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Iatrogenic illness on a general medical service at a university hospital. | PSNet

psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-university-hospital

August 17, 2017 - Study Classic Iatrogenic illness on a general medical service at a university hospital. Citation Text: Steel K, Gertman PM, Crescenzi C, et al. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981;304(11):638-42. Copy …

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. | PSNet

psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative

August 25, 2021 - Review Emerging Classic Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. Citation Text: O’Neill SM, Clyne B, Bell M, et al. Why do h…

Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. | PSNet

psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient-safety-indicator

May 04, 2016 - Study Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. Citation Text: King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.…

The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. | PSNet

psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy

May 12, 2021 - Commentary The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Citation Text: Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…

Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital. | PSNet

psnet.ahrq.gov/issue/doing-well-doing-good-assessing-cost-savings-intervention-reduce-central-line-associated

March 21, 2012 - Study Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital. Citation Text: Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to reduce c…

Surgery is in itself a risk factor for the patient. | PSNet

psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient

November 18, 2020 - Study Surgery is in itself a risk factor for the patient. Citation Text: Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761. Copy …

Decision making in trauma settings: simulation to improve diagnostic skills. | PSNet

psnet.ahrq.gov/issue/decision-making-trauma-settings-simulation-improve-diagnostic-skills

December 20, 2017 - Study Decision making in trauma settings: simulation to improve diagnostic skills. Citation Text: Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073. C…

Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning education during GP training? | PSNet

psnet.ahrq.gov/issue/do-malpractice-claim-clinical-case-vignettes-enhance-diagnostic-accuracy-and-acceptance

October 04, 2023 - Study Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning education during GP training? Citation Text: van Sassen C, Mamede S, Bos M, et al. Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance i…

Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. | PSNet

psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis

October 19, 2022 - Review Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. Citation Text: Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative…

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. | PSNet

psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission

October 19, 2022 - Study Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. Citation Text: Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …

Pediatric prehospital medication dosing errors: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study

August 25, 2021 - Study Pediatric prehospital medication dosing errors: a mixed-methods study. Citation Text: Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. Copy Citati…

Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. | PSNet

psnet.ahrq.gov/issue/are-you-surgically-current-lessons-aviation-returning-non-urgent-surgery-following-covid-19

September 29, 2021 - Commentary Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. Citation Text: Hardie JA, Brennan PA. Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. Br J Oral Maxillofac Surg. …

Cluster randomized trial to evaluate the impact of team training on surgical outcomes. | PSNet

psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes

April 24, 2018 - Study Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Citation Text: Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295.…

Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. | PSNet

psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study

May 01, 2024 - Study Emerging Classic Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. Citation Text: Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC…

Complications and death at the start of the new academic year: is there a July phenomenon? | PSNet

psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon

February 13, 2008 - Study Complications and death at the start of the new academic year: is there a July phenomenon? Citation Text: Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.…

Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. | PSNet

psnet.ahrq.gov/issue/systematic-review-effectiveness-strategies-encourage-patients-remind-healthcare-professionals

February 01, 2011 - Review Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. Citation Text: Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare…

Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. | PSNet

psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam

February 06, 2014 - Study Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. Citation Text: Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-…

The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. | PSNet

psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification

August 04, 2021 - Study The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. Citation Text: Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking ne…

Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. | PSNet

psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping

October 29, 2017 - Review Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. Citation Text: Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…

Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. | PSNet

psnet.ahrq.gov/issue/introduction-novel-patient-safety-advisory-evaluation-perceived-information-modified-qpp

April 05, 2023 - Study Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. Citation Text: Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of perceived informatio…

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