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Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet

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August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…

Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. | PSNet

psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large

April 15, 2020 - Study Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. Citation Text: Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from l…

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. | PSNet

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August 16, 2017 - Study Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. Citation Text: Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11…

Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. | PSNet

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May 11, 2019 - Commentary Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. Citation Text: Gray D, Johnson KD, Watts B. Lost In Translation? Addressing Barriers in the Application of Industrial Process Improvement Methodologies t…

Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

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December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

Urban outpatient views on quality and safety in primary care. | PSNet

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May 18, 2019 - Study Urban outpatient views on quality and safety in primary care. Citation Text: Dowell D, Manwell LB, Maguire A, et al. Urban outpatient views on quality and safety in primary care. Healthc Q. 2005;8(2):suppl 2-8. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. | PSNet

psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons

January 10, 2018 - Review Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. Citation Text: Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying …

Implementation of a "second victim" program in a pediatric hospital. | PSNet

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December 18, 2013 - Study Implementation of a "second victim" program in a pediatric hospital. Citation Text: Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650. Copy Citation Forma…

Medication error prevention by pharmacists. | PSNet

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August 04, 2021 - Study Classic Medication error prevention by pharmacists. Citation Text: Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. | PSNet

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February 21, 2024 - Review Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. Citation Text: Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical perspectives on medication administration t…

'Bad apples': time to redefine as a type of systems problem? | PSNet

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April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …

Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. | PSNet

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September 12, 2016 - Study Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. Citation Text: Johnston MJ, Davis R, Arora S, et al. Raising the Alarm: A Cross-Sectional Study Exploring the Factors Affecting Patients' Willingness…

Improving safety in the operating room: a systematic literature review of retained surgical sponges. | PSNet

psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges

March 05, 2025 - Review Improving safety in the operating room: a systematic literature review of retained surgical sponges. Citation Text: Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…

Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/factors-associated-emergency-department-visits-and-hospital-admissions-after-invasive

August 17, 2018 - Study Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. Citation Text: Mull HJ, Gellad ZF, Gupta RT, et al. Factors Associated With Emergency Department Visits and Hospital Admissions Af…

The "July phenomenon": is trauma the exception? | PSNet

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January 15, 2014 - Study The "July phenomenon": is trauma the exception? Citation Text: Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026. Copy Citation Format: DOI Google …

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. | PSNet

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May 20, 2009 - Commentary Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. Citation Text: Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance betwee…

Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. | PSNet

psnet.ahrq.gov/issue/comparison-three-methods-estimating-rates-adverse-events-and-rates-preventable-adverse-events

March 23, 2011 - Study Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. Citation Text: Michel P, Quenon JL, de Sarasqueta AM, et al. Comparison of three methods for estimating rates of adverse events and rates of prevent…

Perspective: ten thousand hours to patient safety, sooner or later. | PSNet

psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-later

June 23, 2009 - Commentary Perspective: ten thousand hours to patient safety, sooner or later. Citation Text: Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202. Copy Citation Format: DOI Google…

Residents report on adverse events and their causes. | PSNet

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February 15, 2011 - Study Residents report on adverse events and their causes. Citation Text: Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

Resident shift handoff strategies in US internal medicine residency programs. | PSNet

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July 02, 2014 - Study Resident shift handoff strategies in US internal medicine residency programs. Citation Text: Wray CM, Chaudhry S, Pincavage A, et al. Resident Shift Handoff Strategies in US Internal Medicine Residency Programs. JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786. Copy Cita…

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