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Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet

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October 16, 2019 - Study Day of discharge does not impact hospital readmission after major cardiac surgery. Citation Text: Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.201…

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay. | PSNet

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June 02, 2021 - Study Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay. Citation Text: McCarthy BC, Tuiskula KA, Driscoll TP, et al. Medication errors resulting in harm: Using chargemaster data to determine association …

Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. | PSNet

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January 24, 2018 - Review Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. Citation Text: Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Criti…

An assessment of basic patient safety skills in residents entering the first year of clinical training. | PSNet

psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training

February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…

Breast cancer missed at screening; hindsight or mistakes? | PSNet

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November 15, 2023 - Study Breast cancer missed at screening; hindsight or mistakes? Citation Text: Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. Copy Citation Format: DOI Google …

Novel telephone-based interactive voice response system for incident reporting. | PSNet

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September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

Emergency intubation of children outside of the operating room. | PSNet

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May 27, 2011 - Study Emergency intubation of children outside of the operating room. Citation Text: Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. Copy Citation Format: DOI G…

Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. | PSNet

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August 07, 2024 - Study Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. Citation Text: Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administratio…

A 60-year-old man with delayed care for a renal mass. | PSNet

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January 31, 2024 - Commentary A 60-year-old man with delayed care for a renal mass. Citation Text: Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

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June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

Department of anesthesiology skilled peer support program outcomes: second victim perceptions. | PSNet

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April 12, 2011 - Study Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Citation Text: Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement

July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. | PSNet

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March 06, 2013 - Study Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Citation Text: Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …

Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. | PSNet

psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual

March 22, 2023 - Study Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. Citation Text: Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…

Incident reporting behaviours following the Francis report: a cross-sectional survey. | PSNet

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October 12, 2016 - Study Incident reporting behaviours following the Francis report: a cross-sectional survey. Citation Text: Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849. Copy Citation …

Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. | PSNet

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September 07, 2022 - Study Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. Citation Text: Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospe…

Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. | PSNet

psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general

July 05, 2017 - Study Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. Citation Text: Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General S…

Why do people sue doctors? A study of patients and relatives taking legal action. | PSNet

psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action

August 04, 2021 - Study Classic Why do people sue doctors? A study of patients and relatives taking legal action. Citation Text: Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. …

Reducing near miss medication events using an evidence-based approach. | PSNet

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July 07, 2021 - Study Reducing near miss medication events using an evidence-based approach. Citation Text: Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. Copy Citation Format: DOI…

Assuring safe patient care in a level III NICU in anticipation of hospital closure. | PSNet

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April 22, 2016 - Study Assuring safe patient care in a level III NICU in anticipation of hospital closure. Citation Text: Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7. Copy Citation…

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