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  1. A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. | PSNet

    psnet.ahrq.gov/issue/pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting
    August 04, 2021 - Study A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. Citation Text: Liu SW, Thomas SH, Gordon JA, et al. A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Ann E…

  2. Can a structured checklist prevent problems with laparoscopic equipment? | PSNet

    psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment
    August 10, 2016 - Study Can a structured checklist prevent problems with laparoscopic equipment? Citation Text: Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3. Co…

  3. Patient access to electronic health records during hospitalization. | PSNet

    psnet.ahrq.gov/issue/patient-access-electronic-health-records-during-hospitalization
    October 19, 2022 - Study Patient access to electronic health records during hospitalization. Citation Text: Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121. Copy Citation F…

  4. Computerized physician order entry in the critical care environment: a review of current literature. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
    September 19, 2012 - Review Computerized physician order entry in the critical care environment: a review of current literature. Citation Text: Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3)…

  5. Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? | PSNet

    psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
    March 02, 2016 - Commentary Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? Citation Text: Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…

  6. Do team processes really have an effect on clinical performance? A systematic literature review. | PSNet

    psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
    November 13, 2019 - Review Do team processes really have an effect on clinical performance? A systematic literature review. Citation Text: Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…

  7. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. | PSNet

    psnet.ahrq.gov/issue/impact-diagnostic-management-team-patient-time-diagnosis-and-percent-accurate-and-clinically
    October 19, 2022 - Study Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. Citation Text: Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinica…

  8. Patient safety indicators for judging hospital performance: still not ready for prime time. | PSNet

    psnet.ahrq.gov/issue/patient-safety-indicators-judging-hospital-performance-still-not-ready-prime-time
    December 22, 2021 - Study Patient safety indicators for judging hospital performance: still not ready for prime time. Citation Text: Kubasiak JC, Francescatti AB, Behal R, et al. Patient Safety Indicators for Judging Hospital Performance. Am J Med Qual. 2017;32(2):129-133. doi:10.1177/1062860615618782. Co…

  9. Communication about harm reduction with patients who have opioid use disorder. | PSNet

    psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
    January 02, 2017 - Commentary Communication about harm reduction with patients who have opioid use disorder. Citation Text: Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307. Copy Citation Form…

  10. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. | PSNet

    psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
    November 16, 2022 - Study Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Citation Text: Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…

  11. Using the patient safety huddle as a tool for high reliability. | PSNet

    psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
    March 01, 2023 - Commentary Using the patient safety huddle as a tool for high reliability. Citation Text: Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. Copy Citation …

  12. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. | PSNet

    psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
    June 20, 2011 - Study Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Citation Text: Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia. 2009;64(4):366-70. …

  13. Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? | PSNet

    psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
    September 02, 2020 - Study Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? Citation Text: Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…

  14. Predicting patient complaints in hospital settings. | PSNet

    psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings
    February 27, 2008 - Study Predicting patient complaints in hospital settings. Citation Text: Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281. Copy Citation Format: DOI Google Scholar Pu…

  15. The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. | PSNet

    psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
    September 18, 2024 - Study The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. Citation Text: Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…

  16. Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. | PSNet

    psnet.ahrq.gov/issue/little-shop-errors-innovative-simulation-patient-safety-workshop-community-health-care
    October 14, 2009 - Commentary Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. Citation Text: Tupper JB, Pearson KB, Meinersmann KM, et al. Little shop of errors: an innovative simulation patient safety workshop for community health care pro…

  17. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

    psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
    May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

  18. Question answering systems for health professionals at the point of care - a systematic review. | PSNet

    psnet.ahrq.gov/issue/question-answering-systems-health-professionals-point-care-systematic-review
    August 04, 2021 - Review Question answering systems for health professionals at the point of care - a systematic review. Citation Text: Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-…

  19. Clinical decision support: a 25 year retrospective and a 25 year vision. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
    May 20, 2019 - Review Clinical decision support: a 25 year retrospective and a 25 year vision. Citation Text: Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. Copy Citation …

  20. Determinants of adverse events in hospitals—the potential role of patient safety culture. | PSNet

    psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
    October 22, 2008 - Study Determinants of adverse events in hospitals—the potential role of patient safety culture. Citation Text: Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. Copy Citation …
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