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Adverse events detected by clinical surveillance on an obstetric service. | PSNet

psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service

September 11, 2009 - Study Adverse events detected by clinical surveillance on an obstetric service. Citation Text: Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108(5):1073-83. Copy Citation Format: Google…

Quality gaps identified through mortality review. | PSNet

psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review

November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Multi-professional patterns and methods of communication during patient handoffs. | PSNet

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January 30, 2019 - Study Multi-professional patterns and methods of communication during patient handoffs. Citation Text: Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.00…

Connected care: reducing errors through automated vital signs data upload. | PSNet

psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload

September 01, 2018 - Study Connected care: reducing errors through automated vital signs data upload. Citation Text: Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65. Cop…

E-prescribing errors in community pharmacies: exploring consequences and contributing factors. | PSNet

psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors

January 07, 2015 - Study E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Citation Text: Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…

Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. | PSNet

psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and

July 02, 2019 - Study Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. Citation Text: Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform …

Rapid response team in a rural hospital. | PSNet

psnet.ahrq.gov/issue/rapid-response-team-rural-hospital

October 19, 2022 - Study Rapid response team in a rural hospital. Citation Text: Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-102. doi:10.1097/NUR.0b013e31824590fb. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

Hospital system barriers to rapid response team activation: a cognitive work analysis. | PSNet

psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis

September 09, 2015 - Study Hospital system barriers to rapid response team activation: a cognitive work analysis. Citation Text: Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.…

Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. | PSNet

psnet.ahrq.gov/issue/lack-timely-follow-abnormal-imaging-results-and-radiologists-recommendations

April 13, 2017 - Study Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. Citation Text: Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/…

An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet

psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities

April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…

The problem with preventable deaths. | PSNet

psnet.ahrq.gov/issue/problem-preventable-deaths

July 24, 2024 - Commentary The problem with preventable deaths. Citation Text: Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-2015-004983. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. | PSNet

psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing

April 03, 2017 - Study Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. Citation Text: Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing qua…

Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. | PSNet

psnet.ahrq.gov/issue/perceived-patient-safety-culture-nursing-homes-associated-nursing-home-compare-performance

November 04, 2020 - Study Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. Citation Text: Li Y, Cen X, Cai X, et al. Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing Home Compare" Performance Indicators. Med Care. 2019…

Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. | PSNet

psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content-analysis-national

May 13, 2015 - Study Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Citation Text: Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a natio…

The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. | PSNet

psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures

April 11, 2011 - Study The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Beach ML, Blike G, et al. The incidence and nature of adve…

Association between day of delivery and obstetric outcomes: observational study. | PSNet

psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study

January 07, 2015 - Study Association between day of delivery and obstetric outcomes: observational study. Citation Text: Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774. Copy Citation Format: …

Hospital credentialing and privileging of surgeons: a potential safety blind spot. | PSNet

psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot

September 24, 2017 - Commentary Hospital credentialing and privileging of surgeons: a potential safety blind spot. Citation Text: Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943. Co…

Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet

psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience

April 27, 2019 - Commentary Emerging Classic Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. Citation Text: Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…

Prescribing in 2019: what are the safety concerns? | PSNet

psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns

December 21, 2022 - Review Prescribing in 2019: what are the safety concerns? Citation Text: Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. | PSNet

psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision

July 19, 2017 - Study The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. Citation Text: De Oliveira GS, Rahmani R, Fitzgerald PC, et al. The association between frequency of self-reported m…

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