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  1. Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

    psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
    October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …

  2. Electronic alerts to prevent venous thromboembolism among hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients
    October 19, 2022 - Study Classic Electronic alerts to prevent venous thromboembolism among hospitalized patients. Citation Text: Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. …

  3. Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/text-messaging-improve-hypertension-medication-adherence-african-americans/annual-summary/2011
    January 01, 2011 - Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2011 Project Name Text Messaging to Improve Hypertension Medication Adherence in African Americans Principal Investigator Buis, Lorraine Organization Wayne State University Funding Mech…

  4. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. | PSNet

    psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
    March 29, 2023 - Study Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Citation Text: Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …

  5. Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012. | PSNet

    psnet.ahrq.gov/issue/adoption-electronic-health-records-grows-rapidly-fewer-half-us-hospitals-had-least-basic
    August 07, 2013 - Study Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012. Citation Text: DesRoches CM, Charles D, Furukawa MF, et al. Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had…

  6. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
    April 01, 2010 - Study Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. Citation Text: Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1…

  7. Adverse events after transition from ICU to hospital ward: a multicenter cohort study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study
    October 13, 2018 - Study Adverse events after transition from ICU to hospital ward: a multicenter cohort study. Citation Text: Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.00000…

  8. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. | PSNet

    psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey
    August 04, 2021 - Study Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. Citation Text: Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):…

  9. Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery | PSNet

    psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
    January 23, 2017 - Commentary Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery Citation Text: Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…

  10. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. | PSNet

    psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
    July 21, 2021 - Study A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. Citation Text: Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…

  11. Medical team training improves team performance: AOA critical issues. | PSNet

    psnet.ahrq.gov/issue/medical-team-training-improves-team-performance-aoa-critical-issues
    April 24, 2018 - Commentary Medical team training improves team performance: AOA critical issues. Citation Text: Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. Copy …

  12. Cardiac surgery errors: results from the UK National Reporting and Learning System. | PSNet

    psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system
    May 24, 2012 - Study Cardiac surgery errors: results from the UK National Reporting and Learning System. Citation Text: Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/i…

  13. A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. | PSNet

    psnet.ahrq.gov/issue/novel-method-reproducibly-measuring-effects-interventions-improve-emotional-climate-indices
    March 16, 2011 - Study A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. Citation Text: Nurok M, Lipsitz S, Satwicz P, et al. A novel me…

  14. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. | PSNet

    psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using
    August 18, 2017 - Study Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. Citation Text: Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…

  15. Five reasons for optimism on World Patient Safety Day. | PSNet

    psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
    March 30, 2022 - Commentary Five reasons for optimism on World Patient Safety Day. Citation Text: Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8. Copy Citation Format: DOI …

  16. Electronic handoff instruments: a truly multidisciplinary tool? | PSNet

    psnet.ahrq.gov/issue/electronic-handoff-instruments-truly-multidisciplinary-tool
    September 26, 2012 - Study Electronic handoff instruments: a truly multidisciplinary tool? Citation Text: Schuster KM, Jenq GY, Thung SF, et al. Electronic handoff instruments: a truly multidisciplinary tool? J Am Med Inform Assoc. 2014;21(e2):e352-e357. doi:10.1136/amiajnl-2013-002361. Copy Citation F…

  17. Does health care role and experience influence perception of safety culture related to preventing infections? | PSNet

    psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing
    July 19, 2023 - Study Does health care role and experience influence perception of safety culture related to preventing infections? Citation Text: Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …

  18. Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-hospital-participation-regional-trauma-quality-improvement-collaborative-patient
    August 20, 2018 - Study Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. Citation Text: Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patie…

  19. Where are my instruments? Hazards in delivery of surgical instruments. | PSNet

    psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
    September 25, 2008 - Study Where are my instruments? Hazards in delivery of surgical instruments. Citation Text: Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. Copy Citat…

  20. Early cost and safety benefits of an inpatient electronic health record. | PSNet

    psnet.ahrq.gov/issue/early-cost-and-safety-benefits-inpatient-electronic-health-record
    August 04, 2021 - Study Early cost and safety benefits of an inpatient electronic health record. Citation Text: Zlabek JA, Wickus JW, Mathiason MA. Early cost and safety benefits of an inpatient electronic health record. Journal of the American Medical Informatics Association. 2011;18(2). doi:10.1136/ja…
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