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A 38-year-old woman with fetal loss and hysterectomy. | PSNet

psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy

January 12, 2011 - Commentary Classic A 38-year-old woman with fetal loss and hysterectomy. Citation Text: Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. Copy Citation Format: DOI Google Schola…

The attributes of medical event reporting systems. | PSNet

psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems

February 14, 2024 - Study Classic The attributes of medical event reporting systems. Citation Text: Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…

Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. | PSNet

psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada

June 17, 2020 - Study Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. Citation Text: Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery

July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. Citation Text: Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…

Effect of admission medication reconciliation on adverse drug events from admission medication changes. | PSNet

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April 12, 2019 - Study Effect of admission medication reconciliation on adverse drug events from admission medication changes. Citation Text: Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events from admission medication changes. Arch Intern Med. 201…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. | PSNet

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March 11, 2013 - Study Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. Citation Text: Huckels-Baumgart S, Baumgart A, Buschmann U, et al. Separate Medication Preparation Rooms Reduce Interruptions and Medication …

Development and validation of a taxonomy of adverse handover events in hospital settings. | PSNet

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March 05, 2014 - Study Development and validation of a taxonomy of adverse handover events in hospital settings. Citation Text: Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…

Principles of automation for patient safety in intensive care: learning from aviation. | PSNet

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April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning from aviation. Citation Text: Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…

Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-complementary-interventions-redesign-care-teamwork-and-quality-hospitalized-medical

November 25, 2020 - Study Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. Citation Text: O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality …

Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. | PSNet

psnet.ahrq.gov/issue/multicompartment-compliance-aids-community-prevalence-potentially-inappropriate-medications

January 30, 2013 - Study Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. Citation Text: Counter D, Stewart D, MacLeod J, et al. Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. Br J Clin P…

Adapting to new technologies in the operating room. | PSNet

psnet.ahrq.gov/issue/adapting-new-technologies-operating-room

January 16, 2017 - Study Classic Adapting to new technologies in the operating room. Citation Text: Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-613. doi:10.1518/001872096778827224. Copy Citation Format: DOI Google …

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet

psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center

March 07, 2012 - Study Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Citation Text: Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…

Direct reporting of laboratory test results to patients by mail to enhance patient safety. | PSNet

psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety

February 15, 2011 - Study Direct reporting of laboratory test results to patients by mail to enhance patient safety. Citation Text: Sung S, Forman-Hoffman VL, Wilson MC, et al. Direct reporting of laboratory test results to patients by mail to enhance patient safety. J Gen Intern Med. 2006;21(10):1075-8. …

Nurses' perceptions of error communication and reporting in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit

February 20, 2008 - Study Nurses' perceptions of error communication and reporting in the intensive care unit. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.…

Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review

August 12, 2014 - Review Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Citation Text: Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…

Changes in hospital mortality associated with residency work-hour regulations. | PSNet

psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work-hour-regulations

May 27, 2011 - Study Classic Changes in hospital mortality associated with residency work-hour regulations. Citation Text: Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations. Ann Intern Med. 2007;147(2):73-80. Copy Cit…

Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. | PSNet

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August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…

Challenges in patient safety improvement research in the era of electronic health records. | PSNet

psnet.ahrq.gov/issue/challenges-patient-safety-improvement-research-era-electronic-health-records

November 11, 2020 - Commentary Challenges in patient safety improvement research in the era of electronic health records. Citation Text: Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.…

Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. | PSNet

psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology

July 19, 2018 - Review Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. Citation Text: Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psycho…

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