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Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial

January 18, 2011 - Study Classic Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Citation Text: Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. L…

Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

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May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. | PSNet

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October 16, 2012 - Study Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. Citation Text: Stall NM, Fischer HD, Wu F, et al. Unintentional Discontinuation of …

Errors in administration of parenteral drugs in intensive care units: multinational prospective study. | PSNet

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September 30, 2010 - Study Errors in administration of parenteral drugs in intensive care units: multinational prospective study. Citation Text: Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814.…

Health care providers’ negative implicit attitudes and stereotypes of American Indians. | PSNet

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January 18, 2023 - Study Health care providers’ negative implicit attitudes and stereotypes of American Indians. Citation Text: Zestcott CA, Spece L, McDermott D, et al. Health care providers’ negative implicit attitudes and stereotypes of American Indians. J Racial Ethn Health Disparities. 2021;8(1):230-2…

Silence, power and communication in the operating room. | PSNet

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June 08, 2011 - Study Silence, power and communication in the operating room. Citation Text: Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x. Copy Citation Format: DOI Go…

Preventability of hospital-acquired venous thromboembolism. | PSNet

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December 21, 2014 - Study Classic Preventability of hospital-acquired venous thromboembolism. Citation Text: Haut ER, Lau BD, Kraus PS, et al. Preventability of Hospital-Acquired Venous Thromboembolism. JAMA Surg. 2015;150(9):912-5. doi:10.1001/jamasurg.2015.1340. Copy Citation …

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. | PSNet

psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true

February 25, 2009 - Study From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. Citation Text: Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…

Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized

December 31, 2014 - Study Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet

psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006

April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. | PSNet

psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human

November 02, 2018 - Study Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. Citation Text: Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…

Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet

psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year

August 18, 2021 - Study Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. Citation Text: Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…

Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

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February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. | PSNet

psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california

July 13, 2010 - Study Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. Citation Text: Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…

Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients. | PSNet

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May 25, 2022 - Study Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients. Citation Text: Tiihonen M, Nykänen I, Ahonen R, et al. Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home…

The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. | PSNet

psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential

October 24, 2012 - Study The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. Citation Text: Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…

First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical

March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. Citation Text: English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …

Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet

psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi

August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

How health care systems let our patients down: a systematic review into suicide deaths. | PSNet

psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths

October 19, 2022 - Review How health care systems let our patients down: a systematic review into suicide deaths. Citation Text: Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…

Exploring the intersection of structural racism and ageism in healthcare. | PSNet

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January 18, 2023 - Commentary Exploring the intersection of structural racism and ageism in healthcare. Citation Text: Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105. Copy Citat…

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