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  1. Brigham and Women's Hospital | Digital Healthcare Research

    digital.ahrq.gov/organization/brigham-and-womens-hospital
    January 01, 2023 - Brigham and Women's Hospital Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgen…

  2. Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey | PSNet

    psnet.ahrq.gov/issue/factors-affecting-patient-safety-culture-among-dental-healthcare-workers-nationwide-cross
    June 16, 2021 - Study Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey Citation Text: Cheng H-C, Yen AM-F, Lee Y-H. Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey. J Dent Sci. 2019…

  3. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
    November 13, 2024 - Review Healthcare staff wellbeing, burnout, and patient safety: a systematic review. Citation Text: Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015. Copy Cit…

  4. Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. | PSNet

    psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
    May 25, 2016 - Study Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. Citation Text: Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug‐drug interactions with adverse treatment outco…

  5. Evaluation for occult fractures in injured children. | PSNet

    psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children
    August 20, 2014 - Study Evaluation for occult fractures in injured children. Citation Text: Wood JN, French B, Song L, et al. Evaluation for Occult Fractures in Injured Children. Pediatrics. 2015;136(2):232-40. doi:10.1542/peds.2014-3977. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  6. Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
    March 09, 2022 - Study Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study. Citation Text: San José-Saras D, Vicente-Guijarro J, Sousa P, et al. Inappropriate hospital admission as a risk factor for the subsequent development of adve…

  7. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. | PSNet

    psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary
    November 21, 2021 - Study Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. Citation Text: Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical cen…

  8. Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
    April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

  9. Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

    psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training
    January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

  10. An improvement approach to integrate teaching teams in the reporting of safety events. | PSNet

    psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
    September 23, 2020 - Study An improvement approach to integrate teaching teams in the reporting of safety events. Citation Text: Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807. Co…

  11. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/role-housestaff-implementing-medication-reconciliation-admission-academic-medical-center
    March 30, 2011 - Commentary The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Citation Text: Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Am J Me…

  12. A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety
    December 04, 2024 - Review A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Citation Text: Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementatio…

  13. Patient safety climate: variation in perceptions by infection preventionists and quality directors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-variation-perceptions-infection-preventionists-and-quality-directors
    January 09, 2011 - Study Patient safety climate: variation in perceptions by infection preventionists and quality directors. Citation Text: Nelson S, Stone PW, Jordan S, et al. Patient safety climate: variation in perceptions by infection preventionists and quality directors. Interdiscip Perspect Infect …

  14. Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet

    psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
    July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…

  15. Delayed medical emergency team calls and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes
    October 13, 2018 - Study Delayed medical emergency team calls and associated outcomes. Citation Text: Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9. Copy Citation Format: …

  16. Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet

    psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
    June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…

  17. 5-Red-Light-Green-Light (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Red Light, Green Light: An Overview of Common Implementation Barriers and Facilitators Purpose of this tool: To help team leaders identify barriers to and facilitators of implementing Improving Surgical Care and Recovery (ISCR), an enhanced recovery program…

  18. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. | PSNet

    psnet.ahrq.gov/issue/contextual-information-influences-diagnosis-accuracy-and-decision-making-simulated-emergency
    April 19, 2013 - Study Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. Citation Text: McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicin…

  19. Investigating the safety of medication administration in adult critical care settings. | PSNet

    psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings
    June 01, 2022 - Review Investigating the safety of medication administration in adult critical care settings. Citation Text: Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2…

  20. The impact of the medical emergency team on the resuscitation practice of critical care nurses. | PSNet

    psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses
    December 01, 2008 - Study The impact of the medical emergency team on the resuscitation practice of critical care nurses. Citation Text: Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…
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