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  1. Identifying health information technology related safety event reports from patient safety event report databases. | PSNet

    psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
    July 07, 2021 - Study Identifying health information technology related safety event reports from patient safety event report databases. Citation Text: Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J …

  2. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. | PSNet

    psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
    April 13, 2022 - Commentary A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. Citation Text: Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…

  3. An observational study of adult admissions to a medical ICU due to adverse drug events. | PSNet

    psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events
    January 28, 2015 - Study An observational study of adult admissions to a medical ICU due to adverse drug events. Citation Text: Jolivot P-A, Pichereau C, Hindlet P, et al. An observational study of adult admissions to a medical ICU due to adverse drug events. Ann Intensive Care. 2016;6(1):9. doi:10.1186/s1…

  4. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
    May 24, 2023 - Study Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…

  5. A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. | PSNet

    psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
    December 20, 2023 - Study A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. Citation Text: Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…

  6. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
    October 26, 2022 - Study Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Citation Text: Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…

  7. Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals. | PSNet

    psnet.ahrq.gov/issue/charges-and-lengths-stay-attributable-adverse-patient-care-events-using-pediatric-specific
    January 04, 2021 - Study Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals. Citation Text: Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse p…

  8. Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. | PSNet

    psnet.ahrq.gov/issue/transition-planning-senior-surgeon-guidance-and-recommendations-society-surgical-chairs
    August 14, 2019 - Commentary Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. Citation Text: Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs.…

  9. Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. | PSNet

    psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
    May 09, 2018 - Study Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. Citation Text: Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…

  10. Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. | PSNet

    psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
    April 07, 2021 - Study Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. Citation Text: Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-ma…

  11. Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
    August 11, 2010 - Review Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. Citation Text: Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory moni…

  12. Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS). | PSNet

    psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results-iberoamerican-study
    December 03, 2008 - Study Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS). Citation Text: Aranaz-Andrés JM, Aibar-Remón C, Limón-Ramírez R, et al. Prevalence of adverse events in the hospitals of five Latin Amer…

  13. What defines a high-performing health system: a systematic review. | PSNet

    psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review
    August 17, 2022 - Review What defines a high-performing health system: a systematic review. Citation Text: Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…

  14. Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. | PSNet

    psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health
    December 20, 2023 - Study Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. Citation Text: Teufel RJ, Kazley AS, Basco WT. Early adopters of computerized physician order entry in…

  15. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients
    October 03, 2017 - Study Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Citation Text: Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…

  16. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet

    psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
    March 14, 2022 - Study Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? Citation Text: Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…

  17. Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
    December 31, 2014 - Review Emerging Classic Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. Citation Text: Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design…

  18. Pathologists' perspectives on disclosing harmful pathology error. | PSNet

    psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
    January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

  19. The incidence of adverse events among home care patients. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patients
    December 04, 2015 - Study The incidence of adverse events among home care patients. Citation Text: Sears NA, Baker R, Barnsley J, et al. The incidence of adverse events among home care patients. Int J Qual Health Care. 2013;25(1):16-28. doi:10.1093/intqhc/mzs075. Copy Citation Format: DOI Go…

  20. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet

    psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
    May 27, 2011 - Study A human right-based approach to dealing with adverse events in residential care facilities. Citation Text: McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128. Copy Citatio…
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