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Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/inappropriateness-medication-prescriptions-elderly-patients-primary-care-setting-systematic

February 14, 2024 - Review Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review. Citation Text: Opondo D, Eslami S, Visscher S, et al. Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic r…

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care

June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. | PSNet

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September 20, 2011 - Study Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. Citation Text: Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adve…

Opioid dependence and overdose after surgery: rate, risk factors, and reasons. | PSNet

psnet.ahrq.gov/issue/opioid-dependence-and-overdose-after-surgery-rate-risk-factors-and-reasons

August 05, 2020 - Study Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Citation Text: Wylie JA, Kong L, Barth RJ. Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Ann Surg. 2022;276(3):e192-e198. doi:10.1097/sla.0000000000005546. Copy Citatio…

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: …

Imperfect practice makes perfect: error management training improves transfer of learning. | PSNet

psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning

May 19, 2019 - Study Imperfect practice makes perfect: error management training improves transfer of learning. Citation Text: Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…

Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. | PSNet

psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care

May 24, 2010 - Study Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Citation Text: Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the c…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

The mental health trigger tool: development and testing of a specialized trigger tool for mental health settings. | PSNet

psnet.ahrq.gov/issue/mental-health-trigger-tool-development-and-testing-specialized-trigger-tool-mental-health

September 27, 2017 - Study The mental health trigger tool: development and testing of a specialized trigger tool for mental health settings. Citation Text: Sajith SG, Fung D, Chua HC. The Mental Health Trigger Tool: Development and Testing of a Specialized Trigger Tool for Mental Health Settings. J Patient S…

Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. | PSNet

psnet.ahrq.gov/issue/effective-triage-can-ameliorate-deleterious-effects-delayed-transfer-trauma-patients

August 04, 2021 - Study Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. Citation Text: Richardson D, Franklin G, Santos A, et al. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma…

Risk of medication safety incidents with antibiotic use measured by defined daily doses. | PSNet

psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses

July 06, 2022 - Study Risk of medication safety incidents with antibiotic use measured by defined daily doses. Citation Text: Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096…

Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. | PSNet

psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories

February 15, 2010 - Study Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Citation Text: Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)…

Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. | PSNet

psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse

March 15, 2017 - Study Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. Citation Text: Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk asses…

Operational rounds: a practical administrative process to improve safety and clinical services in radiology. | PSNet

psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services

May 12, 2010 - Commentary Operational rounds: a practical administrative process to improve safety and clinical services in radiology. Citation Text: Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical s…

Adoption of health information technology for medication safety in US hospitals, 2006. | PSNet

psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006

August 07, 2013 - Study Adoption of health information technology for medication safety in US hospitals, 2006. Citation Text: Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi…

Unplanned return to theater: a quality of care and risk management index? | PSNet

psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index

August 20, 2018 - Study Unplanned return to theater: a quality of care and risk management index? Citation Text: Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. …

Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review. | PSNet

psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency

September 21, 2022 - Review Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review. Citation Text: Jala S, Fry M, Elliott R. Cognitive bias during clinical decision‐making and its influence on patient outcomes in the emergency depart…

Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. | PSNet

psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across

June 24, 2009 - Commentary Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. Citation Text: Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…

Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. | PSNet

psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat

December 02, 2020 - Study Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. Citation Text: Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a S…

Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet

psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents

January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

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