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Cardiac surgery errors: results from the UK National Reporting and Learning System. | PSNet

psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system

May 24, 2012 - Study Cardiac surgery errors: results from the UK National Reporting and Learning System. Citation Text: Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/i…

Development of a core drug list towards improving prescribing education and reducing errors in the UK. | PSNet

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April 13, 2022 - Study Development of a core drug list towards improving prescribing education and reducing errors in the UK. Citation Text: Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmac…

Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. | PSNet

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August 26, 2011 - Study Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Citation Text: Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…

The role of morbidity and mortality rounds in medical education: a scoping review. | PSNet

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July 03, 2016 - Review The role of morbidity and mortality rounds in medical education: a scoping review. Citation Text: Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234. …

Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical

August 09, 2023 - Study Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. Citation Text: Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care …

Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center. | PSNet

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October 19, 2022 - Commentary Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center. Citation Text: Speck RM, Foster JJ, Mulhern VA, et al. Development of a professionalism committee approach to address unprofessional medical staf…

Improving care safety by characterizing task interruptions during interactions between healthcare professionals: an observational study. | PSNet

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March 05, 2025 - Study Improving care safety by characterizing task interruptions during interactions between healthcare professionals: an observational study. Citation Text: Teigné D, Cazet L, Birgand G, et al. Improving care safety by characterizing task interruptions during interactions between health…

Reflecting on diagnostic errors: taking a second look is not enough. | PSNet

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September 26, 2016 - Study Reflecting on diagnostic errors: taking a second look is not enough. Citation Text: Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4. Copy Citation …

Analysis of risk factors for patient safety events occurring in the emergency department. | PSNet

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January 26, 2022 - Study Analysis of risk factors for patient safety events occurring in the emergency department. Citation Text: Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…

Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. | PSNet

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October 19, 2022 - Study Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Citation Text: Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…

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…

Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis. | PSNet

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November 20, 2013 - Review Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis. Citation Text: Corvaisier M, Brangier A, Annweiler C, et al. Preventable or potentially inappropriate psychotropics and adverse health outcomes …

Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. | PSNet

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September 06, 2023 - Study Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. Citation Text: Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…

Hospital at Home: setting a regulatory course to ensure safe, high-quality care. | PSNet

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June 30, 2021 - Commentary Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Citation Text: DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…

Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. | PSNet

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June 23, 2021 - Study Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. Citation Text: Poudel A, Peel NM, Nissen L, et al. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to resid…

Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach. | PSNet

psnet.ahrq.gov/issue/psychological-intervention-improve-communication-and-patient-safety-obstetrics-examination

April 21, 2021 - Study Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach. Citation Text: Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient safety in obstetrics: exam…

Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. | PSNet

psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine

March 12, 2025 - Study Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. Citation Text: Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events

January 16, 2008 - Study Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. Citation Text: Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…

African American COVID-19 mortality: a sentinel event. | PSNet

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November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality: a sentinel event. Citation Text: Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040. Copy Cit…

Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet

psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting

August 03, 2017 - Study Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. Citation Text: Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting syste…

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