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Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. | PSNet

psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among

March 02, 2022 - Study Classic Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. Citation Text: Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised

September 28, 2016 - Study Classic An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Citation Text: Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…

Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. | PSNet

psnet.ahrq.gov/issue/integrating-patient-safety-health-professionals-curricula-qualitative-study-medical-nursing

February 14, 2015 - Study Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. Citation Text: Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a qualitative study…

The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis. | PSNet

psnet.ahrq.gov/issue/views-and-experiences-patients-and-health-care-professionals-disclosure-adverse-events

August 25, 2021 - Review The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis. Citation Text: Sattar R, Johnson J, Lawton R. The views and experiences of patients and health‐care professiona…

Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-improves-during-situ-simulation-intervention-repeated-cross-sectional

January 20, 2021 - Study Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. Citation Text: Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a re…

The interplay between teamwork, clinicians' emotional exhaustion, and clinician-rated patient safety: a longitudinal study. | PSNet

psnet.ahrq.gov/issue/interplay-between-teamwork-clinicians-emotional-exhaustion-and-clinician-rated-patient-safety

April 01, 2015 - Study Classic The interplay between teamwork, clinicians' emotional exhaustion, and clinician-rated patient safety: a longitudinal study. Citation Text: Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians' emotional exhaustion, and clinician-r…

Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. | PSNet

psnet.ahrq.gov/issue/wrong-site-surgery-pennsylvania-during-2015-2019-study-variables-associated-368-events-178

October 09, 2024 - Study Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. Citation Text: Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. …

Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. | PSNet

psnet.ahrq.gov/issue/impact-opioid-administration-intensive-care-unit-and-subsequent-use-opioid-naive-patients

April 06, 2022 - Study Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Citation Text: Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacothe…

Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-process-enable-parent-escalation-care-deteriorating

September 16, 2020 - Study Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital. Citation Text: Gill FJ, Leslie GD, Marshall AP. Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriora…

A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. | PSNet

psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming

March 20, 2019 - Study A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Citation Text: Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming…

Developing and evaluating an automated all-cause harm trigger system. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system

July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. | PSNet

psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans

February 10, 2021 - Study Classic Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Citation Text: Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:…

Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. | PSNet

psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study

December 16, 2020 - Study Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. Citation Text: Carson-Stevens A, Campbell S, Bell BG, et al. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Fam Pract. 2019…

In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? | PSNet

psnet.ahrq.gov/issue/situ-simulation-strategy-restore-patient-safety-intensive-care-units-after-covid-19-pandemic

March 09, 2022 - Review In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? Citation Text: Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 …

Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. | PSNet

psnet.ahrq.gov/issue/physicians-failed-write-flawless-prescriptions-when-computerized-physician-order-entry-system

January 21, 2015 - Study Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. Citation Text: Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(…

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet

psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis

December 06, 2023 - Study A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Citation Text: Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…

Effectiveness of communication interventions in obstetrics--a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-communication-interventions-obstetrics-systematic-review

April 13, 2022 - Review Effectiveness of communication interventions in obstetrics--a systematic review. Citation Text: Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ije…

Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database

September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. | PSNet

psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event

June 03, 2020 - Review Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. Citation Text…

Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/effects-online-personal-health-record-medication-accuracy-and-safety-cluster-randomized-trial

March 04, 2015 - Study Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. Citation Text: Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. J Am Med Inf…

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