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7721. Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet
      psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
      April 19, 2023 - Book/Report Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Citation Text: Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Washington, DC: Department of Vet…

7722. Voluntary electronic reporting of medical errors and adverse events. | PSNet
      psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
      March 21, 2017 - Study Voluntary electronic reporting of medical errors and adverse events. Citation Text: Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…

7723. A national profile of patient safety in U.S. hospitals. | PSNet
      psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
      April 11, 2011 - Study Classic A national profile of patient safety in U.S. hospitals. Citation Text: Romano PS, Geppert JJ, Davies SM, et al. A national profile of patient safety in U.S. hospitals. Health Aff (Millwood). 2003;22(2):154-66. Copy Citation Format: …

7724. COVID-19: the dark side and the sunny side for patient safety. | PSNet
      psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
      August 05, 2020 - Commentary COVID-19: the dark side and the sunny side for patient safety. Citation Text: Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116. Copy Citation Format: …

7725. ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. | PSNet
      psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid-19
      August 14, 2019 - Organizational Policy/Guidelines ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. Citation Text: ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. American…

7726. Emotional safety is patient safety. | PSNet
      psnet.ahrq.gov/issue/emotional-safety-patient-safety
      October 21, 2020 - Commentary Emotional safety is patient safety. Citation Text: Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369-372. doi:10.1136/bmjqs-2022-015573. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

7727. The influence of organizational culture, climate and commitment on speaking up about medical errors. | PSNet
      psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
      December 31, 2018 - Study Emerging Classic The influence of organizational culture, climate and commitment on speaking up about medical errors. Citation Text: Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…

7728. Development and validation of a brief culture-of-safety survey. | PSNet
      psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
      May 26, 2021 - Study Development and validation of a brief culture-of-safety survey. Citation Text: Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006. Copy Citation …

7729. Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. | PSNet
      psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death
      May 26, 2021 - Book/Report Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. Citation Text: Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a…

7730. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-interventions-medication-errors-hospitalized-pediatric-patients-systematic
      August 04, 2021 - Review Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis. Citation Text: Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients:…

7731. In Conversation With… Edward Kelley, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
      December 01, 2014 - We worked on the second one with Atul Gawande and it came from Harvard with the Safe Surgery Checklist … If you look at the global burden of disease, surgery potentially touches every single subcategory of

7732. Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions? | PSNet
      psnet.ahrq.gov/issue/economic-evaluation-healthcare-safety-which-attributes-safety-do-healthcare-professionals
      July 01, 2012 - July 30, 2014 Failure to rescue following emergency surgery: a FRAM analysis of the management … opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery

7733. Measuring quality. | PSNet
      psnet.ahrq.gov/issue/measuring-quality
      June 21, 2017 - July 1, 2020 Standardizing opioid prescriptions to patients after ambulatory oncologic surgery … August 5, 2015 Quality improvement in ambulatory surgery centers: a major national effort

7734. Is patient safety synonymous with quality nursing care? Should it be? A brief discourse. | PSNet
      psnet.ahrq.gov/issue/patient-safety-synonymous-quality-nursing-care-should-it-be-brief-discourse
      July 15, 2020 - June 8, 2022 Applying fault tree analysis to the prevention of wrong-site surgery. … , 2023 Understanding patient and clinician reported nonroutine events in ambulatory surgery

7735. The use of computers for clinical care: a case series of advanced US sites. | PSNet
      psnet.ahrq.gov/issue/use-computers-clinical-care-case-series-advanced-us-sites
      August 04, 2021 - December 21, 2022 Outcomes with overlapping surgery at a large academic medical center … March 22, 2006 Impact of the percentage of overlapping surgery on patient outcomes: a

7736. Improving risk management: from lame excuses to principled practice. | PSNet
      psnet.ahrq.gov/issue/improving-risk-management-lame-excuses-principled-practice
      April 05, 2006 - A surgical procedure grid for safety and operating room communication in multisite surgery … Slippery Slide Into Life December 1, 2005 EAU policy on live surgery

7737. Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire. | PSNet
      psnet.ahrq.gov/issue/safety-culture-indian-hospitals-cultural-adaptation-safety-attitudes-questionnaire
      July 29, 2020 - January 15, 2014 Applying aviation factors to oral and maxillofacial surgery—the human … September 26, 2018 Wrong-site sinus surgery in otolaryngology.

7738. Use of critical incident reports in medical education: a perspective. | PSNet
      psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
      May 30, 2018 - October 19, 2016 Factors associated with hospital admission after outpatient surgery … August 24, 2022 Trial and error: learning from malpractice claims in childhood surgery

7739. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/weekly-resource-0
      October 30, 2024 - revealed a significant epidural hematoma compressing his spinal cord from C3 to C7, prompting emergency surgery … He was later diagnosed with a large frontal subdural hematoma requiring urgent surgery.

7740. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-464
      October 30, 2024 - revealed a significant epidural hematoma compressing his spinal cord from C3 to C7, prompting emergency surgery … He was later diagnosed with a large frontal subdural hematoma requiring urgent surgery.