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  1. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. | PSNet

    psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging
    August 12, 2020 - Study Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. Citation Text: Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring …

  2. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/measuring-variation-use-who-surgical-safety-checklist-operating-room-multicenter-prospective
    January 19, 2016 - Study Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. Citation Text: Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicente…

  3. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. | PSNet

    psnet.ahrq.gov/issue/building-patient-trust-hospitals-combination-hospital-related-factors-and-health-care
    April 14, 2021 - Study Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Citation Text: Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Jt Comm…

  4. Identifying what is known about improving operating room to intensive care handovers: a scoping review. | PSNet

    psnet.ahrq.gov/issue/identifying-what-known-about-improving-operating-room-intensive-care-handovers-scoping-review
    September 23, 2020 - Review Identifying what is known about improving operating room to intensive care handovers: a scoping review. Citation Text: Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…

  5. Interventions to engage patients and families in patient safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
    March 04, 2020 - Review Interventions to engage patients and families in patient safety: a systematic review. Citation Text: Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/01939459209…

  6. Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/deficiencies-provider-reported-interpreter-use-clinical-trial-comparing-telephonic-and-video
    August 12, 2020 - Study Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. Citation Text: Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial compa…

  7. Should health care providers be forced to apologise after things go wrong? | PSNet

    psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
    March 14, 2016 - Commentary Should health care providers be forced to apologise after things go wrong? Citation Text: McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y. Copy Citation …

  8. High-reliability organisation principles implemented in dentistry. | PSNet

    psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
    April 06, 2022 - Commentary High-reliability organisation principles implemented in dentistry. Citation Text: Minyé HM, Benjamin EM. High-reliability organisation principles implemented in dentistry. Br Dent J. 2022;232(12):879-885. doi:10.1038/s41415-022-4354-z. Copy Citation Format: DOI G…

  9. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. | PSNet

    psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
    June 26, 2019 - Review Emerging Classic A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. Citation Text: Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the …

  10. A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. | PSNet

    psnet.ahrq.gov/issue/comparison-two-distribution-methods-response-rates-patient-safety-questionnaire-nursing-homes
    September 14, 2011 - Study A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. Citation Text: Lapane KL, Quilliam BJ, Hughes C. A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. J Am Med …

  11. Improving resident handoffs for children transitioning from the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
    January 12, 2022 - Study Improving resident handoffs for children transitioning from the intensive care unit. Citation Text: Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…

  12. Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps
    February 12, 2020 - Study Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. Citation Text: Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. …

  13. Impact of staff turnover during cardiac surgical procedures. | PSNet

    psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-surgical-procedures
    November 06, 2019 - Study Impact of staff turnover during cardiac surgical procedures. Citation Text: Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051. Copy Citation Format: DO…

  14. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. | PSNet

    psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
    August 23, 2023 - Review Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Citation Text: Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…

  15. Evaluation of a physician informatics tool to improve patient handoffs. | PSNet

    psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs
    January 07, 2015 - Study Evaluation of a physician informatics tool to improve patient handoffs. Citation Text: Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. Copy C…

  16. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. | PSNet

    psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
    August 26, 2011 - Study Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Citation Text: Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…

  17. The frequency and significance of discrepancies in the surgical count. | PSNet

    psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
    March 02, 2011 - Study The frequency and significance of discrepancies in the surgical count. Citation Text: Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. Copy Citation …

  18. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. | PSNet

    psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
    October 19, 2022 - Study Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. Citation Text: Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…

  19. Pharmacy e-prescription dispensing before and after CancelRx implementation. | PSNet

    psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation
    October 05, 2022 - Study Pharmacy e-prescription dispensing before and after CancelRx implementation. Citation Text: Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.…

  20. Reaching the summit of discharge summaries: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
    March 17, 2021 - Study Reaching the summit of discharge summaries: a quality improvement project. Citation Text: Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142. Copy C…
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