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Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. | PSNet

psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record

April 13, 2022 - Study Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. Citation Text: Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…

What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. | PSNet

psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care

March 16, 2022 - Study What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. Citation Text: Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…

Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve

March 01, 2011 - Study Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. Citation Text: Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…

Rate of undesirable events at beginning of academic year: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/rate-undesirable-events-beginning-academic-year-retrospective-cohort-study

June 08, 2010 - Study Classic Rate of undesirable events at beginning of academic year: retrospective cohort study. Citation Text: Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. do…

Effect of crew resource management training in a multidisciplinary obstetrical setting. | PSNet

psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting

March 06, 2005 - Study Effect of crew resource management training in a multidisciplinary obstetrical setting. Citation Text: Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…

Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. | PSNet

psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self-reporting-despite

March 17, 2021 - Commentary Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. Citation Text: Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on sel…

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. | PSNet

psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-postoperative-patient-outcomes-surgical

February 14, 2017 - Study Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. Citation Text: Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialt…

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. | PSNet

psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized

December 07, 2016 - Study Classic Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. Citation Text: Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation…

Relationship between call light use and response time and inpatient falls in acute care settings. | PSNet

psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings

March 13, 2008 - Study Relationship between call light use and response time and inpatient falls in acute care settings. Citation Text: Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1…

What do medical records tell us about potentially harmful co-prescribing? | PSNet

psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing

December 19, 2011 - Study Classic What do medical records tell us about potentially harmful co-prescribing? Citation Text: Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-4…

Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency-department-cardiovascular

March 16, 2022 - Review Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. Citation Text: Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations prese…

Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. | PSNet

psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster

September 08, 2021 - Study Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Citation Text: Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and fos…

The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual

May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…

Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet

psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective

November 12, 2014 - Study Classic Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. Citation Text: Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…

Criteria for the selection of paediatric patients susceptible to reconciliation error. | PSNet

psnet.ahrq.gov/issue/criteria-selection-paediatric-patients-susceptible-reconciliation-error

December 12, 2021 - Study Criteria for the selection of paediatric patients susceptible to reconciliation error. Citation Text: Iturgoyen Fuentes DP, Meneses Mangas C, Cuervas Mons Vendrell M. Criteria for the selection of paediatric patients susceptible to reconciliation error. Eur J Hosp Pharm. 2024;31(3…

How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet

psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice

February 14, 2024 - Study How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. Citation Text: Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…

Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. | PSNet

psnet.ahrq.gov/issue/non-dispensing-pharmacists-actions-and-solutions-drug-therapy-problems-among-elderly

February 03, 2021 - Study Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. Citation Text: Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polyp…

The health care cost of drug-related morbidity and mortality in nursing facilities. | PSNet

psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities

September 19, 2016 - Study Classic The health care cost of drug-related morbidity and mortality in nursing facilities. Citation Text: Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…

Effects of nursing rounds on patients' call light use, satisfaction, and safety. | PSNet

psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety

September 01, 2021 - Study Effects of nursing rounds on patients' call light use, satisfaction, and safety. Citation Text: Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. Copy Citation Format: Go…

Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. | PSNet

psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities

June 02, 2021 - Study Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. Citation Text: Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and …

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