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Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. | PSNet

psnet.ahrq.gov/issue/improving-handoff-communications-critical-care-utilizing-simulation-based-training-toward

February 16, 2011 - Study Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. Citation Text: Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training …

Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. | PSNet

psnet.ahrq.gov/issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-preceptors

September 24, 2016 - Study Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. Citation Text: Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928…

Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. | PSNet

psnet.ahrq.gov/issue/medication-safety-gaps-english-pediatric-inpatient-units-exploration-using-work-domain

April 17, 2024 - Study Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. Citation Text: Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. J Patient Saf. 2024…

Identification of warning signs during selection of surgical trainees. | PSNet

psnet.ahrq.gov/issue/identification-warning-signs-during-selection-surgical-trainees

March 17, 2021 - Study Identification of warning signs during selection of surgical trainees. Citation Text: Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002. Copy Ci…

Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting

March 16, 2022 - Review Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Citation Text: Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…

Crisis checklists for the operating room: development and pilot testing. | PSNet

psnet.ahrq.gov/issue/crisis-checklists-operating-room-development-and-pilot-testing

April 21, 2015 - Study Crisis checklists for the operating room: development and pilot testing. Citation Text: Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031…

Surgical skill is predicted by the ability to detect errors. | PSNet

psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors

September 02, 2020 - Study Surgical skill is predicted by the ability to detect errors. Citation Text: Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

Anticoagulation-associated adverse drug events. | PSNet

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July 26, 2023 - Study Anticoagulation-associated adverse drug events. Citation Text: Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

Scoping review of studies evaluating frailty and its association with medication harm. | PSNet

psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm

May 25, 2022 - Review Scoping review of studies evaluating frailty and its association with medication harm. Citation Text: Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-…

Using simulation-based training to improve patient safety: what does it take? | PSNet

psnet.ahrq.gov/issue/using-simulation-based-training-improve-patient-safety-what-does-it-take

August 30, 2006 - Commentary Using simulation-based training to improve patient safety: what does it take? Citation Text: Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. Copy Citation Form…

Using root cause analysis to reduce falls with injury in community settings. | PSNet

psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings

April 25, 2016 - Study Using root cause analysis to reduce falls with injury in community settings. Citation Text: Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374. Copy Citation Format: Goo…

An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. | PSNet

psnet.ahrq.gov/issue/insurers-care-transition-program-emphasizes-medication-reconciliation-reduces-readmissions

November 08, 2017 - Study An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. Citation Text: Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Af…

Inaccuracy of ECG interpretations reported to the poison center. | PSNet

psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center

January 20, 2021 - Study Inaccuracy of ECG interpretations reported to the poison center. Citation Text: Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019. Copy Citation Forma…

The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. | PSNet

psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board

June 03, 2020 - Study The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. Citation Text: James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…

Preventable morbidity at a mature trauma center. | PSNet

psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center

September 22, 2021 - Study Preventable morbidity at a mature trauma center. Citation Text: Preventable morbidity at a mature trauma center. Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. Copy Citation Save Save to your library Print Download PDF …

Representative case series from public hospital admissions 1998 II: surgical adverse events. | PSNet

psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events

June 07, 2023 - Study Representative case series from public hospital admissions 1998 II: surgical adverse events. Citation Text: Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591. Copy C…

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. | PSNet

psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using

September 26, 2016 - Study Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. Citation Text: White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a c…

Evaluating implementation of a rapid response team: considering alternative outcome measures. | PSNet

psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures

October 19, 2022 - Study Evaluating implementation of a rapid response team: considering alternative outcome measures. Citation Text: Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…

Tools for primary care patient safety: a narrative review. | PSNet

psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review

July 20, 2016 - Review Tools for primary care patient safety: a narrative review. Citation Text: Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract. 2014;15:166. doi:10.1186/1471-2296-15-166. Copy Citation Format: DOI Google Scholar PubMed BibTe…

Barriers and facilitators to injection safety in ambulatory care settings. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-injection-safety-ambulatory-care-settings

November 18, 2016 - Review Barriers and facilitators to injection safety in ambulatory care settings. Citation Text: Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82.…

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