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Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. | PSNet

psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging

August 12, 2020 - Study Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. Citation Text: Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring …

Pharmacist linkage in care transitions: from academic medical center to community. | PSNet

psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community

November 16, 2022 - Study Pharmacist linkage in care transitions: from academic medical center to community. Citation Text: Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j…

Wrong-site surgery in California, 2007–2014. | PSNet

psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014

July 27, 2023 - Study Wrong-site surgery in California, 2007–2014. Citation Text: Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226. Copy Citation Format: DOI Google Scholar Pu…

A survey of hospital quality improvement activities. | PSNet

psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities

January 27, 2019 - Study A survey of hospital quality improvement activities. Citation Text: Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. Copy Citation Format: DOI Google Sch…

Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. | PSNet

psnet.ahrq.gov/issue/surgical-team-member-assessment-safety-surgery-practice-38-south-carolina-hospitals

May 11, 2016 - Study Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Citation Text: Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-3…

Whistleblowing over patient safety and care quality: a review of the literature. | PSNet

psnet.ahrq.gov/issue/whistleblowing-over-patient-safety-and-care-quality-review-literature

April 08, 2019 - Review Emerging Classic Whistleblowing over patient safety and care quality: a review of the literature. Citation Text: Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Mana…

Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers

December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

Adverse drug event reporting systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review

December 21, 2017 - Review Adverse drug event reporting systems: a systematic review. Citation Text: Bailey C, Peddie D, Wickham ME, et al. Adverse drug event reporting systems: a systematic review. Br J Clin Pharm. 2016;82(1):17-29. doi:10.1111/bcp.12944. Copy Citation Format: DOI Google Scho…

Time of day effects on the incidence of anesthetic adverse events. | PSNet

psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events

January 03, 2017 - Study Time of day effects on the incidence of anesthetic adverse events. Citation Text: Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63. Copy Citation Format: Google Sch…

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. | PSNet

psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined

August 10, 2022 - Study Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Citation Text: Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined wit…

An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. | PSNet

psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications

November 08, 2012 - Study An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. Citation Text: McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …

A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care

October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. | PSNet

psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia

May 26, 2021 - Study A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. Citation Text: Hofer IS, Cheng D, Grogan T. A retrospective analysis demonstrates that a failure …

Autopsy as a quality control measure for radiology, and vice versa. | PSNet

psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa

April 24, 2018 - Study Autopsy as a quality control measure for radiology, and vice versa. Citation Text: Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. Copy Citation Fo…

Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward

September 27, 2017 - Commentary Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. Citation Text: Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…

Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report

January 12, 2022 - Study Diagnostic error in the emergency department: learning from national patient safety incident report analysis. Citation Text: Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…

A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies. | PSNet

psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical

April 20, 2022 - Study A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies. Citation Text: Bernstein SL, Picciolo M, Grills E, et al. A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergen…

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/association-between-clinic-opioid-administration-and-discharge-opioid-prescription-urgent

May 19, 2021 - Study Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. Citation Text: Calcaterra SL, Lou Y, Everhart RM, et al. Association between in-clinic opioid administration and discharge opioid prescription in urge…

Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues. | PSNet

psnet.ahrq.gov/issue/am-i-my-brothers-keeper-survey-10-healthcare-professions-netherlands-about-experiences

June 25, 2014 - Study Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues. Citation Text: Weenink JW, Westert GP, Schoonhoven L, et al. Am I my brother's keeper? A survey of 10 healthcare professions in the Netherl…

The American College of Surgeons' closed claims study: new insights for improving care. | PSNet

psnet.ahrq.gov/issue/american-college-surgeons-closed-claims-study-new-insights-improving-care

March 02, 2011 - Study The American College of Surgeons' closed claims study: new insights for improving care. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.…

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