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Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. | PSNet

psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse

March 10, 2011 - Study Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. Citation Text: Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse pr…

Body of evidence: do autopsy findings impact medical malpractice claim outcomes? | PSNet

psnet.ahrq.gov/issue/body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-outcomes

August 19, 2020 - Study Body of evidence: do autopsy findings impact medical malpractice claim outcomes? Citation Text: Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.000000000…

The costs of adverse drug events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients

February 10, 2011 - Study Classic The costs of adverse drug events in hospitalized patients. Citation Text: Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11. Copy…

The relationship between culture of safety and rate of adverse events in long-term care facilities. | PSNet

psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care-facilities

June 09, 2021 - Study The relationship between culture of safety and rate of adverse events in long-term care facilities. Citation Text: Abusalem S, Polivka B, Coty M-B, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021;17(4):2…

Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. | PSNet

psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using

August 18, 2017 - Study Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. Citation Text: Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…

Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. | PSNet

psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada

June 17, 2020 - Study Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. Citation Text: Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…

Confidential clinician-reported surveillance of adverse events among medical inpatients. | PSNet

psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients

June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…

A patient safety approach to setting pass/fail standards for basic procedural skills checklists. | PSNet

psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists

July 28, 2010 - Commentary A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Citation Text: Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…

Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-complementary-interventions-redesign-care-teamwork-and-quality-hospitalized-medical

November 25, 2020 - Study Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. Citation Text: O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality …

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice

July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

Medication errors among acutely ill and injured children treated in rural emergency departments. | PSNet

psnet.ahrq.gov/issue/medication-errors-among-acutely-ill-and-injured-children-treated-rural-emergency-departments

December 13, 2013 - Study Medication errors among acutely ill and injured children treated in rural emergency departments. Citation Text: Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 36…

Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet

psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital

April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. | PSNet

psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients

March 23, 2022 - Study The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. Citation Text: Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders. | PSNet

psnet.ahrq.gov/issue/use-cpoe-log-analysis-physicians-behavior-when-responding-drug-duplication-reminders

October 27, 2016 - Study The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders. Citation Text: Long A-J, Chang P, Li Y-C, et al. The use of a CPOE log for the analysis of physicians’ behavior when responding to drug-duplication reminders. Int J Med I…

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive

August 12, 2014 - Study Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Citation Text: Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…

The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. | PSNet

psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing

August 03, 2017 - Review The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. Citation Text: Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhanc…

Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. | PSNet

psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18

June 16, 2021 - Study Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Citation Text: Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…

Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery. | PSNet

psnet.ahrq.gov/issue/am-i-safe-interpretative-phenomenological-analysis-vulnerability-experienced-patients

July 10, 2024 - Study Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery. Citation Text: Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by pat…

Patient safety and satisfaction with fully remote management of radiation oncology care. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care

October 19, 2022 - Study Patient safety and satisfaction with fully remote management of radiation oncology care. Citation Text: Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…

Does health care role and experience influence perception of safety culture related to preventing infections? | PSNet

psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing

July 19, 2023 - Study Does health care role and experience influence perception of safety culture related to preventing infections? Citation Text: Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …

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