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Information overload and missed test results in electronic health record–based settings. | PSNet

psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based-settings

April 14, 2011 - Study Information overload and missed test results in electronic health record–based settings. Citation Text: Singh H, Spitzmueller C, Petersen NJ, et al. Information overload and missed test results in electronic health record-based settings. JAMA Intern Med. 2013;173(8):702-4. doi:10.1…

Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. | PSNet

psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using

June 29, 2022 - Study Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. Citation Text: Falcone ML, Tokac U, Fish AF, et al. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory fac…

Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. | PSNet

psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions

August 03, 2017 - Review Classic Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. Citation Text: Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…

Approval and perceived impact of duty hour regulations: survey of pediatric program directors. | PSNet

psnet.ahrq.gov/issue/approval-and-perceived-impact-duty-hour-regulations-survey-pediatric-program-directors

February 27, 2013 - Study Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Citation Text: Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi…

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized

November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

Resident fatigue: is there a patient safety issue? | PSNet

psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue

February 03, 2010 - Study Resident fatigue: is there a patient safety issue? Citation Text: Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg. 2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028. Copy Citation Format: DOI Google Scholar PubM…

Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet

psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised

March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. | PSNet

psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-compounding-devices-preparation-parenteral-nutrition

October 19, 2022 - Organizational Policy/Guidelines ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. Citation Text: Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Prepar…

40 years behind the mask: safety revisited. | PSNet

psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited

January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

Creating champions for health care quality and safety. | PSNet

psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety

August 04, 2021 - Study Creating champions for health care quality and safety. Citation Text: Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. Copy Citation Format: DOI Google S…

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet

psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events

September 01, 2021 - Commentary Classic Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Citation Text: Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet

psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects

July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. | PSNet

psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and

July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…

Laboratory testing in general practice: a patient safety blind spot. | PSNet

psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind-spot

July 29, 2015 - Commentary Laboratory testing in general practice: a patient safety blind spot. Citation Text: Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. Copy Citation Format: DOI Google Sc…

The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet

psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units

March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…

The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. | PSNet

psnet.ahrq.gov/issue/role-radio-frequency-detection-system-embedded-surgical-sponges-preventing-retained-surgical

February 13, 2008 - Study The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. Citation Text: Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded …

Updating Eindhoven: clarifying the features of a patient safety near miss. | PSNet

psnet.ahrq.gov/issue/updating-eindhoven-clarifying-features-patient-safety-near-miss

March 13, 2024 - Study Updating Eindhoven: clarifying the features of a patient safety near miss. Citation Text: Woodier N, Burnett C, Sampson P, et al. Updating Eindhoven: clarifying the features of a patient safety near miss. J Patient Saf Risk Manag. 2024;29(4):195-201. doi:10.1177/25160435241247096. …

Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey. | PSNet

psnet.ahrq.gov/issue/factors-affecting-attitudes-and-barriers-medical-emergency-team-among-nurses-and-medical

March 27, 2024 - Study Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey. Citation Text: Radeschi G, Urso F, Campagna S, et al. Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors:…

Implementing online medication reconciliation at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center

January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

Physician characteristics, attitudes, and use of computerized order entry. | PSNet

psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computerized-order-entry

February 17, 2011 - Study Physician characteristics, attitudes, and use of computerized order entry. Citation Text: Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. Copy Citation Format: Google Sc…

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