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  1. Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
    July 25, 2018 - Review Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. Citation Text: Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;4…

  2. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. | PSNet

    psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
    April 13, 2022 - Study Classic Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Citation Text: Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …

  3. Assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool. | PSNet

    psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using
    October 09, 2013 - Study Assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool. Citation Text: Schildmeijer K, Nilsson L, Årestedt K, et al. Assessment of adverse events in medical care: lack of consistency between experienced teams usin…

  4. Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

    psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
    February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

  5. Randomized trial to improve prescribing safety in ambulatory elderly patients. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-ambulatory-elderly-patients
    March 10, 2011 - Study Randomized trial to improve prescribing safety in ambulatory elderly patients. Citation Text: Raebel MA, Charles J, Dugan J, et al. Randomized trial to improve prescribing safety in ambulatory elderly patients. J Am Geriatr Soc. 2007;55(7):977-85. Copy Citation Format: …

  6. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. | PSNet

    psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
    November 18, 2020 - Study Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. Citation Text: Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. …

  7. A review of patient safety measures based on routinely collected hospital data. | PSNet

    psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data
    February 10, 2012 - Review A review of patient safety measures based on routinely collected hospital data. Citation Text: Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697. C…

  8. Diagnostic inaccuracy of smartphone applications for melanoma detection. | PSNet

    psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
    April 24, 2018 - Study Diagnostic inaccuracy of smartphone applications for melanoma detection. Citation Text: Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382. Copy Citat…

  9. Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

    psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
    December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…

  10. Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014-user-comparative-database-report
    April 23, 2014 - Book/Report Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. Citation Text: Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research a…

  11. Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. | PSNet

    psnet.ahrq.gov/issue/association-clinical-specialty-symptoms-burnout-and-career-choice-regret-among-us-resident
    December 21, 2018 - Study Classic Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. Citation Text: Dyrbye LN, Burke SE, Hardeman RR, et al. Association of Clinical Specialty With Symptoms of Burnout and Career Choice R…

  12. Common general surgical never events: analysis of NHS England never event data. | PSNet

    psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
    April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

  13. Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
    April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

  14. Refocusing the lens: patient safety in ambulatory chronic disease care. | PSNet

    psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care
    December 19, 2018 - Commentary Classic Refocusing the lens: patient safety in ambulatory chronic disease care. Citation Text: Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377…

  15. Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient
    April 10, 2024 - Review Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. Citation Text: Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams i…

  16. Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. | PSNet

    psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus
    March 24, 2012 - Study Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. Citation Text: Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for r…

  17. Diagnostic performance dashboards: tracking diagnostic errors using big data. | PSNet

    psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
    July 28, 2023 - Commentary Diagnostic performance dashboards: tracking diagnostic errors using big data. Citation Text: Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.…

  18. Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims
    June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

  19. Eliminating explicit and implicit biases in health care: evidence and research needs. | PSNet

    psnet.ahrq.gov/issue/eliminating-explicit-and-implicit-biases-health-care-evidence-and-research-needs
    May 11, 2016 - Review Eliminating explicit and implicit biases in health care: evidence and research needs. Citation Text: Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/…

  20. Interventions for reducing wrong-site surgery and invasive procedures. | PSNet

    psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
    September 07, 2011 - Review Interventions for reducing wrong-site surgery and invasive procedures. Citation Text: Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404…
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