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Disparities in adverse event reporting for hospitalized children. | PSNet

psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children

July 27, 2022 - Study Disparities in adverse event reporting for hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049. Copy Citation F…

Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. | PSNet

psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new

December 30, 2014 - Commentary Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. Citation Text: Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured…

Surveillance of medical device-related hazards and adverse events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients

March 11, 2011 - Study Classic Surveillance of medical device-related hazards and adverse events in hospitalized patients. Citation Text: Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…

Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

psnet.ahrq.gov/issue/often-overlooked-problems-handoffs-intensive-care-unit-operating-room

May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. | PSNet

psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient

January 03, 2017 - Study Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. Citation Text: Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…

One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. | PSNet

psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse

May 16, 2018 - Study One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. Citation Text: Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…

Paying the piper: investing in infrastructure for patient safety. | PSNet

psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety

July 01, 2017 - Commentary Classic Paying the piper: investing in infrastructure for patient safety. Citation Text: Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. Co…

The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet

psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based

May 22, 2013 - Study The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. Citation Text: van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…

Patient safety rounds in a pediatric tertiary care center. | PSNet

psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center

September 09, 2008 - Study Patient safety rounds in a pediatric tertiary care center. Citation Text: Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. Copy Citation Format: Google Scholar PubMed BibTeX…

A systematic review of simulation for multidisciplinary team training in operating rooms. | PSNet

psnet.ahrq.gov/issue/systematic-review-simulation-multidisciplinary-team-training-operating-rooms

November 17, 2014 - Review A systematic review of simulation for multidisciplinary team training in operating rooms. Citation Text: Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/S…

Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. | PSNet

psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted

July 21, 2021 - Study Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Citation Text: Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…

Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet

psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year

August 18, 2021 - Study Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. Citation Text: Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…

Medical malpractice lawsuits involving surgical residents. | PSNet

psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-residents

August 20, 2018 - Study Medical malpractice lawsuits involving surgical residents. Citation Text: Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents. JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979. Copy Citation Format: DOI Google Sc…

Understanding the clinical implications of resident involvement in uncommon operations. | PSNet

psnet.ahrq.gov/issue/understanding-clinical-implications-resident-involvement-uncommon-operations

October 26, 2022 - Study Understanding the clinical implications of resident involvement in uncommon operations. Citation Text: Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…

Maternal mortality: near-miss events in middle-income countries, a systematic review. | PSNet

psnet.ahrq.gov/issue/maternal-mortality-near-miss-events-middle-income-countries-systematic-review

October 13, 2021 - Review Maternal mortality: near-miss events in middle-income countries, a systematic review. Citation Text: Heitkamp A, Meulenbroek A, van Roosmalen J, et al. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bull World Health Organ. 2021;99(10):693-70…

Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. | PSNet

psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity

May 27, 2020 - Study Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. Citation Text: DeHenau C, Becker MW, Bello NM, et al. Tallman lettering as a strategy for differentiation in look-alike, sound-a…

The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. | PSNet

psnet.ahrq.gov/issue/admission-conference-call-novel-approach-optimizing-pediatric-emergency-department-admitting

December 21, 2022 - Study The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. Citation Text: Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department…

The impact of rationing nursing care on patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-rationing-nursing-care-patient-safety-systematic-review

December 06, 2023 - Review The impact of rationing nursing care on patient safety: a systematic review. Citation Text: Uchmanowicz I, Lisiak M, Wleklik M, et al. The impact of rationing nursing care on patient safety: a systematic review. Med Sci Monit. 2024;30:e942031. doi:10.12659/msm.942031. Copy Citat…

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. | PSNet

psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment

May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Citation Text: Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…

Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. | PSNet

psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate

January 17, 2024 - Review Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. Citation Text: Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to detect inappropriate prescripti…

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