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Root cause analysis for hospital-acquired pressure injury. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury

July 07, 2021 - Review Root cause analysis for hospital-acquired pressure injury. Citation Text: Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. Copy Citation Format: DOI Google Schol…

Medical Office Survey: 2020 User Database Report. | PSNet

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April 06, 2022 - Book/Report Medical Office Survey: 2020 User Database Report. Citation Text: Medical Office Survey: 2020 User Database Report. Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville, MD: Agency for Healthcare Research and Quality; March 2020. …

Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. | PSNet

psnet.ahrq.gov/issue/clinical-deterioration-nurse-sensitive-indicator-out-hospital-context-scoping-review

July 19, 2023 - Review Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. Citation Text: Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out‐of‐hospital context: a scoping review. J Clin Nurs. 202…

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? | PSNet

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September 23, 2020 - Study Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? Citation Text: Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 yea…

How providers can optimize effective and safe scribe use: a qualitative study. | PSNet

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November 18, 2020 - Study How providers can optimize effective and safe scribe use: a qualitative study. Citation Text: Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. …

Electronic health record interoperability-why electronically discontinued medications are still dispensed. | PSNet

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August 25, 2021 - Commentary Electronic health record interoperability-why electronically discontinued medications are still dispensed. Citation Text: Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically discontinued medications are still dispensed. JAMA Intern Me…

Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet

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January 03, 2017 - Study Classic Organizational factors associated with high performance in quality and safety in academic medical centers. Citation Text: Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…

Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. | PSNet

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May 06, 2020 - Study Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. Citation Text: Zhang LM, Ellis RJ, Ma M, et al. Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. JAMA. 2020;323(20):2093-2095. doi:10.1001/jama.2…

US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. | PSNet

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November 30, 2022 - Study US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. Citation Text: Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic…

Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. | PSNet

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April 21, 2015 - Study Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. Citation Text: Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. B…

How to avoid catastrophic events on the ward. | PSNet

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February 03, 2011 - Review How to avoid catastrophic events on the ward. Citation Text: Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003. Copy Citation Format: DOI Google Scholar Pub…

The medication reconciliation process and classification of discrepancies: a systematic review. | PSNet

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May 03, 2023 - Review The medication reconciliation process and classification of discrepancies: a systematic review. Citation Text: Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. d…

Assessing adverse events among home care clients in three Canadian provinces using chart review. | PSNet

psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian-provinces-using-chart-review

June 28, 2017 - Study Assessing adverse events among home care clients in three Canadian provinces using chart review. Citation Text: Blais R, Sears NA, Doran D, et al. Assessing adverse events among home care clients in three Canadian provinces using chart review. BMJ Qual Saf. 2013;22(12):989-997. do…

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. | PSNet

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September 23, 2020 - Commentary Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. Citation Text: Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to I…

Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet

psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management

June 22, 2009 - Study Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Citation Text: Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …

Transforming team performance through reimplementation of the surgical safety checklist. | PSNet

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March 09, 2022 - Study Transforming team performance through reimplementation of the surgical safety checklist. Citation Text: Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…

Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet

psnet.ahrq.gov/issue/deficiencies-care-coordination-and-facility-response-patient-suicide-minneapolis-va-health

September 30, 2020 - Book/Report Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. Citation Text: Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. W…

Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-anesthetic-care-survey-physician-anesthesiologists

March 15, 2016 - Study Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Citation Text: Estrada Alamo CE, Diatta F, Monsell SE, et al. Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Anesth Analg. 2024;138(5):938-950. doi:10.1213/ane…

The additional cost of perioperative medication errors | PSNet

psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors

July 24, 2024 - Study The additional cost of perioperative medication errors Citation Text: Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. Copy Citation Format: DOI Google…

Diagnostic delays among COVID-19 patients with a second concurrent diagnosis. | PSNet

psnet.ahrq.gov/issue/diagnostic-delays-among-covid-19-patients-second-concurrent-diagnosis

March 08, 2023 - Study Diagnostic delays among COVID-19 patients with a second concurrent diagnosis. Citation Text: Freund O, Azolai L, Sror N, et al. Diagnostic delays among COVID‐19 patients with a second concurrent diagnosis. J Hosp Med. 2023;18(4):321-328. doi:10.1002/jhm.13063. Copy Citation F…

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