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Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet

psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis

September 01, 2018 - Study Structuring patient and family involvement in medical error event disclosure and analysis. Citation Text: Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…

Unit-based care teams and the frequency and quality of physician–nurse communications. | PSNet

psnet.ahrq.gov/issue/unit-based-care-teams-and-frequency-and-quality-physician-nurse-communications

November 16, 2022 - Study Unit-based care teams and the frequency and quality of physician–nurse communications. Citation Text: Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.100…

Quality improvement for patient safety: project-level versus program-level learning. | PSNet

psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning

April 01, 2010 - Study Quality improvement for patient safety: project-level versus program-level learning. Citation Text: Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…

The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. | PSNet

psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational

September 29, 2017 - Study The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. Citation Text: Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality and nurse numbers and edu…

Extended work duration and the risk of self-reported percutaneous injuries in interns. | PSNet

psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns

January 07, 2011 - Study Extended work duration and the risk of self-reported percutaneous injuries in interns. Citation Text: Ayas N, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA. 2006;296(9):1055-62. Copy Citation Format: …

Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. | PSNet

psnet.ahrq.gov/issue/nonoperating-room-anaesthesia-safety-monitoring-cognitive-aids-and-severe-acute-respiratory

November 10, 2021 - Review Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Citation Text: Borshoff DC, Sadleir P. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Curr…

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. | PSNet

psnet.ahrq.gov/issue/communication-and-collaboration-its-about-pharmacists-well-physicians-and-nurses

November 25, 2009 - Study Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Citation Text: Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):16…

Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. | PSNet

psnet.ahrq.gov/issue/assessing-teamwork-attitudes-healthcare-development-teamstepps-teamwork-attitudes

September 23, 2020 - Study Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Citation Text: Baker DP, Amodeo AM, Krokos KJ, et al. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf H…

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. | PSNet

psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true

February 25, 2009 - Study From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. Citation Text: Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. | PSNet

psnet.ahrq.gov/issue/association-workload-call-medical-interns-call-sleep-duration-shift-duration-and

September 25, 2008 - Study Classic Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. Citation Text: Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical intern…

Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward

September 27, 2017 - Commentary Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. Citation Text: Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort

December 03, 2014 - Study Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. Citation Text: Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):21…

A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care

October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

Procedural timeout compliance is improved with real-time clinical decision support. | PSNet

psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support

October 11, 2017 - Study Procedural timeout compliance is improved with real-time clinical decision support. Citation Text: Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.000000000000…

Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review

February 23, 2011 - Review Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. Citation Text: Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …

Time of day effects on the incidence of anesthetic adverse events. | PSNet

psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events

January 03, 2017 - Study Time of day effects on the incidence of anesthetic adverse events. Citation Text: Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63. Copy Citation Format: Google Sch…

Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. | PSNet

psnet.ahrq.gov/issue/communication-failure-analysis-prescribers-use-internal-free-text-field-electronic

May 20, 2019 - Study Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. Citation Text: Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inf…

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug

August 23, 2017 - Study Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. Citation Text: Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mo…

Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. | PSNet

psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic

February 09, 2022 - Study Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Citation Text: Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg …

Adverse events associated with patient isolation: a systematic literature review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and-meta-analysis

May 19, 2021 - Review Adverse events associated with patient isolation: a systematic literature review and meta-analysis. Citation Text: Saliba R, Karam-Sarkis D, Zahar J-R, et al. Adverse events associated with patient isolation: a systematic literature review and meta-analysis. J Hosp Infect. 2022;11…

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