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  1. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. | PSNet

    psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic
    March 24, 2019 - Study Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Citation Text: Wang H-F, Jin J-F,…

  2. Using clinical simulation to study how to improve quality and safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/using-clinical-simulation-study-how-improve-quality-and-safety-healthcare
    March 31, 2021 - Review Classic Using clinical simulation to study how to improve quality and safety in healthcare. Citation Text: Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2)…

  3. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study
    October 27, 2021 - Study Inpatient patient safety events in vulnerable populations: a retrospective cohort study. Citation Text: Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.113…

  4. Do patient safety events increase readmissions? | PSNet

    psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
    November 04, 2015 - Study Do patient safety events increase readmissions? Citation Text: Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da. Copy Citation Format: DOI Google Scholar PubMed BibT…

  5. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. | PSNet

    psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
    August 19, 2020 - Study Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. Citation Text: Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of…

  6. Are Patient Safety Indicators related to widely used measures of hospital quality? | PSNet

    psnet.ahrq.gov/issue/are-patient-safety-indicators-related-widely-used-measures-hospital-quality
    December 01, 2010 - Study Classic Are Patient Safety Indicators related to widely used measures of hospital quality? Citation Text: Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen Intern Med. 2008;23(9):1373-8. doi:10.1007…

  7. Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. | PSNet

    psnet.ahrq.gov/issue/incidence-preventability-and-consequences-adverse-events-older-people-results-retrospective
    March 03, 2011 - Study Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Citation Text: Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective cas…

  8. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet

    psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
    December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

  9. Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. | PSNet

    psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and
    July 08, 2015 - Review Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. Citation Text: Polisena J, Gagliardi AR, Urbach DR, et al. Factors that influence the recognition, reporting and resolut…

  10. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

    psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
    October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

  11. Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study. | PSNet

    psnet.ahrq.gov/issue/psychosocial-working-conditions-determinants-concerns-have-made-important-medical-errors-and
    July 13, 2022 - Study Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study. Citation Text: Mambrey V, Angerer P, Loerbroks A. Psychosocial working conditions as de…

  12. Impact of introducing an electronic physiological surveillance system on hospital mortality. | PSNet

    psnet.ahrq.gov/issue/impact-introducing-electronic-physiological-surveillance-system-hospital-mortality
    December 19, 2018 - Study Impact of introducing an electronic physiological surveillance system on hospital mortality. Citation Text: Schmidt PE, Meredith P, Prytherch DR, et al. Impact of introducing an electronic physiological surveillance system on hospital mortality. BMJ Qual Saf. 2015;24(1):10-20. doi:…

  13. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
    September 22, 2021 - Study Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. Citation Text: Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cr…

  14. Opioid-prescribing patterns of emergency physicians and risk of long-term use. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use
    August 15, 2018 - Study Opioid-prescribing patterns of emergency physicians and risk of long-term use. Citation Text: Barnett ML, Olenski AR, Jena AB. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use. N Engl J Med. 2017;376(7):663-673. doi:10.1056/NEJMsa1610524. Copy Citatio…

  15. Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. | PSNet

    psnet.ahrq.gov/issue/associations-between-hospital-mortality-health-care-utilization-and-inpatient-costs-2011
    June 09, 2021 - Study Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. Citation Text: Eid SM, Ponor L, Reed DA, et al. Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011…

  16. Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being. | PSNet

    psnet.ahrq.gov/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
    March 04, 2015 - Review Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being. Citation Text: Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers …

  17. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
    April 12, 2023 - Study Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. Citation Text: Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine …

  18. 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. | PSNet

    psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors-1986-2010-analysis-national
    July 17, 2019 - Study 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. Citation Text: Tehrani ASS, Lee HW, Mathews SC, et al. 25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the N…

  19. Patients' perspectives of diagnostic error: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study
    February 10, 2012 - Study Patients' perspectives of diagnostic error: a qualitative study. Citation Text: Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. Copy Citation Forma…

  20. Effects of interdisciplinary team care interventions on general medical wards: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review
    April 24, 2018 - Review Classic Effects of interdisciplinary team care interventions on general medical wards: a systematic review. Citation Text: Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic …
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