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The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. | PSNet

psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals

January 19, 2022 - Study The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Citation Text: Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…

Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. | PSNet

psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study

March 09, 2022 - Study Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Citation Text: Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…

Associations between safety culture and employee engagement over time: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/associations-between-safety-culture-and-employee-engagement-over-time-retrospective-analysis

July 01, 2017 - Study Associations between safety culture and employee engagement over time: a retrospective analysis. Citation Text: Biddison ELD, Paine LA, Murakami P, et al. Associations between safety culture and employee engagement over time: a retrospective analysis. BMJ Qual Saf. 2016;25(1):31-7.…

The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet

psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department

November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet

psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum

August 03, 2017 - Commentary Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Citation Text: Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…

Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. | PSNet

psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing

June 23, 2009 - Study Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Citation Text: Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…

Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. | PSNet

psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event

October 21, 2016 - Press Release/Announcement Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. Cita…

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). | PSNet

psnet.ahrq.gov/issue/challenges-and-opportunities-prevent-transfusion-errors-qualitative-evaluation-safer

March 20, 2019 - Study Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). Citation Text: Heddle NM, Fung MK, Hervig T, et al. Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUES…

Effect of day of the week on short- and long-term mortality after emergency general surgery. | PSNet

psnet.ahrq.gov/issue/effect-day-week-short-and-long-term-mortality-after-emergency-general-surgery

January 23, 2019 - Study Effect of day of the week on short- and long-term mortality after emergency general surgery. Citation Text: Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.100…

Racial and ethnic harm in patient care is a patient safety issue. | PSNet

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October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream

April 24, 2018 - Study Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. Citation Text: Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…

Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. | PSNet

psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety

October 25, 2023 - Commentary Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. Citation Text: Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…

A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. | PSNet

psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery

May 21, 2019 - Study A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. Citation Text: Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…

Rapid-response teams. | PSNet

psnet.ahrq.gov/issue/rapid-response-teams

October 29, 2008 - Review Classic Rapid-response teams. Citation Text: Jones D, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139-46. doi:10.1056/NEJMra0910926. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. | PSNet

psnet.ahrq.gov/issue/inappropriate-prescriptions-direct-oral-anticoagulants-doacs-hospitalized-patients-narrative

November 21, 2018 - Review Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. Citation Text: van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative…

Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. | PSNet

psnet.ahrq.gov/issue/dont-go-hospital-alone-ensuring-safe-highly-reliable-patient-visitation

May 12, 2021 - Commentary Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Citation Text: Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006. Copy …

Frontiers in measuring structural racism and its health effects. | PSNet

psnet.ahrq.gov/issue/frontiers-measuring-structural-racism-and-its-health-effects

April 06, 2022 - Commentary Frontiers in measuring structural racism and its health effects. Citation Text: Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978. Copy Citation Format: DOI Google…

The girl who cried pain: a bias against women in the treatment of pain. | PSNet

psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain

February 08, 2023 - Review Classic The girl who cried pain: a bias against women in the treatment of pain. Citation Text: Hoffmann DE, Tarzian AJ. The girl who cried pain: a bias against women in the treatment of pain. J Law Med Ethics. 2001;29(1):13-27. doi:10.1111/j.1748-720x.200…

Relationship between psychological safety and reporting nonadherence to a safety checklist. | PSNet

psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety-checklist

April 06, 2022 - Study Relationship between psychological safety and reporting nonadherence to a safety checklist. Citation Text: Gilmartin HM, Langner P, Gokhale M, et al. Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. J Nurs Care Qual. 2018;33(1):53-60. doi:…

The untold toll — the pandemic’s effects on patients without Covid-19. | PSNet

psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-covid-19

August 02, 2015 - Commentary Classic The untold toll — the pandemic’s effects on patients without Covid-19. Citation Text: Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984. Copy…

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