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  1. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. | PSNet

    psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
    August 10, 2011 - Study Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. Citation Text: Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…

  2. Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-setting-insights
    February 26, 2009 - Study Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. Citation Text: Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the long-t…

  3. The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. | PSNet

    psnet.ahrq.gov/issue/role-radio-frequency-detection-system-embedded-surgical-sponges-preventing-retained-surgical
    February 13, 2008 - Study The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. Citation Text: Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded …

  4. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet

    psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
    January 22, 2014 - Review Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. Citation Text: Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-ass…

  5. Interventions to improve employee health and well-being within health care organizations: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations
    April 11, 2009 - Review Interventions to improve employee health and well-being within health care organizations: a systematic review. Citation Text: Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within health care organizations: A systematic review. J …

  6. Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence. | PSNet

    psnet.ahrq.gov/issue/are-physicians-safely-prescribing-opioids-chronic-noncancer-pain-systematic-review-current
    November 07, 2018 - Review Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence. Citation Text: Tournebize J, Gibaja V, Muszczak A, et al. Are Physicians Safely Prescribing Opioids for Chronic Noncancer Pain? A Systematic Review of Current Evidence. P…

  7. The cost of opioid–related adverse drug events. | PSNet

    psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
    August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

  8. Evaluating patient identification practices during intrahospital transfers: a human factors approach. | PSNet

    psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors
    August 18, 2021 - Study Evaluating patient identification practices during intrahospital transfers: a human factors approach. Citation Text: Suclupe S, Kitchin J, Sivalingam R, et al. Evaluating patient identification practices during intrahospital transfers: a human factors approach. J Patient Saf. 2023;…

  9. Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. | PSNet

    psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
    September 01, 2021 - Study Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. Citation Text: Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associ…

  10. Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet

    psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
    June 10, 2020 - Study Vital signs: changes in opioid prescribing in the United States, 2006-2015. Citation Text: Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4. Copy…

  11. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet

    psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use
    February 02, 2022 - Commentary What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. Citation Text: Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…

  12. Impact of attending physician workload on patient care: a survey of hospitalists. | PSNet

    psnet.ahrq.gov/issue/impact-attending-physician-workload-patient-care-survey-hospitalists
    November 26, 2014 - Study Impact of attending physician workload on patient care: a survey of hospitalists. Citation Text: Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternme…

  13. A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

    psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
    November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …

  14. The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet

    psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
    March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…

  15. Clinical oversight: conceptualizing the relationship between supervision and safety. | PSNet

    psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
    June 23, 2010 - Study Clinical oversight: conceptualizing the relationship between supervision and safety. Citation Text: Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. Copy Citation …

  16. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. | PSNet

    psnet.ahrq.gov/issue/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
    December 21, 2014 - Study Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. Citation Text: Michtalik HJ, Pronovost P, Marsteller JA, et al. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. J Hosp Med. 2013;8…

  17. Differences in medication errors between central and remote site telepharmacies. | PSNet

    psnet.ahrq.gov/issue/differences-medication-errors-between-central-and-remote-site-telepharmacies
    September 21, 2011 - Study Differences in medication errors between central and remote site telepharmacies. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Differences in medication errors between central and remote site telepharmacies. J Am Pharm Assoc (2003). 2012;52(5):e97-e104. Copy Citation …

  18. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

    psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
    September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

  19. Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. | PSNet

    psnet.ahrq.gov/issue/executive-summary-american-college-obstetricians-and-gynecologists-presidential-task-force
    September 23, 2020 - Commentary Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. Citation Text: Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…

  20. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

    psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
    July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…
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