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  1. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. | PSNet

    psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events
    September 03, 2014 - Study Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. Citation Text: Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach t…

  2. Utilising improvement science methods to optimise medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
    July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

  3. Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. | PSNet

    psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
    January 15, 2025 - Study Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. Citation Text: Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…

  4. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. | PSNet

    psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
    August 14, 2018 - Study Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. Citation Text: Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076. Copy Cit…

  5. Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. | PSNet

    psnet.ahrq.gov/issue/handling-polypharmacy-qualitative-study-using-focus-group-interviews-older-patients-their
    August 03, 2022 - Study Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. Citation Text: Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus group interviews with olde…

  6. Potentially preventable 30-day hospital readmissions at a children's hospital. | PSNet

    psnet.ahrq.gov/issue/potentially-preventable-30-day-hospital-readmissions-childrens-hospital
    July 11, 2017 - Study Potentially preventable 30-day hospital readmissions at a children's hospital. Citation Text: Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. Copy Citation …

  7. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
    March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Citation Text: Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…

  8. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet

    psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
    May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…

  9. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
    November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Citation Text: de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 202…

  10. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/compliance-and-barriers-implementing-surgical-safety-checklist-mixed-methods-study
    October 06, 2021 - Study Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. Citation Text: Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:…

  11. Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet

    psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
    April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…

  12. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. | PSNet

    psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training-retrospective-qualitative
    September 01, 2021 - Study Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. Citation Text: Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg…

  13. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
    March 09, 2022 - Study Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. Citation Text: Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA…

  14. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet

    psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
    May 04, 2022 - Study Collaborative case review: a systems-based approach to patient safety event investigation and analysis. Citation Text: Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…

  15. Intraoperative deaths: who, why, and can we prevent them? | PSNet

    psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
    November 04, 2020 - Study Intraoperative deaths: who, why, and can we prevent them? Citation Text: Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007. Copy Citation Format: DOI Go…

  16. Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
    October 11, 2017 - Commentary Emerging Classic Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. Citation Text: Prachand VN, Milner R, Angelos P, et al. Medically-n…

  17. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. | PSNet

    psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit
    October 27, 2021 - Study The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. Citation Text: Kwon CS, Duzyj C. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a …

  18. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. | PSNet

    psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
    August 04, 2021 - Study Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Citation Text: Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-1…

  19. ASSM Algorithm Script Version 2 based on Draft Algorithm 8 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/PCC_Burns_Q2_ASSM_Algorithm_Script_Version_2__based_on_Draft_Algorithm_8_January_30.pdf
    January 30, 2008 - ASSM Algorithm Script Version 2 based on Draft Algorithm 8 ASSM Algorithm Script Version 1 based on Draft Algorithm 7 January 23, 2008 Page 1 of 2 ASSM Algorithm Script Version 2 based on Draft Algorithm 8 January 30, 2008 Your blood sugar is too low. Treat low blood glucose with 15 grams of carbohydr…

  20. MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/myhealthportal-using-electronic-portal-empower-patients-breast-cancer/annual-summary/2011
    January 01, 2011 - MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer - 2011 Project Name MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer Principal Investigator Wen, Kuang-Yi Organization Fox Chase Cancer Center Funding Me…
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