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A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. | PSNet

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May 01, 2015 - Study Classic A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. Citation Text: Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. | PSNet

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March 02, 2022 - Study Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. Citation Text: Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …

Interventions to reduce the incidence of medical error and its financial burden in health care systems: a systematic review of systematic reviews. | PSNet

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September 29, 2021 - Review Interventions to reduce the incidence of medical error and its financial burden in health care systems: a systematic review of systematic reviews. Citation Text: Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of medical error and it…

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. | PSNet

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August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…

Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. | PSNet

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January 31, 2018 - Review Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. Citation Text: Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature Wit…

Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic

January 31, 2024 - Study Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. Citation Text: Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…

Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. | PSNet

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July 21, 2021 - Study Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. Citation Text: Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staf…

From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. | PSNet

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January 29, 2015 - Study From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. Citation Text: Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Q…

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. | PSNet

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April 13, 2022 - Study Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. Citation Text: Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12…

Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. | PSNet

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October 09, 2024 - Review Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. Citation Text: Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv …

Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. | PSNet

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December 21, 2022 - Study Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. Citation Text: Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…

Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. | PSNet

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August 04, 2021 - Study Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. Citation Text: Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affair…

Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. | PSNet

psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care

October 11, 2023 - Study Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. Citation Text: McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …

Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. | PSNet

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March 05, 2008 - Study Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. Citation Text: de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. | PSNet

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September 23, 2020 - Commentary Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. Citation Text: Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet

psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness

May 26, 2021 - Study Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. Citation Text: Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…

How useful are voluntary medication error reports? The case of warfarin-related medication errors. | PSNet

psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors

May 27, 2011 - Study How useful are voluntary medication error reports? The case of warfarin-related medication errors. Citation Text: Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;3…

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. | PSNet

psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content

May 19, 2021 - Commentary We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. Citation Text: Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for…

Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. | PSNet

psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association

December 15, 2011 - Study Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. Citation Text: Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with…

Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. | PSNet

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June 30, 2021 - Study Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Citation Text: Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Anesthesiolo…

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