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  1. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. | PSNet

    psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study-rapid-response
    November 03, 2015 - Study Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. Citation Text: Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 202…

  2. Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. | PSNet

    psnet.ahrq.gov/issue/using-proactive-risk-assessment-hfmea-improve-patient-safety-and-quality-associated
    September 19, 2016 - Study Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. Citation Text: DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to Improve Pati…

  3. Primary care providers' perspectives on errors of omission. | PSNet

    psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission
    July 30, 2014 - Study Primary care providers' perspectives on errors of omission. Citation Text: Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161. Copy Citation Format: …

  4. Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer. | PSNet

    psnet.ahrq.gov/issue/analysis-patient-physician-concordance-understanding-chemotherapy-treatment-plans-among
    January 11, 2023 - Study Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer. Citation Text: Almalki H, Absi A, Alghamdi A, et al. Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patie…

  5. The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. | PSNet

    psnet.ahrq.gov/issue/impact-critical-event-checklists-medical-management-and-teamwork-during-simulated-crises
    November 04, 2009 - Study The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. Citation Text: Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management and teamwork during simulated cri…

  6. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. | PSNet

    psnet.ahrq.gov/issue/hospitalization-and-death-associated-potentially-inappropriate-medication-prescriptions-among
    August 04, 2021 - Study Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. Citation Text: Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among…

  7. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. | PSNet

    psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
    December 16, 2020 - Study The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. Citation Text: Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…

  8. Body mass index category and adverse events in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
    August 03, 2022 - Study Body mass index category and adverse events in hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. Copy Citation …

  9. What happens when healthcare innovations collide? | PSNet

    psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
    December 06, 2017 - Commentary What happens when healthcare innovations collide? Citation Text: Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. Copy Citation Format: DOI Google S…

  10. Medication accuracy in electronic health records for microbial keratitis. | PSNet

    psnet.ahrq.gov/issue/medication-accuracy-electronic-health-records-microbial-keratitis
    September 29, 2021 - Study Medication accuracy in electronic health records for microbial keratitis. Citation Text: Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444. C…

  11. Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members. | PSNet

    psnet.ahrq.gov/issue/sustainable-effective-implementation-surgical-preprocedural-checklist-attestation-format-all
    July 31, 2013 - Study Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members. Citation Text: Porter AJ, Narimasu JY, Mulroy MF, et al. Sustainable, effective implementation of a surgical preprocedural checklist: an "attestati…

  12. "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

    psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences
    November 29, 2017 - Study "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. Citation Text: Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…

  13. Crew resource management improved perception of patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/crew-resource-management-improved-perception-patient-safety-operating-room
    April 27, 2010 - Study Crew resource management improved perception of patient safety in the operating room. Citation Text: Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual. 2010;25(1):60-3. doi:10.1177/1062860609351…

  14. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service | PSNet

    psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
    September 29, 2021 - Study Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service Citation Text: Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role…

  15. Association of past and future paid medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/association-past-and-future-paid-medical-malpractice-claims
    February 01, 2023 - Study Association of past and future paid medical malpractice claims. Citation Text: Hyman DA, Lerner J, Magid DJ, et al. Association of past and future paid medical malpractice claims. JAMA Health Forum. 2023;4(2):e225436. doi:10.1001/jamahealthforum.2022.5436. Copy Citation Forma…

  16. Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. | PSNet

    psnet.ahrq.gov/issue/improving-safety-during-transitions-care-through-use-electronic-referral-loops-receive-and
    October 19, 2022 - Study Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. Citation Text: Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic referral loops to receiv…

  17. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. | PSNet

    psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
    November 17, 2014 - Review Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Citation Text: Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…

  18. Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021. | PSNet

    psnet.ahrq.gov/issue/hospital-differences-adult-inpatient-stays-healthcare-associated-infections-2019-and-2021
    August 03, 2022 - Book/Report Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021. Citation Text: Miller MA, Lin L, Calfee DP, et al. Hospital Differences In Adult Inpatient Stays With Healthcare-Associated Infections, 2019 And 2021. Rockville, MD: Agency for…

  19. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
    May 20, 2020 - Study A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Citation Text: Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. do…

  20. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. | PSNet

    psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system
    January 14, 2011 - Study Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Citation Text: Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490. …
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