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201. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet
     psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
     March 13, 2013 - Incidence estimates for retained surgical items and wrong-site surgery varied across studies, with

202. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. | PSNet
     psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
     November 20, 2013 - Despite use of a standardized template, the inclusion of key data elements in inpatient signouts varied

203. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. | PSNet
     psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
     January 24, 2018 - Understanding of patient safety concepts improved, but implementation of safety principles varied.

204. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet
     psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
     December 15, 2011 - This retrospective study of hospital data found that estimated adverse event rates varied between use

205. The morbidity and mortality conference in PICUs in the United States: a national survey. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-conference-picus-united-states-national-survey
     October 20, 2014 - structure and processes of morbidity and mortality (M&M) conferences in pediatric intensive care units varied

206. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. | PSNet
     psnet.ahrq.gov/issue/incidence-potentially-avoidable-urgent-readmissions-and-their-relation-all-cause-urgent
     April 22, 2011 - Both this proportion and the overall incidence of readmissions varied widely across individual hospitals

207. Patient safety climate in US hospitals: variation by management level. | PSNet
     psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level
     November 18, 2009 - safety culture survey to managers at 92 US hospitals, and found that perceptions of safety culture varied

208. Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? | PSNet
     psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning
     September 09, 2015 - National Reporting and Learning System (the United Kingdom's voluntary incident reporting system) varied

209. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. | PSNet
     psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography
     February 03, 2016 - the researchers found that the test performance of AI algorithms used to read screening mammograms varied

210. Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. | PSNet
     psnet.ahrq.gov/issue/does-patients-payer-matter-hospital-patient-safety-study-urban-hospitals
     November 05, 2008 - Results varied across different payers; decreased Medicare and private insurance reimbursements were

211. A usability and safety analysis of electronic health records: a multi-center study. | PSNet
     psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study
     October 13, 2018 - Epic and two used Cerner EHRs, the number of clicks per task, time to task completion, and error rates varied

212. Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. | PSNet
     psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
     June 15, 2016 - the 2-year project period, overall hand hygiene rates improved, but rates among individual units varied

213. Errors associated with outpatient computerized prescribing systems. | PSNet
     psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
     June 28, 2010 - The error rates varied for different computerized systems (ranging from 5% to 38%) with omitted information

214. Scaling safety: the South Carolina Surgical Safety Checklist experience. | PSNet
     psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience
     February 07, 2018 - In this statewide initiative, implementation of the checklist varied significantly among sites.

215. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? | PSNet
     psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
     September 21, 2016 - obstetric care pathways for normal deliveries at Belgian hospitals found that the 17 pathways analyzed varied

216. Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet
     psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report
     November 30, 2016 - As expected, responses varied for different aspects of patient safety.

217. Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. | PSNet
     psnet.ahrq.gov/issue/perceptions-pediatric-hospital-safety-culture-united-states-analysis-2016-hospital-survey
     January 19, 2022 - including nurses, physician assistants/nurse practitioners, physicians, and hospital administrators , varied

218. Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study. | PSNet
     psnet.ahrq.gov/issue/assessment-safety-discharging-select-patients-directly-home-intensive-care-unit-multicenter
     May 20, 2020 - The proportion of patients discharged from ICU to home varied widely by site.

219. Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. | PSNet
     psnet.ahrq.gov/issue/incorporation-quality-and-safety-principles-maintenance-certification-qualitative-analysis
     July 18, 2018 - However, the specific content and assessment methods varied widely between fields.

220. Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
     June 29, 2009 - by incoming telephone calls (3.7%) compared to when they were uninterrupted (3.1%), and error risk varied