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  1. Emergency departments are higher-risk locations for wrong blood in tube errors. | PSNet

    psnet.ahrq.gov/issue/emergency-departments-are-higher-risk-locations-wrong-blood-tube-errors
    November 17, 2021 - Study Emergency departments are higher-risk locations for wrong blood in tube errors. Citation Text: Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher‐risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. …

  2. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. | PSNet

    psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
    November 23, 2016 - Study Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. Citation Text: Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business …

  3. Emotional safety is patient safety. | PSNet

    psnet.ahrq.gov/issue/emotional-safety-patient-safety
    October 21, 2020 - Commentary Emotional safety is patient safety. Citation Text: Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369-372. doi:10.1136/bmjqs-2022-015573. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

  4. Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

    psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
    February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

  5. Black women's maternal health: insights from community based participatory research in Newark, New Jersey. | PSNet

    psnet.ahrq.gov/issue/black-womens-maternal-health-insights-community-based-participatory-research-newark-new
    June 21, 2023 - Study Black women's maternal health: insights from community based participatory research in Newark, New Jersey. Citation Text: Kantor LM, Cruz N, Adams C, et al. Black women's maternal health: insights from community based participatory research in Newark, New Jersey. Behav Med. 2024;50…

  6. Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. | PSNet

    psnet.ahrq.gov/issue/physician-scores-national-clinical-skills-examination-predictors-complaints-medical
    October 16, 2019 - Study Classic Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. Citation Text: Tamblyn R, Abrahamowicz M, Dauphinee D, et al. Physician scores on a national clinical skills examination as …

  7. Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet

    psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
    September 07, 2016 - Review Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. Citation Text: Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 20…

  8. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet

    psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
    June 24, 2020 - Study Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Citation Text: Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…

  9. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
    October 29, 2017 - Study Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. Citation Text: Edmonds JK, George EK, Iobst SE, et al. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. J Obstet Gynecol Neon…

  10. Diagnostic inaccuracy of smartphone applications for melanoma detection. | PSNet

    psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
    April 24, 2018 - Study Diagnostic inaccuracy of smartphone applications for melanoma detection. Citation Text: Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382. Copy Citat…

  11. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
    December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…

  12. A review of patient safety measures based on routinely collected hospital data. | PSNet

    psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data
    February 10, 2012 - Review A review of patient safety measures based on routinely collected hospital data. Citation Text: Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697. C…

  13. Medical malpractice litigation and daylight saving time. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time
    March 24, 2019 - Study Medical malpractice litigation and daylight saving time. Citation Text: Gao C, Lage C, Scullin MK. Medical malpractice litigation and daylight saving time. J Clin Sleep Med. 2024;20(6):933-940. doi:10.5664/jcsm.11038. Copy Citation Format: DOI Google Scholar BibTeX En…

  14. Intervening in interruptions: what exactly is the risk we are trying to manage? | PSNet

    psnet.ahrq.gov/issue/intervening-interruptions-what-exactly-risk-we-are-trying-manage
    July 20, 2022 - Review Intervening in interruptions: what exactly is the risk we are trying to manage? Citation Text: Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429. Copy C…

  15. Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. | PSNet

    psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
    March 24, 2019 - Study Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. Citation Text: Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…

  16. The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. | PSNet

    psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
    March 04, 2015 - Study The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. Citation Text: Kapadia SN, Abramson EL, Carter EJ, et al. The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the Uni…

  17. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
    April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…

  18. Patients' online access to their electronic health records and linked online services: a systematic interpretative review. | PSNet

    psnet.ahrq.gov/issue/patients-online-access-their-electronic-health-records-and-linked-online-services-systematic
    September 08, 2021 - Review Patients' online access to their electronic health records and linked online services: a systematic interpretative review. Citation Text: de Lusignan S, Mold F, Sheikh A, et al. Patients' online access to their electronic health records and linked online services: a systematic int…

  19. Workarounds and test results follow-up in electronic health record–based primary care. | PSNet

    psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary-care
    August 20, 2014 - Study Workarounds and test results follow-up in electronic health record–based primary care. Citation Text: Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015…

  20. Health Information Technology Center for Education and Research on Therapeutics - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2011
    January 01, 2011 - Health Information Technology Center for Education and Research on Therapeutics - 2011 Project Name Health Information Technology Center for Education and Research on Therapeutics Principal Investigator Bates, David Organization Brigham and Women's Hospital Funding Me…
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