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A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other? | PSNet

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July 14, 2021 - Study A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other? Citation Text: Ashcroft J, Wilkinson A, Khan M. A systematic review of trauma crew resource management training: what can the United States and …

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. | PSNet

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September 23, 2020 - Commentary Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. Citation Text: Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…

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…

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

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December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. | PSNet

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October 27, 2021 - Study Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. Citation Text: Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…

Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. | PSNet

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May 04, 2022 - Study Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. Citation Text: El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions u…

Systems analysis of adverse drug events. | PSNet

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February 10, 2011 - Study Classic Systems analysis of adverse drug events. Citation Text: Leape L, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. Copy Citation Format: Google Scholar PubMed B…

A contemporary analysis of closed claims related to wrong site surgery. | PSNet

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March 03, 2021 - Study A contemporary analysis of closed claims related to wrong site surgery. Citation Text: Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002. Copy Cit…

High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet

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May 18, 2022 - Study High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? Citation Text: Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…

Paid malpractice claims for adverse events in inpatient and outpatient settings. | PSNet

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June 24, 2009 - Study Paid malpractice claims for adverse events in inpatient and outpatient settings. Citation Text: Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813. Copy Citatio…

New persistent opioid use after minor and major surgical procedures in US adults. | PSNet

psnet.ahrq.gov/issue/new-persistent-opioid-use-after-minor-and-major-surgical-procedures-us-adults

April 18, 2019 - Study Classic New persistent opioid use after minor and major surgical procedures in US adults. Citation Text: Brummett CM, Waljee JF, Goesling J, et al. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg. 2017;152(6):e17…

Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. | PSNet

psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study

October 20, 2021 - Study Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. Citation Text: Moore A, Knutsen Glette M. Nurses’ experience with presenteeism and the potential consequences o…

Stress on the ward: evidence of safety tipping points in hospitals. | PSNet

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November 13, 2024 - Study Stress on the ward: evidence of safety tipping points in hospitals. Citation Text: Kuntz L, Mennicken R, Scholtes S. Stress on the Ward: Evidence of Safety Tipping Points in Hospitals. Manage Sci. 2014;61(4). doi:10.1287/mnsc.2014.1917. Copy Citation Format: DOI Googl…

Impact of incorporating pharmacy claims data into electronic medication reconciliation. | PSNet

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September 01, 2016 - Study Impact of incorporating pharmacy claims data into electronic medication reconciliation. Citation Text: Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…

Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. | PSNet

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October 19, 2022 - Study Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. Citation Text: Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emerg…

A systematic review of clinical decision support systems for clinical oncology practice. | PSNet

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July 19, 2023 - Review A systematic review of clinical decision support systems for clinical oncology practice. Citation Text: Pawloski PA, Brooks GA, Nielsen ME, et al. A Systematic Review of Clinical Decision Support Systems for Clinical Oncology Practice. J Natl Compr Canc Netw. 2019;17(4):331-338. d…

Prevalence of medication administration errors in two medical units with automated prescription and dispensing. | PSNet

psnet.ahrq.gov/issue/prevalence-medication-administration-errors-two-medical-units-automated-prescription-and

February 26, 2020 - Study Prevalence of medication administration errors in two medical units with automated prescription and dispensing. Citation Text: Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated presc…

The health care cost of drug-related morbidity and mortality in nursing facilities. | PSNet

psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities

September 19, 2016 - Study Classic The health care cost of drug-related morbidity and mortality in nursing facilities. Citation Text: Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…

The care transitions intervention: translating from efficacy to effectiveness. | PSNet

psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness

August 18, 2021 - Study Classic The care transitions intervention: translating from efficacy to effectiveness. Citation Text: Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med. 2011;171(14):1232-7. …

National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic

November 30, 2022 - Study National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Citation Text: Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;…

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