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Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. | PSNet

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October 07, 2020 - Study Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. Citation Text: Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(…

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. | PSNet

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November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…

Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet

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August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. | PSNet

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January 16, 2019 - Book/Report Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. Citation Text: Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicin…

Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet

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September 13, 2017 - Study Classic Simulation study of rested versus sleep-deprived anesthesiologists. Citation Text: Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…

Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet

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March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. | PSNet

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April 24, 2018 - Study The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. Citation Text: Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. d…

Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals. | PSNet

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February 24, 2021 - Study Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals. Citation Text: O’Malley R, O’Connor P, Lydon S. Strategies that facilitate the delivery of exceptionally good patient ca…

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. | PSNet

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July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. | PSNet

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July 10, 2019 - Study Emerging Classic Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. Citation Text: Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenou…

The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. | PSNet

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July 02, 2019 - Study The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. Citation Text: Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-…

Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. | PSNet

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November 21, 2017 - Study Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. Citation Text: Khalatbari H, Menashe SJ, Otto RK, et al. Clarifying radiology’s role in safety events: a 5-year retrospective common cause analysis o…

Prescription opioid analgesics commonly unused after surgery: a systematic review. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review

March 30, 2022 - Review Prescription opioid analgesics commonly unused after surgery: a systematic review. Citation Text: Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831. Copy Citati…

Ensuring access to medications in the US during the COVID-19 pandemic. | PSNet

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May 08, 2017 - Commentary Ensuring access to medications in the US during the COVID-19 pandemic. Citation Text: Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic. JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016. Copy Citation Format: DOI Goog…

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet

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January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. | PSNet

psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal

January 26, 2022 - Study Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. Citation Text: Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…

Emergency hospitalizations for unsupervised prescription medication ingestions by young children. | PSNet

psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children

April 22, 2020 - Study Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Citation Text: Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-1…

40 years behind the mask: safety revisited. | PSNet

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January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. | PSNet

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June 21, 2016 - Study Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Citation Text: Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…

Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001. | PSNet

psnet.ahrq.gov/issue/ambulatory-care-visits-treating-adverse-drug-effects-united-states-1995-2001

April 03, 2005 - Study Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001. Citation Text: Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United States, 1995–2001. The Joint Commission Journal on Quality and Patient…

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