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Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. | PSNet

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December 21, 2017 - Study Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. Citation Text: van Galen LS, Struik PW, Driesen BEJM, et al. Delayed Recognition of Deterioration of Patients …

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. | PSNet

psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia

September 26, 2012 - Study Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. Citation Text: Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…

FDA drug prescribing warnings: is the black box half empty or half full? | PSNet

psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full

December 19, 2011 - Study FDA drug prescribing warnings: is the black box half empty or half full? Citation Text: Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86. Copy Citation Format: …

Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet

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January 19, 2022 - Study Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Citation Text: Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…

How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet

psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice

February 14, 2024 - Study How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. Citation Text: Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…

The frequency and nature of prescribing problems by general practitioners in training (REVISiT). | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-prescribing-problems-general-practitioners-training-revisit

December 16, 2020 - Study The frequency and nature of prescribing problems by general practitioners in training (REVISiT). Citation Text: Salema N-E, Bell BG, Marsden K, et al. The frequency and nature of prescribing problems by general practitioners in training (REVISiT). BJGP Open. 2022;6(3):BJGPO.2021.02…

Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. | PSNet

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July 29, 2020 - Study Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. Citation Text: Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-Day Readmission Rates in a Skilled Nursing Facili…

Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet

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May 04, 2022 - Study Collaborative case review: a systems-based approach to patient safety event investigation and analysis. Citation Text: Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. | PSNet

psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing

November 10, 2021 - Study Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Citation Text: Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…

Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety. | PSNet

psnet.ahrq.gov/issue/qualitative-perspectives-emergency-nurses-electronic-health-record-behavioral-flags-promote

January 25, 2023 - Study Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety. Citation Text: Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote work…

Support from hospital to home for elders: a randomized trial. | PSNet

psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial

November 30, 2016 - Study Support from hospital to home for elders: a randomized trial. Citation Text: Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094. Copy Citation Format: DOI Google…

Transparent and open discussion of errors does not increase malpractice risk in trauma patients. | PSNet

psnet.ahrq.gov/issue/transparent-and-open-discussion-errors-does-not-increase-malpractice-risk-trauma-patients

October 19, 2022 - Study Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Citation Text: Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9;…

Impact of oncology drug shortages on chemotherapy treatment. | PSNet

psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment

November 01, 2012 - Study Impact of oncology drug shortages on chemotherapy treatment. Citation Text: Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390. Copy Citation Format: DOI Google Scholar PubM…

Implementing medication reconciliation in outpatient pediatrics. | PSNet

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September 23, 2020 - Study Implementing medication reconciliation in outpatient pediatrics. Citation Text: Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. Copy Citation Format: …

Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. | PSNet

psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical-guidelines-results

October 19, 2022 - Study Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. Citation Text: Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: re…

Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. | PSNet

psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same

February 02, 2022 - Study Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. Citation Text: Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…

How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. | PSNet

psnet.ahrq.gov/issue/how-strong-evidence-use-perioperative-beta-blockers-non-cardiac-surgery-systematic-review-and

August 04, 2021 - Review How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. Citation Text: Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative β…

The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. | PSNet

psnet.ahrq.gov/issue/2017-acgme-common-work-hour-standards-promoting-physician-learning-and-professional

October 19, 2022 - Commentary The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. Citation Text: Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Profess…

Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. | PSNet

psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited

July 29, 2020 - Review Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. Citation Text: Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limi…

Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. | PSNet

psnet.ahrq.gov/issue/associations-between-hospital-mortality-health-care-utilization-and-inpatient-costs-2011

June 09, 2021 - Study Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. Citation Text: Eid SM, Ponor L, Reed DA, et al. Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011…

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