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Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. | PSNet

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December 08, 2021 - Study Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. Citation Text: Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…

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,…

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. | PSNet

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March 24, 2021 - Study Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. Citation Text: Etter R, Ludwig R, Lersch F, et al. Early prognostic value of the medical emergency team calling criteria in patients admitte…

Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Study Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest eve…

Fighting a common enemy: a catalyst to close intractable safety gaps. | PSNet

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June 30, 2021 - Commentary Fighting a common enemy: a catalyst to close intractable safety gaps. Citation Text: Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390. Copy Citation Format…

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

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March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Study Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest eve…

Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. | PSNet

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July 16, 2015 - Study Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. Citation Text: Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med …

Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

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October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. | PSNet

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November 18, 2020 - Study A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. Citation Text: Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in …

Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. | PSNet

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July 27, 2022 - Study Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. Citation Text: Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events and patient complaints…

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. | PSNet

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September 27, 2016 - Review Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. Citation Text: Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. J Am Med Dir Assoc. 202…

Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. | PSNet

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August 10, 2022 - Study Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…

Workplace engagement and workers' compensation claims as predictors for patient safety culture. | PSNet

psnet.ahrq.gov/issue/workplace-engagement-and-workers-compensation-claims-predictors-patient-safety-culture

March 08, 2023 - Study Workplace engagement and workers' compensation claims as predictors for patient safety culture. Citation Text: Thorp J, Baqai W, Witters D, et al. Workplace engagement and workers' compensation claims as predictors for patient safety culture. J Patient Saf. 2012;8(4):194-201. doi…

Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. | PSNet

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February 17, 2017 - Study Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. Citation Text: Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…

Adverse events in women giving birth in a labor ward: a retrospective record review study. | PSNet

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April 14, 2021 - Study Adverse events in women giving birth in a labor ward: a retrospective record review study. Citation Text: Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…

A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet

psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety

October 26, 2022 - Study A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. Citation Text: Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…

Medication safety incidents associated with the remote delivery of primary care: a rapid review. | PSNet

psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review

June 29, 2022 - Review Medication safety incidents associated with the remote delivery of primary care: a rapid review. Citation Text: Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495…

The effect of a clinical decision support for pending laboratory results at emergency department discharge. | PSNet

psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge

April 24, 2018 - Study The effect of a clinical decision support for pending laboratory results at emergency department discharge. Citation Text: Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…

Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

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April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

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