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8001. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. | PSNet
      psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
      August 11, 2021 - Study Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. Citation Text: Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1…

8002. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet
      psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
      August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

8003. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
      November 21, 2012 - Study Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. Citation Text: Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in t…

8004. Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. | PSNet
      psnet.ahrq.gov/issue/publication-inspection-frameworks-qualitative-study-exploring-impact-quality-improvement-and
      August 10, 2022 - Study Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. Citation Text: Weenink J-W, Wallenburg I, Leistikow I, et al. Publication of inspection frameworks: a qualitative study exploring the i…

8005. Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/assessing-clinical-economic-and-health-resource-utilization-impacts-prefilled-syringes-versus
      August 15, 2018 - Review Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. Citation Text: Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic,…

8006. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
      November 17, 2021 - Study Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Citation Text: Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patie…

8007. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet
      psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
      June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

8008. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. | PSNet
      psnet.ahrq.gov/issue/community-acquired-and-hospital-acquired-medication-harm-among-older-inpatients-and-impact
      August 28, 2024 - Study Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. Citation Text: Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients an…

8009. Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. | PSNet
      psnet.ahrq.gov/issue/managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
      September 13, 2023 - Study Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. Citation Text: Magerøy MR, Macrae C, Braut GS, et al. Managing patient safety and staff safety in nursing homes: exploring how lead…

8010. A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced, and the impact on patient safety. | PSNet
      psnet.ahrq.gov/issue/systematic-review-workplace-triggers-emotions-healthcare-environment-emotions-experienced-and
      July 05, 2023 - Review A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced, and the impact on patient safety. Citation Text: Sattar R, Lawton R, Janes G, et al. A systematic review of workplace triggers of emotions in the healthcare environment, …

8011. The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. | PSNet
      psnet.ahrq.gov/issue/national-healthcare-safety-networks-digital-quality-measures-cdcs-automated-measures
      September 23, 2020 - Study The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. Citation Text: Shehab N, Alschuler L, McILvenna S, et al. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for …

8012. Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/acute-care-nurses-perceptions-leadership-teamwork-turnover-intention-and-patient-safety-mixed
      September 16, 2015 - Study Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. Citation Text: Zaheer S, Ginsburg LR, Wong HJ, et al. Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed metho…

8013. Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. | PSNet
      psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement
      October 13, 2018 - Study Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Citation Text: Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…

8014. 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…

8015. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet
      psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
      March 07, 2012 - Study Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Citation Text: Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…

8016. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. | PSNet
      psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
      September 01, 2012 - Study Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Citation Text: Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analys…

8017. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet
      psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
      March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

8018. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. | PSNet
      psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety
      April 24, 2018 - Review Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Citation Text: Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs A…

8019. Clinical decision support for early recognition of sepsis. | PSNet
      psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis
      July 29, 2020 - Study Clinical decision support for early recognition of sepsis. Citation Text: Amland RC, Hahn-Cover KE. Clinical decision support for early recognition of sepsis.  Am J Med Qual. 2016;31(2):103-10. doi:10.1177/1062860614557636. Copy Citation Format: DOI Google Scholar Pub…

8020. "We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety. | PSNet
      psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
      March 07, 2018 - Study "We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety. Citation Text: Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews wit…