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Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. | PSNet

psnet.ahrq.gov/issue/pediatric-anesthesiology-fellows-perception-quality-attending-supervision-and-medical-errors

September 07, 2016 - Study Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. Citation Text: Benzon HA, Hajduk J, De Oliveira GS, et al. Pediatric Anesthesiology Fellows' Perception of Quality of Attending Supervision and Medical Errors. Anesth Analg. 2018;12…

Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. | PSNet

psnet.ahrq.gov/issue/analysis-consistency-emergency-department-physician-variation-propensity-admission-across

May 19, 2021 - Study Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. Citation Text: Khidir H, McWilliams JM, O’Malley AJ, et al. Analysis of consistency in emergency department physician variation in propensity for …

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. | PSNet

psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors

September 22, 2021 - Study The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Citation Text: D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort

December 03, 2014 - Study Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. Citation Text: Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):21…

Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/preventable-or-potentially-inappropriate-psychotropics-and-adverse-health-outcomes-older

November 20, 2013 - Review Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis. Citation Text: Corvaisier M, Brangier A, Annweiler C, et al. Preventable or potentially inappropriate psychotropics and adverse health outcomes …

Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. | PSNet

psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal

July 29, 2020 - Study Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Citation Text: Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…

Errors in drug computations during newborn intensive care. | PSNet

psnet.ahrq.gov/issue/errors-drug-computations-during-newborn-intensive-care

December 15, 2021 - Study Errors in drug computations during newborn intensive care. Citation Text: Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. Copy Citation …

The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. | PSNet

psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-and-clinical-decision-support-pharmacist-physician

August 24, 2016 - Study The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. Citation Text: Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…

Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic

February 12, 2020 - Commentary Patient safety and quality improvement adaptation during the COVID-19 pandemic. Citation Text: Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary

November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

Hospital at Home: setting a regulatory course to ensure safe, high-quality care. | PSNet

psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care

June 30, 2021 - Commentary Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Citation Text: DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…

Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. | PSNet

psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis

October 21, 2020 - Study Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. Citation Text: Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. | PSNet

psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective

April 06, 2022 - Study Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. Citation Text: Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient

October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. | PSNet

psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine

March 12, 2025 - Study Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. Citation Text: Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…

African American COVID-19 mortality: a sentinel event. | PSNet

psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event

November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality: a sentinel event. Citation Text: Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040. Copy Cit…

Efficiency and safety of speech recognition for documentation in the electronic health record. | PSNet

psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record

February 14, 2024 - Study Efficiency and safety of speech recognition for documentation in the electronic health record. Citation Text: Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. …

Racism in pain medicine: we can and should do more. | PSNet

psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more

December 15, 2008 - Commentary Racism in pain medicine: we can and should do more. Citation Text: Strand NH, Mariano ER, Goree JH, et al. Racism in pain medicine: we can and should do more. Mayo Clin Proc. 2021;96(6):1394-1400. doi:10.1016/j.mayocp.2021.02.030. Copy Citation Format: DOI Google…

Prescribing errors with low-molecular-weight heparins. | PSNet

psnet.ahrq.gov/issue/prescribing-errors-low-molecular-weight-heparins

July 26, 2017 - Study Prescribing errors with low-molecular-weight heparins. Citation Text: Slikkerveer M, van de Plas A, Driessen JHM, et al. Prescribing errors with low-molecular-weight heparins. J Patient Saf. 2021;17(7):e587-e592. doi:10.1097/pts.0000000000000417. Copy Citation Format: …

Disparities in adverse event reporting for hospitalized children. | PSNet

psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children

July 27, 2022 - Study Disparities in adverse event reporting for hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049. Copy Citation F…

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