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Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. | PSNet

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October 27, 2021 - Study Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. Citation Text: Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. …

When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. | PSNet

psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health

March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…

The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review. | PSNet

psnet.ahrq.gov/issue/use-artificial-intelligence-optimize-medication-alerts-generated-clinical-decision-support

May 26, 2021 - Review The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review. Citation Text: Graafsma J, Murphy RM, van de Garde EMW, et al. The use of artificial intelligence to optimize medication alerts generated by clinical …

Introduction of surgical safety checklists in Ontario, Canada. | PSNet

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June 21, 2016 - Study Classic Introduction of surgical safety checklists in Ontario, Canada. Citation Text: Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa13082…

Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. | PSNet

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March 18, 2020 - Study Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. Citation Text: Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processe…

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. | PSNet

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January 18, 2023 - Study Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. | PSNet

psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients

April 24, 2018 - Study Classic Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. Citation Text: Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized …

A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. | PSNet

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May 20, 2020 - Study Classic A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. Citation Text: Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events:…

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet

psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center

February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…

Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors-systematic-review-and-meta

April 15, 2020 - Review Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. Citation Text: Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and …

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. | PSNet

psnet.ahrq.gov/issue/association-pediatric-resident-physician-depression-and-burnout-harmful-medical-errors

April 24, 2018 - Study Emerging Classic Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Citation Text: Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and B…

Differences in medication reconciliation interventions between six hospitals: a mixed method study. | PSNet

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September 08, 2021 - Study Differences in medication reconciliation interventions between six hospitals: a mixed method study. Citation Text: Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv R…

Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. | PSNet

psnet.ahrq.gov/issue/diagnostic-uncertainty-among-critically-ill-children-admitted-picu-multicenter-study

June 14, 2023 - Study Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Citation Text: Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. …

Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/medical-crisis-checklists-emergency-department-simulation-based-multi-institutional

February 16, 2022 - Study Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial. Citation Text: Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency department: a simulation-based multi-instit…

Changes in medical errors after implementation of a handoff program. | PSNet

psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program

April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. | PSNet

psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health

December 09, 2020 - Study Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. Citation Text: Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. BMJ Qual …

Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices. | PSNet

psnet.ahrq.gov/issue/review-medication-error-sources-associated-inpatient-subcutaneous-insulin-recommendations

June 17, 2020 - Review Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices. Citation Text: McKay C, Schenkat D, Murphy K, et al. Review of medication error sources associated with inpatient subcutaneous insul…

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross

August 10, 2022 - Study The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. Citation Text: Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives and responds to a speaking up …

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation. | PSNet

psnet.ahrq.gov/issue/impact-prescribing-safety-alerts-elderly-persons-electronic-medical-record-interrupted-time

July 10, 2008 - Study The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation. Citation Text: Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record:…

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization

January 27, 2021 - Study Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services Citation Text: Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…

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