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psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
-
psnet.ahrq.gov/node/41054/psn-pdf
January 27, 2012 - The impact of nontechnical skills on technical
performance in surgery: a systematic review.
January 27, 2012
Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a
systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016.
ht…
-
psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Learning from different lenses: reports of medical errors
in primary care by clinicians, staff, and patients: a project
of the American Academy of Family Physicians National
Research Network.
July 14, 2010
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in
Primary…
-
psnet.ahrq.gov/node/40921/psn-pdf
November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to
Alleged Serious Events.
November 16, 2011
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; October 2011. Report No. OEI-01-08-00590.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…
-
psnet.ahrq.gov/node/60643/psn-pdf
July 01, 2020 - Human factors considerations in using personal
protective equipment in the COVID-19 pandemic context:
a bi-national survey study.
July 1, 2020
Parush A, Wacht O, Gomes R, et al. Human Factors Considerations in Using Personal Protective
Equipment in the COVID-19 Pandemic Context: A Bi-national Survey Study (Preprin…
-
psnet.ahrq.gov/node/60838/psn-pdf
January 01, 2021 - Using the ecological systems theory to understand
black/white disparities in maternal morbidity and mortality
in the United States.
August 26, 2020
Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in
maternal morbidity and mortality in the United States. J Rac…
-
psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - Laboratory test ordering and results management
systems: a qualitative study of safety risks identified by
administrators in general practice.
March 12, 2014
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study
of safety risks identified by administrators in gene…
-
psnet.ahrq.gov/node/841142/psn-pdf
December 07, 2022 - Experience of hospital-initiated medication changes in
older people with multimorbidity: a multicentre mixed-
methods study embedded in the OPtimising thERapy to
prevent Avoidable hospital admissions in Multimorbid
older people (OPERAM) trial.
December 7, 2022
Thevelin S, Pétein C, Metry B, et al. Experience of h…
-
psnet.ahrq.gov/node/47893/psn-pdf
April 08, 2019 - Challenges with implementing the Centers for Disease
Control and Prevention opioid guideline: a consensus
panel report.
April 8, 2019
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and
Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
-
psnet.ahrq.gov/node/861771/psn-pdf
January 31, 2024 - The impact of nursing practice environments on patient
safety culture in primary health care: a scoping review.
January 31, 2024
Pereira SC de A, Ribeiro OMPL, Fassarella CS, et al. The impact of nursing practice environments on
patient safety culture in primary health care: a scoping review. BJGP Open. 2024;8(1):B…
-
psnet.ahrq.gov/node/74154/psn-pdf
December 08, 2021 - Assessment of requests for medication-related follow-up
after hospital discharge, and the relation to unplanned
hospital revisits, in older patients: a multicentre
retrospective chart review.
December 8, 2021
Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication-related follow-up after
hospi…
-
psnet.ahrq.gov/node/854375/psn-pdf
October 11, 2023 - Multicomponent pharmacist intervention did not reduce
clinically important medication errors for ambulatory
patients initiating direct oral anticoagulants.
October 11, 2023
Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically
important medication errors for ambulatory…
-
psnet.ahrq.gov/node/849340/psn-pdf
May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on
Medical Treatment for Persons with Mental Health
Disabilities.
May 24, 2023
Massachusetts Protection and Advocacy. Boston, MA: Disability Law Center; May 8, 2023.
https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…
-
psnet.ahrq.gov/node/847546/psn-pdf
March 25, 2021 - Patient safety culture improves during an in situ
simulation intervention: a repeated cross-sectional
intervention study at two hospital sites.
March 25, 2021
Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation
intervention: a repeated cross-sectional interventi…
-
psnet.ahrq.gov/node/844758/psn-pdf
September 18, 2019 - The fifth vital sign? Nurse worry predicts inpatient
deterioration within 24 hours.
September 18, 2019
Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470.
https://psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
Early recognition of clinica…
-
psnet.ahrq.gov/node/61108/psn-pdf
November 11, 2020 - Association of clinical nursing work environment with
quality and safety in maternity care in the United States.
November 11, 2020
Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity
care in the United States. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270.
…
-
psnet.ahrq.gov/node/34949/psn-pdf
June 23, 2009 - A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continuity
of care and resident work hours.
June 23, 2009
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continui…
-
psnet.ahrq.gov/node/38377/psn-pdf
March 21, 2017 - The You CAN campaign: teamwork training for patients
and families in ambulatory oncology.
March 21, 2017
Weingart SN, Simchowitz B, Eng TK, et al. The You CAN campaign: teamwork training for patients and
families in ambulatory oncology. Jt Comm J Qual Patient Saf. 2009;35(2):63-71.
https://psnet.ahrq.gov/issue/you…
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psnet.ahrq.gov/node/73603/psn-pdf
August 18, 2021 - The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care.
August 18, 2021
Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care. J Patient Saf. 2021;17(5):e387-e392.
doi:10.10…
-
psnet.ahrq.gov/node/74035/psn-pdf
January 01, 2022 - Identifying hot spots for harm and blind spots across the
care pathway from patient complaints about general
practice.
November 3, 2021
O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care
pathway from patient complaints about general practice. Fam Pract. 2022;39(4):57…