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Operating at night does not increase the risk of intraoperative adverse events. | PSNet

psnet.ahrq.gov/issue/operating-night-does-not-increase-risk-intraoperative-adverse-events

July 01, 2017 - Study Operating at night does not increase the risk of intraoperative adverse events. Citation Text: Eskesen TG, Peponis T, Saillant N, et al. Operating at night does not increase the risk of intraoperative adverse events. Am J Surg. 2018;216(1):19-24. doi:10.1016/j.amjsurg.2017.10.026. …

Implementation of an electronic system for medication reconciliation. | PSNet

psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation

December 02, 2020 - Study Implementation of an electronic system for medication reconciliation. Citation Text: Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. Copy Citati…

How will state medical boards handle cases involving disclosure and apology for medical errors? | PSNet

psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors

September 07, 2022 - Study How will state medical boards handle cases involving disclosure and apology for medical errors? Citation Text: Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160…

Support strategies for health care professionals who are second victims. | PSNet

psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victims

December 22, 2021 - Commentary Support strategies for health care professionals who are second victims. Citation Text: Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-P9. doi:10.1002/aorn.12291. Copy Citation Format: DOI Google Scholar Pu…

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings

July 02, 2014 - Review Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. Citation Text: Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …

Patient safety: what about the patient? | PSNet

psnet.ahrq.gov/issue/patient-safety-what-about-patient

January 22, 2025 - Commentary Classic Patient safety: what about the patient? Citation Text: Vincent C, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11(1):76-80. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

Long-term sustainability and adaptation of I-PASS handovers. | PSNet

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September 09, 2020 - Study Long-term sustainability and adaptation of I-PASS handovers. Citation Text: Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007. Copy Citation Format: …

The problem with using patient complaints for improvement. | PSNet

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February 20, 2019 - Commentary The problem with using patient complaints for improvement. Citation Text: de Vos MS, Hamming JF, van de Mheen PJM-. The problem with using patient complaints for improvement. BMJ Qual Saf. 2018;27(9):758-762. doi:10.1136/bmjqs-2017-007463. Copy Citation Format: D…

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. | PSNet

psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents

August 14, 2018 - Study Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. Citation Text: Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and ent…

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study. | PSNet

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March 28, 2018 - Study Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study. Citation Text: Arora V, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication with their p…

Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. | PSNet

psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again

February 23, 2022 - Newspaper/Magazine Article Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. Citation Text: Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…

An intervention to enhance nursing staff teamwork and engagement. | PSNet

psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement

June 21, 2010 - Study An intervention to enhance nursing staff teamwork and engagement. Citation Text: Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

Operating room briefings and wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery

November 26, 2008 - Study Classic Operating room briefings and wrong-site surgery. Citation Text: Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. Copy Citation Format: Google Scholar PubMe…

The prevalence of wrong level surgery among spine surgeons. | PSNet

psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons

March 09, 2022 - Study The prevalence of wrong level surgery among spine surgeons. Citation Text: Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1. Copy Citation Format: …

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…

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. | PSNet

psnet.ahrq.gov/issue/black-women-should-not-die-giving-life-lived-experiences-black-women-diagnosed-severe

August 17, 2017 - Study "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. Citation Text: Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of Black women diagnosed with s…

Color coded medication safety system reduces community pediatric emergency nursing medication errors. | PSNet

psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication

April 05, 2023 - Study Color coded medication safety system reduces community pediatric emergency nursing medication errors. Citation Text: Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…

To catch a killer: electronic sepsis alert tools reaching a fever pitch? | PSNet

psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools-reaching-fever-pitch

November 15, 2023 - Commentary To catch a killer: electronic sepsis alert tools reaching a fever pitch? Citation Text: Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. Copy Citation Format: …

Finding dental harm to patients through electronic health record-based triggers. | PSNet

psnet.ahrq.gov/issue/finding-dental-harm-patients-through-electronic-health-record-based-triggers

September 06, 2017 - Study Finding dental harm to patients through electronic health record-based triggers. Citation Text: Walji MF, Yansane A, Hebballi NB, et al. Finding dental harm to patients through electronic health record-based triggers . JDR Clin Trans Res. 2020;5(3):271-277. doi:10.1177/238008441989…

Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. | PSNet

psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011

November 12, 2014 - Study Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. Citation Text: Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011. JAMA. 2016;315(17):1864-18…

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