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How can never event data be used to reflect or improve hospital safety performance? | PSNet

psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance

March 30, 2022 - Study How can never event data be used to reflect or improve hospital safety performance? Citation Text: Olivarius‐McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/a…

A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. | PSNet

psnet.ahrq.gov/issue/mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during

January 08, 2020 - Study A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. Citation Text: Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge…

Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. | PSNet

psnet.ahrq.gov/issue/preventing-critical-failure-can-routinely-collected-data-be-repurposed-predict-avoidable

July 02, 2014 - Study Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. Citation Text: Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict…

The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. | PSNet

psnet.ahrq.gov/issue/effect-documenting-patient-weight-kilograms-pediatric-medication-dosing-errors-emergency

October 19, 2022 - Study The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. Citation Text: Ward CE, Taylor M, Keeney C, et al. The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency med…

Exploring situational awareness in diagnostic errors in primary care. | PSNet

psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care

September 20, 2011 - Study Exploring situational awareness in diagnostic errors in primary care. Citation Text: Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310. Copy Citation Fo…

Introduction of surgical safety checklists in Ontario, Canada. | PSNet

psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada

June 21, 2016 - Study Classic Introduction of surgical safety checklists in Ontario, Canada. Citation Text: Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa13082…

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population. | PSNet

psnet.ahrq.gov/issue/adverse-drug-event-detection-pediatric-oncology-and-hematology-patients-using-medication

November 16, 2022 - Study Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population. Citation Text: Call RJ, Burlison JD, Robertson JJ, et al. Adverse drug event detection in pediatric oncology…

A qualitative study of what care workers do to provide patient safety at home through telecare. | PSNet

psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare

September 08, 2021 - Study A qualitative study of what care workers do to provide patient safety at home through telecare. Citation Text: Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. d…

Use of heuristics during the clinical decision process from family care physicians in real conditions. | PSNet

psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions

March 09, 2022 - Study Use of heuristics during the clinical decision process from family care physicians in real conditions. Citation Text: Fernández‐Aguilar C, Martín‐Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical decision process from family care physicians in real conditions…

A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. | PSNet

psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice

May 23, 2012 - Review A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. Citation Text: Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. …

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. | PSNet

psnet.ahrq.gov/issue/decreased-incidence-cesarean-surgical-site-infection-rate-hospital-wide-perioperative-bundle

September 08, 2021 - Study Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. Citation Text: Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital‐wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10…

Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-preventable-adverse-drug-events-paediatric-and

March 06, 2024 - Review Emerging Classic Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. Citation Text: Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Me…

Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients

August 21, 2024 - Study Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study. Citation Text: Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic…

Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. | PSNet

psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national

December 18, 2017 - Study Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. Citation Text: Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed-methods analysis of incid…

Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. | PSNet

psnet.ahrq.gov/issue/communication-health-care-workers-regarding-health-care-associated-exposure-coronavirus-2019

August 12, 2020 - Commentary Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. Citation Text: Wickner PG, Hartley T, Salmasian H, et al. Communication with health care workers regarding health care-associated exposur…

Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. | PSNet

psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence

August 25, 2021 - Study Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. Citation Text: Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. …

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. | PSNet

psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk

March 31, 2021 - Study A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. Citation Text: Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK men…

Association between implementation of a medical team training program and surgical mortality. | PSNet

psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality

December 21, 2014 - Study Classic Association between implementation of a medical team training program and surgical mortality. Citation Text: Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2…

Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet

psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first

December 21, 2014 - Study Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. Citation Text: Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and im…

Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. | PSNet

psnet.ahrq.gov/issue/interventions-reduce-burnout-and-improve-resilience-impact-health-systems-outcomes

January 10, 2018 - Study Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. Citation Text: Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3…

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