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  1. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. | PSNet

    psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
    May 01, 2019 - Study Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Citation Text: Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nu…

  2. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
    October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

  3. 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. …

  4. Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. | PSNet

    psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
    May 16, 2012 - Study Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. Citation Text: Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …

  5. Scale, nature, preventability and causes of adverse events in hospitalised older patients. | PSNet

    psnet.ahrq.gov/issue/scale-nature-preventability-and-causes-adverse-events-hospitalised-older-patients
    July 26, 2011 - Study Scale, nature, preventability and causes of adverse events in hospitalised older patients. Citation Text: Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/…

  6. Examining the July Effect: a national survey of academic leaders in medicine. | PSNet

    psnet.ahrq.gov/issue/examining-july-effect-national-survey-academic-leaders-medicine
    July 05, 2016 - Study Examining the July Effect: a national survey of academic leaders in medicine. Citation Text: Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001. Copy Citati…

  7. Human factors–focused reporting system for improving care quality and safety in hospital wards. | PSNet

    psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
    February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …

  8. The value of 'gentle reminder' on safe medical behaviour. | PSNet

    psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour
    August 26, 2011 - Study The value of 'gentle reminder' on safe medical behaviour. Citation Text: Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763. Copy Citation Format: DOI Goog…

  9. Adoption of order entry with decision support for chronic care by physician organizations. | PSNet

    psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
    October 06, 2011 - Study Adoption of order entry with decision support for chronic care by physician organizations. Citation Text: Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9. Copy …

  10. Inadequate preoperative team briefings lead to more intraoperative adverse events. | PSNet

    psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
    June 07, 2023 - Study Inadequate preoperative team briefings lead to more intraoperative adverse events. Citation Text: Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. Cop…

  11. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/systematic-review-antimicrobial-urinary-catheters-prevent-catheter-associated-urinary-tract
    October 19, 2022 - Review Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. Citation Text: Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract i…

  12. Pain as the neglected patient safety concern: five years on. | PSNet

    psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
    July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

  13. Proactive risk assessment of surgical site infections in ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
    April 13, 2022 - Study Proactive risk assessment of surgical site infections in ambulatory surgery centers. Citation Text: Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…

  14. Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training. | PSNet

    psnet.ahrq.gov/issue/sustained-improvement-neonatal-intensive-care-unit-safety-attitudes-after-teamwork-training
    March 26, 2015 - Study Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training. Citation Text: Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.10…

  15. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. | PSNet

    psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
    January 08, 2025 - Study Perioperative patient safety recommendations: systematic review of clinical practice guidelines. Citation Text: Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. BJS Open. 20…

  16. Characteristics and trends of medical diagnostic errors in the United States. | PSNet

    psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states
    December 14, 2022 - Study Characteristics and trends of medical diagnostic errors in the United States. Citation Text: Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603. Copy Citation Format: …

  17. Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. | PSNet

    psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
    November 16, 2022 - Study Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. Citation Text: Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…

  18. The new diagnostic team. | PSNet

    psnet.ahrq.gov/issue/new-diagnostic-team
    July 19, 2023 - Commentary The new diagnostic team. Citation Text: Graber ML, Rusz D, Jones ML, et al. The new diagnostic team. Diagnosis (Berl). 2017;4(4):225-238. doi:10.1515/dx-2017-0022. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  19. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. | PSNet

    psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and-opioid-stewardship
    December 10, 2024 - Webinar AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. Citation Text: Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:0…

  20. All CLEAR? Preparing for IT downtime. | PSNet

    psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
    November 16, 2022 - Commentary All CLEAR? Preparing for IT downtime. Citation Text: Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…
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