation Text: Boyer L, Wu AW, Fernandes S, et al. Exploring the fear of clinical errors: associa…

Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. | PSNet

psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient-harm-omission-time

May 18, 2022 - Study Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. Citation Text: Graudins LV, Ingram C, Smith BT, et al. Multicentre study to develop a medication safety package for decreasing inpatient harm from omis…

Can residents detect errors in technique while observing central line insertions? | PSNet

psnet.ahrq.gov/issue/can-residents-detect-errors-technique-while-observing-central-line-insertions

April 12, 2019 - Study Can residents detect errors in technique while observing central line insertions? Citation Text: Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.02…

Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? | PSNet

psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children

May 01, 2015 - Study Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? Citation Text: Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric …

Identifying opportunities for quality improvement in surgical site infection prevention. | PSNet

psnet.ahrq.gov/issue/identifying-opportunities-quality-improvement-surgical-site-infection-prevention

June 14, 2017 - Study Identifying opportunities for quality improvement in surgical site infection prevention. Citation Text: Gagliardi AR, Eskicioglu C, McKenzie M, et al. Identifying opportunities for quality improvement in surgical site infection prevention. Am J Infect Control. 2009;37(5):398-402.…

Association of overlapping surgery with increased risk for complications following hip surgery. | PSNet

psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery

November 21, 2021 - Study Classic Association of overlapping surgery with increased risk for complications following hip surgery. Citation Text: Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A…

U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet

psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons

August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…

Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. | PSNet

psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective

September 01, 2021 - Study Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. Citation Text: Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontli…

Association between Leapfrog safe practices score and hospital mortality in major surgery. | PSNet

psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery

September 29, 2017 - Study Association between Leapfrog safe practices score and hospital mortality in major surgery. Citation Text: Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…

Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. | PSNet

psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe

June 28, 2013 - Study Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. Citation Text: Faisy C, Davagnar C, Ladiray D, et al. Nurse workload and inexperienced medica…

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