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Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature

November 29, 2023 - Review Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Citation Text: Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …

The safety of outpatient health care: review of electronic health records. | PSNet

psnet.ahrq.gov/issue/safety-outpatient-health-care-review-electronic-health-records

January 25, 2023 - Study The safety of outpatient health care: review of electronic health records. Citation Text: Levine DM, Syrowatka A, Salmasian H, et al. The safety of outpatient health care: review of electronic health records. Ann Intern Med. 2024;177(6):738-748. doi:10.7326/m23-2063. Copy Citatio…

Falling through the cracks: the invisible hospital cleaning workforce. | PSNet

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June 19, 2013 - Commentary Falling through the cracks: the invisible hospital cleaning workforce. Citation Text: Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. Copy…

Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet

psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection

April 12, 2019 - Study Enhanced free-text search for aggregated medication error report analysis and risk detection. Citation Text: Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi…

State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. | PSNet

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January 22, 2025 - Book/Report State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. Citation Text: Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research a…

Detection and prevention of medication misadventures in general practice. | PSNet

psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice

May 13, 2020 - Study Detection and prevention of medication misadventures in general practice. Citation Text: Tam KWT, Kwok KH, Fan YMC, et al. Detection and prevention of medication misadventures in general practice. Int J Qual Health Care. 2008;20(3):192-9. doi:10.1093/intqhc/mzn002. Copy Citatio…

Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. | PSNet

psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward

September 24, 2016 - Study Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. Citation Text: Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. J Pat…

Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. | PSNet

psnet.ahrq.gov/issue/realist-synthesis-intentional-rounding-hospital-wards-exploring-evidence-what-works-whom-what

March 01, 2023 - Review Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. Citation Text: Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what …

Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement

March 24, 2011 - Study Medication error reporting in nursing homes: identifying targets for patient safety improvement. Citation Text: Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…

What is safety leadership? A systematic review of definitions. | PSNet

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October 26, 2022 - Review What is safety leadership? A systematic review of definitions. Citation Text: Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. Copy Citation Format: DOI Google…

Cognitive error in an academic emergency department. | PSNet

psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department

July 29, 2020 - Study Cognitive error in an academic emergency department. Citation Text: Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. Copy Citation Format: DOI Google Scholar PubMed B…

In situ simulation: a method of experiential learning to promote safety and team behavior. | PSNet

psnet.ahrq.gov/issue/situ-simulation-method-experiential-learning-promote-safety-and-team-behavior

September 03, 2011 - Commentary In situ simulation: a method of experiential learning to promote safety and team behavior. Citation Text: Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-1…

Improving prescription drug warnings to promote patient comprehension. | PSNet

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December 21, 2014 - Study Improving prescription drug warnings to promote patient comprehension. Citation Text: Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. Copy Citation …

Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. | PSNet

psnet.ahrq.gov/issue/transferring-responsibility-and-accountability-maternity-care-clinicians-defining-their

August 19, 2009 - Study Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. Citation Text: Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care: clinicians d…

"That was a close call": endorsing a broad definition of near misses in health care. | PSNet

psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care

August 31, 2016 - Commentary "That was a close call": endorsing a broad definition of near misses in health care. Citation Text: Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. Cop…

Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. | PSNet

psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital

January 27, 2012 - Study Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Citation Text: Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Pharm World S…

Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. | PSNet

psnet.ahrq.gov/issue/information-and-power-women-colors-experiences-interacting-health-care-providers-pregnancy

June 18, 2020 - Study Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Citation Text: Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and b…

Bedside shift report improves patient safety and nurse accountability. | PSNet

psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability

April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. Citation Text: Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-rural-critical-access-hospitals-north-dakota-telepharmacy-project

October 17, 2012 - Study Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst …

Improvement of medication event interventions through use of an electronic database. | PSNet

psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database

December 19, 2014 - Study Improvement of medication event interventions through use of an electronic database. Citation Text: Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajh…

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