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Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet

psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system

August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

Hospital readmission after noncardiac surgery: the role of major complications. | PSNet

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July 20, 2016 - Study Hospital readmission after noncardiac surgery: the role of major complications. Citation Text: Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45. Copy Citation Format: …

Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet

psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays

August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

Using Medical Emergency Teams to detect preventable adverse events. | PSNet

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December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. | PSNet

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November 13, 2024 - Journal Article Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. Citation Text: Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…

Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. | PSNet

psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and

February 14, 2024 - Study Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. Citation Text: Wubben I, van Manen JG, van den Akker BJ, et al. Equipment-related incidents in the operating room: an analysis of occurrence,…

In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

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June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

Flow disruptions in trauma care handoffs. | PSNet

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August 02, 2015 - Study Flow disruptions in trauma care handoffs. Citation Text: Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

Incidence of prescription errors in patients discharged from the emergency department. | PSNet

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March 30, 2022 - Study Incidence of prescription errors in patients discharged from the emergency department. Citation Text: Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2…

When a surgical colleague makes an error. | PSNet

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December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems

May 18, 2022 - Study Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Citation Text: Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…

Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. | PSNet

psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required

June 08, 2022 - Study Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Citation Text: Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6. Co…

Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? | PSNet

psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical

March 21, 2017 - Study Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? Citation Text: Weingart SN, Zhu J, Young-Hong J, et al. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical re…

Using the internet to deliver education on drug safety. | PSNet

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March 23, 2011 - Study Using the internet to deliver education on drug safety. Citation Text: Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Improving adverse drug event reporting by healthcare professionals. | PSNet

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April 12, 2019 - Review Improving adverse drug event reporting by healthcare professionals. Citation Text: Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2. …

Optimizing situation awareness to reduce emergency transfers in hospitalized children. | PSNet

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January 19, 2022 - Study Optimizing situation awareness to reduce emergency transfers in hospitalized children. Citation Text: Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…

The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. | PSNet

psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives

May 11, 2019 - Commentary The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. Citation Text: Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…

The effect of blue-enriched lighting on medical error rate in a university hospital ICU. | PSNet

psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu

March 10, 2021 - Study The effect of blue-enriched lighting on medical error rate in a university hospital ICU. Citation Text: Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…

Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. | PSNet

psnet.ahrq.gov/issue/disparities-diagnostic-timeliness-and-outcomes-pediatric-appendicitis

September 13, 2023 - Study Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. Citation Text: Michelson KA, Bachur RG, Rangel SJ, et al. Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. JAMA Netw Open. 2024;7(1):e2353667. doi:10.1001/jamanetworkopen.2023.5…

Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. | PSNet

psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred

January 06, 2016 - Study Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. Citation Text: Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication E…

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