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Changes in prognosis after the first postoperative complication. | PSNet

psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication

June 29, 2022 - Study Changes in prognosis after the first postoperative complication. Citation Text: Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. Copy Citation Format: Google Scholar PubMed BibT…

Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. | PSNet

psnet.ahrq.gov/issue/impact-proactive-rounding-rapid-response-team-patient-outcomes-academic-medical-center

January 19, 2012 - Study Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. Citation Text: Butcher BW, Vittinghoff E, Maselli J, et al. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. J Hosp Med…

Diagnostic error in pediatric cancer. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer

November 16, 2022 - Study Diagnostic error in pediatric cancer. Citation Text: Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. | PSNet

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December 22, 2021 - Study Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. Citation Text: Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. J Healthc Qual. 2023;45(3):…

Organizational costs of preventable medical errors. | PSNet

psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors

April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Cognitive testing of older clinicians prior to recredentialing. | PSNet

psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing

January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

Using simulation to improve systems-based practices. | PSNet

psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices

January 22, 2016 - Review Using simulation to improve systems-based practices. Citation Text: Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. Copy Citation Format: …

A systematic review of teamwork training interventions in medical student and resident education. | PSNet

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November 18, 2016 - Review A systematic review of teamwork training interventions in medical student and resident education. Citation Text: Chakraborti C, Boonyasai R, Wright SM, et al. A systematic review of teamwork training interventions in medical student and resident education. J Gen Intern Med. 2008…

Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. | PSNet

psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes

March 05, 2025 - Study Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Citation Text: Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…

Electronic results management in pediatric ambulatory care: qualitative assessment. | PSNet

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September 26, 2012 - Study Electronic results management in pediatric ambulatory care: qualitative assessment. Citation Text: Ferris T, Johnson SA, Co JPT, et al. Electronic results management in pediatric ambulatory care: qualitative assessment. Pediatrics. 2009;123 Suppl 2:S85-91. doi:10.1542/peds.2008-1…

Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and

June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…

Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. | PSNet

psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse

January 12, 2011 - Study Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. Citation Text: Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesth…

Safety in the home healthcare sector: development of a new household safety checklist. | PSNet

psnet.ahrq.gov/issue/safety-home-healthcare-sector-development-new-household-safety-checklist

July 29, 2020 - Study Safety in the home healthcare sector: development of a new household safety checklist. Citation Text: Gershon RRM, Dailey M, Magda LA, et al. Safety in the home healthcare sector: development of a new household safety checklist. J Patient Saf. 2012;8(2):51-9. doi:10.1097/PTS.0b0…

Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. | PSNet

psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized

December 11, 2024 - Commentary Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Citation Text: Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized check…

Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted

July 13, 2016 - Study Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. Citation Text: Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medica…

Beyond the medical record: other modes of error acknowledgment. | PSNet

psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment

August 03, 2009 - Study Beyond the medical record: other modes of error acknowledgment. Citation Text: Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. Copy Citation Format: Google Scholar PubMe…

Parent preferences for medical error disclosure: a qualitative study. | PSNet

psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study

January 25, 2017 - Study Parent preferences for medical error disclosure: a qualitative study. Citation Text: Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048. Copy Citation Format: …

The effect of an electronic checklist on critical care provider workload, errors, and performance. | PSNet

psnet.ahrq.gov/issue/effect-electronic-checklist-critical-care-provider-workload-errors-and-performance

January 22, 2016 - Study The effect of an electronic checklist on critical care provider workload, errors, and performance. Citation Text: Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance. J Intensive Care Med. …

Briefing and debriefing in the operating room using fighter pilot crew resource management. | PSNet

psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management

May 29, 2024 - Study Briefing and debriefing in the operating room using fighter pilot crew resource management. Citation Text: McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. Copy Citation Fo…

From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective

April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

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