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Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals

July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Citation Text: Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg…

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. | PSNet

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February 18, 2011 - Study Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Citation Text: Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…

Impact of duty hour regulations on medical students' education: views of key clinical faculty. | PSNet

psnet.ahrq.gov/issue/impact-duty-hour-regulations-medical-students-education-views-key-clinical-faculty

May 20, 2019 - Study Impact of duty hour regulations on medical students' education: views of key clinical faculty. Citation Text: Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education: views of key clinical faculty. J Gen Intern Med. 2008;23(7):1084-9. …

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. | PSNet

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October 03, 2011 - Study Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. Citation Text: Rothberg MB, Belforti R, Fitzgerald J, et al. Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. J Hosp Med. 2012;7(2):9…

Who's covering our loved ones: surprising barriers in the sign-out process. | PSNet

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October 19, 2022 - Study Who's covering our loved ones: surprising barriers in the sign-out process. Citation Text: Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. Co…

Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. | PSNet

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April 18, 2018 - Review Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. Citation Text: Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.…

Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. | PSNet

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September 02, 2020 - Study Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. Citation Text: Wolfe H, Zebuhr C, Topjian AA, et al. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes*. Crit Care Med. 2014;42(7):1688-95. doi:10.1097/CCM.0000000000000327. Copy …

Nurse burnout predicts self-reported medication administration errors in acute care hospitals. | PSNet

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August 25, 2021 - Study Nurse burnout predicts self-reported medication administration errors in acute care hospitals. Citation Text: Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13…

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. | PSNet

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September 19, 2016 - Study Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. Citation Text: Gustafsson M, Wennerholm S, Fridlund B. Worries and concerns experienced by nurse specialists during inter-hospital transpo…

Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

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February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. | PSNet

psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major

August 11, 2010 - Study An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Citation Text: Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…

Teaching students to administer medications safely. | PSNet

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December 04, 2019 - Commentary Teaching students to administer medications safely. Citation Text: Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72. Copy Citation Format: DOI Google Scholar PubMed Bi…

Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. | PSNet

psnet.ahrq.gov/issue/patient-safety-error-reduction-and-pediatric-nurses-perceptions-smart-pump-technology

February 28, 2024 - Study Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. Citation Text: Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51.…

Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. | PSNet

psnet.ahrq.gov/issue/monitoring-and-reducing-central-line-associated-bloodstream-infections-national-survey-state

December 01, 2010 - Study Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. Citation Text: Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated bloodstream infections: a national survey of state h…

Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. | PSNet

psnet.ahrq.gov/issue/hand-hygiene-and-healthcare-system-change-within-multi-modal-promotion-narrative-review

January 05, 2012 - Review Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. Citation Text: Allegranzi B, Sax H, Pittet D. Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. J Hosp Infect. 2013;83 Suppl 1:S3-10. doi:10.1016…

Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. | PSNet

psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental

September 05, 2018 - Study Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Citation Text: Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych…

Patient perception of fall risk and fall risk screening scores. | PSNet

psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores

December 07, 2022 - Study Patient perception of fall risk and fall risk screening scores. Citation Text: Solares NP, Calero P, Connelly CD. Patient perception of fall risk and fall risk screening scores. J Nurs Care Qual. 2023;38(2):100-106. doi:10.1097/ncq.0000000000000645. Copy Citation Format: …

Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. | PSNet

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May 11, 2016 - Study Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. Citation Text: Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…

Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. | PSNet

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July 14, 2010 - Commentary Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. Citation Text: Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…

Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital

October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

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