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  1. psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
    June 26, 2019 - Study An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. Citation Text: Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…
  2. psnet.ahrq.gov/issue/patient-engagement-surgical-site-infection-prevention-expert-panel-perspective
    June 03, 2020 - Review Patient engagement with surgical site infection prevention: an expert panel perspective. Citation Text: Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an expert panel perspective. Antimicrob Resist Infect Control. 2017;6:45.…
  3. psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
    November 30, 2022 - Study Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Citation Text: Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…
  4. psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
    January 22, 2014 - Study Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. Citation Text: Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis …
  5. psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients
    April 24, 2018 - Study The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. Citation Text: Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. d…
  6. psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and
    January 27, 2021 - Study Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. Citation Text: Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…
  7. psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review
    May 11, 2022 - Review The impact of critical incidents on nurses and midwives: a systematic review. Citation Text: Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. Copy Citation …
  8. psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-resident-duty-hour-new-standards-history
    November 21, 2021 - Commentary The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. Citation Text: Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education …
  9. psnet.ahrq.gov/issue/do-emergency-physicians-attribute-drug-related-emergency-department-visits-medication-related
    April 22, 2011 - Study Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Citation Text: Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Ann Emerg Med…
  10. psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
    September 22, 2021 - Review Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. Citation Text: Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis a…
  11. psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study
    August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…
  12. psnet.ahrq.gov/issue/provider-bias-prescribing-opioid-analgesics-study-electronic-medical-records-hospital
    September 30, 2020 - Study Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. Citation Text: Keister LA, Stecher C, Aronson B, et al. Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emer…
  13. psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research
    June 23, 2021 - Review Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Citation Text: Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…
  14. psnet.ahrq.gov/issue/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
    February 28, 2024 - Study Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. Citation Text: Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open …
  15. psnet.ahrq.gov/issue/sustaining-and-spreading-reduction-adverse-drug-events-multicenter-collaborative
    November 16, 2022 - Study Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Citation Text: Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542…
  16. psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
    March 11, 2011 - Study Classic Surveillance of medical device-related hazards and adverse events in hospitalized patients. Citation Text: Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…
  17. psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
    April 14, 2021 - Study Real time patient safety audits: improving safety every day. Citation Text: Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542. Copy Citation Format: DOI Google Scholar BibT…
  18. psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal
    January 26, 2022 - Study Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. Citation Text: Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…
  19. psnet.ahrq.gov/issue/implementing-48-h-ewtd-compliant-rota-junior-doctors-uk-does-not-compromise-patients-safety
    June 26, 2019 - Study Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison. Citation Text: Cappuccio FP, Bakewell A, Taggart FM, et al. Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not co…
  20. psnet.ahrq.gov/issue/impact-national-multimodal-intervention-prevent-catheter-related-bloodstream-infection-icu
    September 13, 2023 - Study Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. Citation Text: Palomar M, Álvarez-Lerma F, Riera A, et al. Impact of a national multimodal intervention to prevent catheter-related bloodstream infec…

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