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Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/stop-orders-reduce-inappropriate-urinary-catheterization-hospitalized-patients-randomized

February 23, 2022 - Study Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. Citation Text: Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled t…

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care

June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. | PSNet

psnet.ahrq.gov/issue/patient-safety-patients-who-occupy-beds-clinically-inappropriate-wards-qualitative-interview

January 12, 2022 - Study Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. Citation Text: Goulding L, Adamson J, Watt I, et al. Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview s…

Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. | PSNet

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March 24, 2019 - Study Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. Citation Text: Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…

Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. | PSNet

psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety

December 29, 2014 - Study Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Citation Text: Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…

Improving the governance of patient safety in emergency care: a systematic review of interventions. | PSNet

psnet.ahrq.gov/issue/improving-governance-patient-safety-emergency-care-systematic-review-interventions

March 06, 2013 - Review Improving the governance of patient safety in emergency care: a systematic review of interventions. Citation Text: Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837…

Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet

psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study

February 20, 2019 - Study Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. Citation Text: Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…

Safety participation at the direct care level: results of a patient questionnaire. | PSNet

psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire

August 26, 2020 - Study Safety participation at the direct care level: results of a patient questionnaire. Citation Text: Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506. Copy Cita…

Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. | PSNet

psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering

November 12, 2008 - Study Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. Citation Text: Valenstein PN, Walsh MK, Stankovic AK. Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of o…

More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes. | PSNet

psnet.ahrq.gov/issue/more-just-crushing-prospective-pre-post-intervention-study-reduce-drug-preparation-errors

November 02, 2010 - Study More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes. Citation Text: Lohmann K, Gartner D, Kurze R, et al. More than just crushing: a prospective pre-post intervention study to reduce drug preparation er…

Utilization of a role-based head covering system to decrease misidentification in the operating room. | PSNet

psnet.ahrq.gov/issue/utilization-role-based-head-covering-system-decrease-misidentification-operating-room

September 23, 2020 - Study Utilization of a role-based head covering system to decrease misidentification in the operating room. Citation Text: Rosen DA, Criser AL, Petrone AB, et al. Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room. J Patient Saf. 2019;15(…

The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. | PSNet

psnet.ahrq.gov/issue/role-dynamic-trade-offs-creating-safety-qualitative-study-handover-across-care-boundaries

January 21, 2015 - Study The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. Citation Text: Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emerg…

Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients. | PSNet

psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical

September 27, 2017 - Study Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients. Citation Text: Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurg…

The problems of detecting medication errors in hospitals. | PSNet

psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals

February 01, 2012 - Study Classic The problems of detecting medication errors in hospitals. Citation Text: Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360. Copy Citation …

Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error

June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

Reducing treatment errors through point-of-care glucometer configuration. | PSNet

psnet.ahrq.gov/issue/reducing-treatment-errors-through-point-care-glucometer-configuration

September 23, 2020 - Study Reducing treatment errors through point-of-care glucometer configuration. Citation Text: Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014…

Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. | PSNet

psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated

March 30, 2011 - Study Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. Citation Text: Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…

Pediatric obesity and safety in inpatient settings: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review

November 12, 2014 - Review Pediatric obesity and safety in inpatient settings: a systematic literature review. Citation Text: Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/000992281…

Using risk stratification to reduce medical errors in cervical cancer prevention. | PSNet

psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention

September 05, 2012 - Commentary Using risk stratification to reduce medical errors in cervical cancer prevention. Citation Text: Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed…

Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. | PSNet

psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer

May 23, 2013 - Study Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. Citation Text: Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…

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