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Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. | PSNet

psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult

July 29, 2020 - Review Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. Citation Text: McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …

Safety incidents in the primary care office setting. | PSNet

psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting

October 12, 2016 - Study Safety incidents in the primary care office setting. Citation Text: Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259. Copy Citation Format: DOI Google Scholar PubMed B…

Underlying reasons associated with hospital readmission following surgery in the United States. | PSNet

psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states

May 06, 2020 - Study Classic Underlying reasons associated with hospital readmission following surgery in the United States. Citation Text: Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. …

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. | PSNet

psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality

May 27, 2010 - Study Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…

Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. | PSNet

psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care

June 14, 2023 - Study Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. Citation Text: Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect…

Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures

May 08, 2017 - Study Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. Citation Text: Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from …

Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant. | PSNet

psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information

December 15, 2021 - Study Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant. Citation Text: Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistant…

Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. | PSNet

psnet.ahrq.gov/issue/analysis-variations-display-drug-names-computerized-prescriber-order-entry-systems

October 13, 2018 - Study Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. Citation Text: Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. American Journal of Healt…

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training

June 08, 2022 - Review The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. Citation Text: Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based t…

A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet

psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety

September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…

Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. | PSNet

psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental

March 18, 2020 - Study Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Citation Text: van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …

Are autopsy findings still relevant to the management of critically ill patients in the modern era? | PSNet

psnet.ahrq.gov/issue/are-autopsy-findings-still-relevant-management-critically-ill-patients-modern-era

April 22, 2015 - Study Are autopsy findings still relevant to the management of critically ill patients in the modern era? Citation Text: Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill patients in the modern era? Crit Care Med. 2014;42(2):336…

Prescribing discrepancies likely to cause adverse drug events after patient transfer. | PSNet

psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer

December 08, 2010 - Study Prescribing discrepancies likely to cause adverse drug events after patient transfer. Citation Text: Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…

Graded autonomy in medical education—managing things that go bump in the night. | PSNet

psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night

July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…

Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. | PSNet

psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic

October 18, 2023 - Study Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. Citation Text: Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…

Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after

March 15, 2017 - Study Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. Citation Text: Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…

Evaluation of outcomes from a national patient-initiated second-opinion program. | PSNet

psnet.ahrq.gov/issue/evaluation-outcomes-national-patient-initiated-second-opinion-program

July 15, 2015 - Study Evaluation of outcomes from a national patient-initiated second-opinion program. Citation Text: Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. Copy Citation …

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. | PSNet

psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians

June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…

Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. | PSNet

psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and

October 17, 2018 - Study Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. Citation Text: Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality a…

Factors contributing to Registered Nurse medication administration error: a narrative review. | PSNet

psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review

May 27, 2011 - Review Factors contributing to Registered Nurse medication administration error: a narrative review. Citation Text: Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…

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