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  1. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. | PSNet

    psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us
    October 30, 2024 - Study Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. Citation Text: Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 b…

  2. 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. …

  3. Pediatric prehospital medication dosing errors: a national survey of paramedics. | PSNet

    psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
    August 25, 2021 - Study Pediatric prehospital medication dosing errors: a national survey of paramedics. Citation Text: Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…

  4. Identifying high-risk medication: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
    June 27, 2011 - Review Identifying high-risk medication: a systematic literature review. Citation Text: Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. Copy Citation Fo…

  5. Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

    psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
    June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…

  6. More than 1 million potential second victims: how many could nursing education prevent? | PSNet

    psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent
    May 30, 2018 - Study More than 1 million potential second victims: how many could nursing education prevent? Citation Text: Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437. Cop…

  7. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
    August 18, 2010 - Study Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. Citation Text: van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospit…

  8. Validating administrative data for the detection of adverse events in older hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/validating-administrative-data-detection-adverse-events-older-hospitalized-patients
    March 13, 2015 - Study Validating administrative data for the detection of adverse events in older hospitalized patients. Citation Text: Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in older hospitalized patients. Drug Healthc Patient Saf. 201…

  9. An intervention to decrease patient identification band errors in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/intervention-decrease-patient-identification-band-errors-childrens-hospital
    October 06, 2016 - Study An intervention to decrease patient identification band errors in a children's hospital. Citation Text: Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qs…

  10. Walking the plank: an experimental paradigm to investigate safety voice. | PSNet

    psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
    January 18, 2023 - Study Walking the plank: an experimental paradigm to investigate safety voice. Citation Text: Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668. Copy Citation Format: …

  11. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. | PSNet

    psnet.ahrq.gov/issue/perceptions-quality-and-safety-and-experience-adverse-events-27-european-union-healthcare
    March 21, 2012 - Study Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. Citation Text: Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-…

  12. Using patient safety reporting systems to understand the clinical learning environment: a content analysis. | PSNet

    psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content
    June 19, 2024 - Study Using patient safety reporting systems to understand the clinical learning environment: a content analysis. Citation Text: Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. J Surg Educ.…

  13. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. | PSNet

    psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
    March 13, 2024 - Study Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. Citation Text: Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant revi…

  14. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet

    psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
    January 22, 2014 - Review Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. Citation Text: Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-ass…

  15. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. | PSNet

    psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
    September 15, 2021 - Commentary Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Citation Text: Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of t…

  16. Suicide attempts and completions on medical-surgical and intensive care units. | PSNet

    psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
    June 21, 2017 - Study Suicide attempts and completions on medical-surgical and intensive care units. Citation Text: Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. Copy Citation Format…

  17. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

    psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
    September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

  18. Should operations be regionalized? The empirical relation between surgical volume and mortality. | PSNet

    psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
    August 04, 2021 - Study Classic Should operations be regionalized? The empirical relation between surgical volume and mortality. Citation Text: Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…

  19. A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

    psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
    November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …

  20. The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. | PSNet

    psnet.ahrq.gov/issue/impact-prolonged-continuous-wakefulness-resident-clinical-performance-intensive-care-unit
    November 21, 2016 - Study The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. Citation Text: Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical performance in the intensi…
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