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Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet

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October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…

Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. | PSNet

psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological

July 20, 2022 - Study Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Citation Text: Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…

Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet

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March 15, 2017 - Study Missed diagnosis of cancer in primary care: insights from malpractice claims data. Citation Text: Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.…

Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet

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January 15, 2014 - Study Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. Citation Text: Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…

Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. | PSNet

psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network

June 07, 2017 - Study Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. Citation Text: Ruddy RM, Chamberlain JM, Mahajan P, et al. Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. BMJ Open. 2015;5(9):e007541. doi:10.1136/bmjopen-20…

Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. | PSNet

psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication

May 18, 2022 - Study Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. Citation Text: Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility using electronic me…

Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer. | PSNet

psnet.ahrq.gov/issue/diagnostic-assessment-deep-learning-algorithms-detection-lymph-node-metastases-women-breast

June 27, 2018 - Study Classic Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer. Citation Text: Bejnordi BE, Veta M, van Diest PJ, et al. Diagnostic Assessment of Deep Learning Algorithms for Detection of Lymph …

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. | PSNet

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December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…

Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. | PSNet

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May 25, 2013 - Study Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. Citation Text: Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. | PSNet

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September 13, 2023 - Commentary An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. Citation Text: Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second …

Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross

September 22, 2021 - Study Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. Citation Text: Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cr…

Does teamwork improve performance in the operating room? A multilevel evaluation. | PSNet

psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation

July 02, 2014 - Study Does teamwork improve performance in the operating room? A multilevel evaluation. Citation Text: Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42. Copy Citat…

Self-assessment and learning motivation in the second victim phenomenon. | PSNet

psnet.ahrq.gov/issue/self-assessment-and-learning-motivation-second-victim-phenomenon

February 15, 2023 - Study Self-assessment and learning motivation in the second victim phenomenon. Citation Text: Bushuven S, Trifunovic-Koenig M, Bentele M, et al. Self-assessment and learning motivation in the second victim phenomenon. Int J Environ Res Public Health. 2022;19(23):16016. doi:10.3390/ijerph…

When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. | PSNet

psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health

March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…

How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. | PSNet

psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations

February 20, 2019 - Study How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. Citation Text: Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf…

Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. | PSNet

psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study

October 27, 2021 - Study Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. Citation Text: Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. …

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. | PSNet

psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy

December 08, 2021 - Study Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. Citation Text: Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…

The impact of the 80-hour resident workweek on surgical residents and attending surgeons. | PSNet

psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons

January 04, 2010 - Study The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Citation Text: Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…

Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. | PSNet

psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care

June 16, 2011 - Study Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. Citation Text: Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care…

Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). | PSNet

psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks

September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…

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