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Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet

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July 07, 2010 - Study Awareness of diagnosis and follow up care after discharge from the emergency department Citation Text: Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…

ICU attending handoff practices: results from a national survey of academic intensivists. | PSNet

psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists

February 06, 2019 - Study ICU attending handoff practices: results from a national survey of academic intensivists. Citation Text: Lane-Fall MB, Collard ML, Turnbull AE, et al. ICU Attending Handoff Practices: Results From a National Survey of Academic Intensivists. Crit Care Med. 2016;44(4):690-8. doi:10.1…

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. | PSNet

psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire

April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…

Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? | PSNet

psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they

September 23, 2020 - Study Classic Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Citation Text: Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are …

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. | PSNet

psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality

July 14, 2009 - Study Classic Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. Citation Text: Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…

A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. | PSNet

psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice

May 23, 2012 - Review A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. Citation Text: Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. …

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet

psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study

April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

Validation of hospital administrative dataset for adverse event screening. | PSNet

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May 21, 2009 - Study Validation of hospital administrative dataset for adverse event screening. Citation Text: Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306. …

Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments. | PSNet

psnet.ahrq.gov/issue/association-between-electronic-medical-record-implementation-default-opioid-prescription

April 27, 2022 - Study Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments. Citation Text: Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of Defaul…

Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. | PSNet

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July 22, 2020 - Study Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. Citation Text: Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualita…

Intercepting wrong-patient orders in a computerized provider order entry system. | PSNet

psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system

May 29, 2019 - Study Intercepting wrong-patient orders in a computerized provider order entry system. Citation Text: Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed…

Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet

psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse

June 18, 2008 - Study Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Sur…

Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. | PSNet

psnet.ahrq.gov/issue/making-electronic-prescribing-alerts-more-effective-scenario-based-experimental-study-junior

November 16, 2022 - Study Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. Citation Text: Scott GPT, Shah P, Wyatt JC, et al. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. J Am Med Inform Ass…

The care transitions intervention: translating from efficacy to effectiveness. | PSNet

psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness

August 18, 2021 - Study Classic The care transitions intervention: translating from efficacy to effectiveness. Citation Text: Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med. 2011;171(14):1232-7. …

Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. | PSNet

psnet.ahrq.gov/issue/frontline-nurses-clinical-judgment-recognizing-understanding-and-responding-patient

December 01, 2021 - Study Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. Citation Text: Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: …

Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. | PSNet

psnet.ahrq.gov/issue/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose

August 02, 2017 - Study Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. Citation Text: Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. He…

Understanding the nature of medication errors in an ICU with a computerized physician order entry system. | PSNet

psnet.ahrq.gov/issue/understanding-nature-medication-errors-icu-computerized-physician-order-entry-system

August 24, 2015 - Study Understanding the nature of medication errors in an ICU with a computerized physician order entry system. Citation Text: Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS One. 2014;9(12):e1…

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during

November 16, 2022 - Commentary Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. Citation Text: Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…

Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/changes-hospital-safety-following-penalties-us-hospital-acquired-condition-reduction-program

September 29, 2021 - Study Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study. Citation Text: Sankaran R, Sukul D, Nuliyalu U, et al. Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction …

A framework for evaluating the appropriateness of clinical decision support alerts and responses. | PSNet

psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and-responses

March 21, 2017 - Study A framework for evaluating the appropriateness of clinical decision support alerts and responses. Citation Text: McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19…

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