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The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet

psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration

December 11, 2024 - Study The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. Citation Text: Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…

Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. | PSNet

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October 13, 2010 - Study Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. Citation Text: Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis …

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet

psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations

March 25, 2020 - Study Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. Citation Text: Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. | PSNet

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September 21, 2022 - Study Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. Citation Text: Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights…

Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet

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July 20, 2022 - Study Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Citation Text: Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…

Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. | PSNet

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January 18, 2013 - Study Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. Citation Text: Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care …

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

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May 11, 2022 - Study Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. Citation Text: Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…

A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. | PSNet

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April 10, 2024 - Study A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. Citation Text: Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…

Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. | PSNet

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July 22, 2020 - Study Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. Citation Text: Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…

Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study. | PSNet

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September 09, 2020 - Study Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study. Citation Text: Ni Y, Lingren T, Huth H, et al. Integrating and evaluating the data quality and utility of smart pump information in det…

Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. | PSNet

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April 29, 2018 - Study Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. Citation Text: Aaron S, McEvoy DS, Ray S, et al. Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. J Am Med Inform Assoc. 2019;2…

U.S. adoption of computerized physician order entry systems. | PSNet

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April 24, 2018 - Study Classic U.S. adoption of computerized physician order entry systems. Citation Text: Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health Aff (Millwood). 2005;24(6):1654-63. Copy Citation Format: …

I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. | PSNet

psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration

November 16, 2022 - Study I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. Citation Text: Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…

Defining and measuring diagnostic uncertainty in medicine: a systematic review. | PSNet

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June 21, 2018 - Review Classic Defining and measuring diagnostic uncertainty in medicine: a systematic review. Citation Text: Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review. J Gen Intern Med. 2018;33(1):103-11…

Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet

psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings

March 09, 2022 - Study Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Citation Text: Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.100…

Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial. | PSNet

psnet.ahrq.gov/issue/clinical-decision-support-improves-appropriateness-laboratory-test-ordering-primary-care

April 13, 2022 - Study Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial. Citation Text: Delvaux N, Piessens V, Burghgraeve TD, et al. Clinical decision support improves the appropriate…

Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. | PSNet

psnet.ahrq.gov/issue/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness

December 21, 2018 - Study Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. Citation Text: Djukic M, Stimpfel AW, Kovner C. Bachelor's Degree Nurse Graduates Report Better Quality and Safety Educational Preparedness than Associate De…

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. | PSNet

psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter

December 01, 2021 - Study Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Citation Text: Calder LA, Perry J, Yan JW, et al. Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Ann Emerg Med. 2021;77(6…

Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. | PSNet

psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine

March 17, 2021 - Study Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. Citation Text: Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in i…

Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. | PSNet

psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful

September 15, 2021 - Study Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. Citation Text: Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…

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