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Measuring the overall development of patient safety in a new hospital using trigger tools. | PSNet

psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools

April 12, 2019 - Study Measuring the overall development of patient safety in a new hospital using trigger tools. Citation Text: Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10…

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician

October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…

A new category of "never events"-ending harmful hospital policies. | PSNet

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September 07, 2022 - Commentary A new category of "never events"-ending harmful hospital policies. Citation Text: Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703. Copy Citation Format…

Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. | PSNet

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April 08, 2011 - Study Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. Citation Text: Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…

The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability

April 12, 2023 - Review The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. Citation Text: Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility charact…

Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. | PSNet

psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three

February 10, 2016 - Study Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. Citation Text: Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center…

Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/frequency-hiv-related-medication-errors-and-associated-risk-factors-hospitalized-patients

April 24, 2018 - Study Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Citation Text: Pastakia SD, Corbett AH, Raasch RH, et al. Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Ann Pharmacother. 2008;42(4)…

Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. | PSNet

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February 14, 2024 - Study Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. Citation Text: Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Pati…

Medication administration quality and health information technology: a national study of US hospitals. | PSNet

psnet.ahrq.gov/issue/medication-administration-quality-and-health-information-technology-national-study-us

December 19, 2009 - Study Medication administration quality and health information technology: a national study of US hospitals. Citation Text: Appari A, Carian EK, Johnson E, et al. Medication administration quality and health information technology: a national study of US hospitals. J Am Med Inform Assoc.…

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes. | PSNet

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November 10, 2015 - Study Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes. Citation Text: Alexander KP, Chen AY, Roe MT, et al. Excess dosing of antiplatelet and antithrombin agents in the treatment of non-ST-segment elevation acu…

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department

October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality

July 19, 2019 - Review Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. Citation Text: Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? | PSNet

psnet.ahrq.gov/issue/quality-improvement-primary-approach-change-healthcare-precarious-self-limiting-choice

June 08, 2022 - Commentary Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? Citation Text: Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…

Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-perspectives-use-artificial-intelligence-skin-cancer-screening-qualitative-study

October 19, 2022 - Study Emerging Classic Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. Citation Text: Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin can…

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. | PSNet

psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot

December 07, 2022 - Study The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. Citation Text: Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…

Creating high reliability in health care organizations. | PSNet

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September 20, 2011 - Commentary Creating high reliability in health care organizations. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617. Copy Citation Format: Google Scholar PubMe…

The application of the Global Trigger Tool: a systematic review. | PSNet

psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review

December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims

June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/assessing-and-improving-safety-culture-throughout-academic-medical-centre-prospective-cohort

January 02, 2017 - Study Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Citation Text: Paine LA, Rosenstein BJ, Sexton B, et al. Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf He…

A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet

psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients

April 06, 2022 - Study A recent two-fold increase in medical adverse event deaths among US inpatients. Citation Text: Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. Copy…

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