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  1. Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events | PSNet

    psnet.ahrq.gov/issue/moral-distress-intensive-care-unit-personnel-not-consistently-associated-adverse-medication
    November 02, 2010 - Study Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events Citation Text: Dodek P, Norena M, Ayas N, et al. Moral distress in intensive care unit personnel is not consistently associated with adverse medica…

  2. Pathologists' perspectives on disclosing harmful pathology error. | PSNet

    psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
    January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

  3. Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. | PSNet

    psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
    August 25, 2021 - Study Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. Citation Text: Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…

  4. A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. | PSNet

    psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
    June 13, 2011 - Review A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. Citation Text: Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000…

  5. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. | PSNet

    psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
    July 07, 2010 - Study Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. Citation Text: Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…

  6. Impact of medication reconciliation for improving transitions of care. | PSNet

    psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
    June 19, 2019 - Review Emerging Classic Impact of medication reconciliation for improving transitions of care. Citation Text: Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):C…

  7. Human error, not communication and systems, underlies surgical complications. | PSNet

    psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
    November 18, 2020 - Study Human error, not communication and systems, underlies surgical complications. Citation Text: Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. C…

  8. The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

    psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
    January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. Citation Text: Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…

  9. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. | PSNet

    psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre-post-study
    October 19, 2022 - Study Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. Citation Text: Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/1…

  10. Unplanned return to theater: a quality of care and risk management index? | PSNet

    psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
    August 20, 2018 - Study Unplanned return to theater: a quality of care and risk management index? Citation Text: Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. …

  11. A national patient safety curriculum in pediatric emergency medicine. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-curriculum-pediatric-emergency-medicine
    January 12, 2022 - Study A national patient safety curriculum in pediatric emergency medicine. Citation Text: Stankovic C, Wolff M, Chang TP, et al. A National Patient Safety Curriculum in Pediatric Emergency Medicine. Pediatr Emerg Care. 2019;35(8):519-521. doi:10.1097/PEC.0000000000001533. Copy Citatio…

  12. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. | PSNet

    psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and
    March 14, 2016 - Commentary A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. Citation Text: Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient…

  13. Communication elements supporting patient safety in psychiatric inpatient care. | PSNet

    psnet.ahrq.gov/issue/communication-elements-supporting-patient-safety-psychiatric-inpatient-care
    July 01, 2013 - Study Communication elements supporting patient safety in psychiatric inpatient care. Citation Text: Kanerva A, Kivinen T, Lammintakanen J. Communication elements supporting patient safety in psychiatric inpatient care. J Psychiatr Ment Health Nurs. 2015;22(5):298-305. doi:10.1111/jpm.12…

  14. Novel telephone-based interactive voice response system for incident reporting. | PSNet

    psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
    September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

  15. Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. | PSNet

    psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
    April 14, 2021 - Study Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. Citation Text: Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.…

  16. Diagnostic accuracy of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/diagnostic-accuracy-artificial-intelligence-based-automated-diabetic-retinopathy-screening
    September 28, 2022 - Review Diagnostic accuracy of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic review and meta-analysis. Citation Text: Joseph S, Selvaraj J, Mani I, et al. Diagnostic accuracy of artificial intelligence-based automated diabetic …

  17. How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet

    psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals
    October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

  18. What is driving hospitals' patient-safety efforts? | PSNet

    psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
    February 10, 2015 - Commentary What is driving hospitals' patient-safety efforts? Citation Text: Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  19. The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial.   | PSNet

    psnet.ahrq.gov/issue/impact-sleep-deprivation-product-quality-and-procedure-effectiveness-laparoscopic-physical
    June 03, 2020 - Study The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial.   Citation Text: Uchal M, Tjugum J, Martinsen E, et al. The impact of sleep deprivation on product quality and procedure effectivene…

  20. The nature and causes of unintended events reported at 10 internal medicine departments. | PSNet

    psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
    August 17, 2016 - Study The nature and causes of unintended events reported at 10 internal medicine departments. Citation Text: Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…
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