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  1. Hospital-readmission risk--isolating hospital effects from patient effects. | PSNet

    psnet.ahrq.gov/issue/hospital-readmission-risk-isolating-hospital-effects-patient-effects
    August 15, 2018 - Study Classic Hospital-readmission risk--isolating hospital effects from patient effects. Citation Text: Krumholz HM, Wang K, Lin Z, et al. Hospital-Readmission Risk - Isolating Hospital Effects from Patient Effects. N Engl J Med. 2017;377(11):1055-1064. doi:10.…

  2. Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach. | PSNet

    psnet.ahrq.gov/issue/identifying-patient-and-practice-characteristics-associated-patient-reported-experiences
    April 25, 2018 - Study Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach. Citation Text: Ricci-Cabello I, Reeves D, Bell BG, et al. Identifying patient and practice chara…

  3. Circumstances involved in unsupervised solid dose medication exposures among young children. | PSNet

    psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-among-young-children
    February 23, 2018 - Study Circumstances involved in unsupervised solid dose medication exposures among young children. Citation Text: Agarwal M, Lovegrove MC, Geller RJ, et al. Circumstances involved in unsupervised solid dose medication exposures among young children. J Pediatr. 2020;219. doi:10.1016/j.jpe…

  4. Learning from errors: analysis of medication order voiding in CPOE systems. | PSNet

    psnet.ahrq.gov/issue/learning-errors-analysis-medication-order-voiding-cpoe-systems
    May 29, 2019 - Study Learning from errors: analysis of medication order voiding in CPOE systems. Citation Text: Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw18…

  5. ICU attending handoff practices: results from a national survey of academic intensivists. | PSNet

    psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
    February 06, 2019 - Study ICU attending handoff practices: results from a national survey of academic intensivists. Citation Text: Lane-Fall MB, Collard ML, Turnbull AE, et al. ICU Attending Handoff Practices: Results From a National Survey of Academic Intensivists. Crit Care Med. 2016;44(4):690-8. doi:10.1…

  6. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. | PSNet

    psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
    March 28, 2012 - Study Classic Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Citation Text: Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…

  7. Quality management and perceptions of teamwork and safety climate in European hospitals. | PSNet

    psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals
    May 26, 2014 - Study Quality management and perceptions of teamwork and safety climate in European hospitals. Citation Text: Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi…

  8. Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. | PSNet

    psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence-quality-and-safety
    January 08, 2025 - Study Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. Citation Text: Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…

  9. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. | PSNet

    psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept
    February 16, 2022 - Study Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. Citation Text: Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…

  10. Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/incidence-versus-prevalence-based-measures-inappropriate-prescribing-veterans-health
    March 18, 2020 - Study Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. Citation Text: Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate Prescribing in the Veterans Health Administration. J Am G…

  11. Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. | PSNet

    psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
    December 18, 2019 - Study Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. Citation Text: Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a h…

  12. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. | PSNet

    psnet.ahrq.gov/issue/unplanned-early-hospital-readmission-among-critical-care-survivors-mixed-methods-study
    September 23, 2020 - Study Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. Citation Text: Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.…

  13. Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults
    August 14, 2024 - Review Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials. Citation Text: Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in Communi…

  14. Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. | PSNet

    psnet.ahrq.gov/issue/does-one-size-fit-all-developing-evaluation-strategy-assess-large-language-models-patient
    December 07, 2022 - Study Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. Citation Text: Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess large language models for patient …

  15. Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet

    psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
    June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…

  16. Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
    March 18, 2020 - Review Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. Citation Text: Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…

  17. Providers' perceptions of communication breakdowns in cancer care. | PSNet

    psnet.ahrq.gov/issue/providers-perceptions-communication-breakdowns-cancer-care
    March 11, 2013 - Study Providers' perceptions of communication breakdowns in cancer care. Citation Text: Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1. Copy Citation Forma…

  18. Sitters as a patient safety strategy to reduce hospital falls: a systematic review. | PSNet

    psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
    March 08, 2023 - Review Sitters as a patient safety strategy to reduce hospital falls: a systematic review. Citation Text: Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. Copy Citation For…

  19. Electronic health record–related events in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
    April 03, 2018 - Study Classic Electronic health record–related events in medical malpractice claims. Citation Text: Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…

  20. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet

    psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
    September 12, 2016 - Study National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. Citation Text: Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…
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