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  1. Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. | PSNet

    psnet.ahrq.gov/issue/delayed-flow-risk-patient-safety-mixed-method-analysis-emergency-department-patient-flow
    May 13, 2009 - Study Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. Citation Text: Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54…

  2. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. | PSNet

    psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
    October 19, 2022 - Review Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Citation Text: Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …

  3. Healthcare personnel attire in non–operating-room settings. | PSNet

    psnet.ahrq.gov/issue/healthcare-personnel-attire-non-operating-room-settings
    January 04, 2019 - Commentary Healthcare personnel attire in non–operating-room settings. Citation Text: Bearman G, Bryant K, Leekha S, et al. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol. 2014;35(2):107-21. doi:10.1086/675066. Copy Citation Format: …

  4. Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
    July 16, 2015 - Review Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. Citation Text: Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…

  5. Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? | PSNet

    psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk-or-reduced
    March 22, 2011 - Study Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? Citation Text: van de Mheen PJM-, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality…

  6. Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. | PSNet

    psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
    March 16, 2016 - Study Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…

  7. Lessons learned from medical malpractice claims involving critical care nurses. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
    July 15, 2020 - Study Lessons learned from medical malpractice claims involving critical care nurses. Citation Text: Myers LC, Heard L, Mort E. Lessons learned from medical malpractice claims involving critical care nurses. Am J Crit Care. 2020;29(3):174-181. doi:10.4037/ajcc2020341. Copy Citation …

  8. Attitudes and practices related to clinical alarms: a follow-up survey. | PSNet

    psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms-follow-survey
    June 11, 2014 - Study Attitudes and practices related to clinical alarms: a follow-up survey. Citation Text: Ruppel H, Funk M, Clark T, et al. Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey. Am J Crit Care. 2018;27(2):114-123. doi:10.4037/ajcc2018185. Copy Citation Format: …

  9. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. | PSNet

    psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian
    July 19, 2023 - Study Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. Citation Text: Jacobson T, Belcher E, Sarr B, et al. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. J Contin Educ Nurs. 2010;41(8):347-53; quiz 354-5. doi:10.3928/0…

  10. Mapping changes in surgical mortality over 9 years by peer review audit. | PSNet

    psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit
    March 04, 2011 - Study Mapping changes in surgical mortality over 9 years by peer review audit. Citation Text: Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. Copy Citation Format: Google Schol…

  11. Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
    March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

  12. Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

    psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
    December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

  13. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. | PSNet

    psnet.ahrq.gov/issue/prospective-cohort-study-medication-reconciliation-using-pharmacy-technicians-emergency
    July 01, 2019 - Study A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. Citation Text: Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharm…

  14. Time-out and checklists: a survey of rural and urban operating room personnel. | PSNet

    psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
    January 09, 2014 - Study Time-out and checklists: a survey of rural and urban operating room personnel. Citation Text: Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. Copy Citation Format: Google Scholar…

  15. International perspectives on modifications to the surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/international-perspectives-modifications-surgical-safety-checklist
    November 17, 2021 - Study International perspectives on modifications to the surgical safety checklist. Citation Text: Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183. Cop…

  16. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. | PSNet

    psnet.ahrq.gov/issue/effects-extended-work-shifts-and-shift-work-patient-safety-productivity-and-employee-health
    October 20, 2021 - Commentary Effects of extended work shifts and shift work on patient safety, productivity, and employee health. Citation Text: Keller SM. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. AAOHN J. 2009;57(12):497-504. doi:10.3928/08910…

  17. Factors influencing diagnostic accuracy among intensive care unit clinicians - an observational study. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-diagnostic-accuracy-among-intensive-care-unit-clinicians-observational
    October 24, 2018 - Study Factors influencing diagnostic accuracy among intensive care unit clinicians - an observational study. Citation Text: Bergl PA, Shukla N, Shah J, et al. Factors influencing diagnostic accuracy among intensive care unit clinicians – an observational study. Diagnosis (Berl). 2024;11(…

  18. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. | PSNet

    psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds
    February 02, 2011 - Study Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Citation Text: Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…

  19. Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. | PSNet

    psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
    September 23, 2020 - Study Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Citation Text: Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…

  20. Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/trends-opioid-use-commercially-insured-and-medicare-advantage-populations-2007-16
    March 13, 2018 - Study Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study. Citation Text: Jeffery MM, Hooten M, Henk HJ, et al. Trends in opioid use in commercially insured and Medicare Advantage populations in 2007-16: retrospective coh…
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