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Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery | PSNet

psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery

January 23, 2017 - Commentary Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery Citation Text: Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…

Judgment errors in surgical care. | PSNet

psnet.ahrq.gov/issue/judgment-errors-surgical-care

December 14, 2022 - Study Judgment errors in surgical care. Citation Text: Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874-879. doi:10.1097/xcs.0000000000001011. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. | PSNet

psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring

June 11, 2014 - Study Classic A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. Citation Text: Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve medication laboratory monitori…

Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet

psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth

September 23, 2020 - Study Communication and birth experiences among Black birthing people who experienced preterm birth. Citation Text: Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…

A study of error reporting by nurses: the significant impact of nursing team dynamics. | PSNet

psnet.ahrq.gov/issue/study-error-reporting-nurses-significant-impact-nursing-team-dynamics

April 12, 2014 - Study A study of error reporting by nurses: the significant impact of nursing team dynamics. Citation Text: Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194…

Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. | PSNet

psnet.ahrq.gov/issue/consumers-perspectives-their-involvement-recognizing-and-responding-patient-deterioration

February 28, 2024 - Study Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. Citation Text: King L, Peacock G, Crotty M, et al. Consumers' perspectives on their involvement in recognizing and responding to patient de…

Should operations be regionalized? The empirical relation between surgical volume and mortality. | PSNet

psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality

August 04, 2021 - Study Classic Should operations be regionalized? The empirical relation between surgical volume and mortality. Citation Text: Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…

Impact of attending physician workload on patient care: a survey of hospitalists. | PSNet

psnet.ahrq.gov/issue/impact-attending-physician-workload-patient-care-survey-hospitalists

November 26, 2014 - Study Impact of attending physician workload on patient care: a survey of hospitalists. Citation Text: Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternme…

Patient engagement with surgical site infection prevention: an expert panel perspective. | PSNet

psnet.ahrq.gov/issue/patient-engagement-surgical-site-infection-prevention-expert-panel-perspective

June 03, 2020 - Review Patient engagement with surgical site infection prevention: an expert panel perspective. Citation Text: Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an expert panel perspective. Antimicrob Resist Infect Control. 2017;6:45.…

In search of common ground in handoff documentation in an intensive care unit. | PSNet

psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit

March 23, 2011 - Study In search of common ground in handoff documentation in an intensive care unit. Citation Text: Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …

Novel analysis of clinically relevant diagnostic errors in point-of-care devices. | PSNet

psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices

June 21, 2016 - Study Novel analysis of clinically relevant diagnostic errors in point-of-care devices. Citation Text: Shermock KM, Streiff MB, Pinto BL, et al. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. J Thromb Haemost. 2011;9(9):1769-1775. doi:10.1111/j.1538-7…

Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet

psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection

August 21, 2019 - Study Evaluating an evidence-based bundle for preventing surgical site infection. Citation Text: Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.20…

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. | PSNet

psnet.ahrq.gov/issue/using-situ-simulation-identify-and-resolve-latent-environmental-threats-patient-safety-case

April 17, 2011 - Commentary Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. Citation Text: Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. Using in situ simulation to identify and resolve latent environme…

Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. | PSNet

psnet.ahrq.gov/issue/enhanced-end-life-care-associated-deploying-rapid-response-team-pilot-study

December 24, 2008 - Study Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. Citation Text: Vazquez R, Gheorghe C, Grigoriyan A, et al. Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. J Hosp Med. 2009;4(7):449-52. doi:10.1002…

Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta

October 19, 2022 - Review Classic Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. Citation Text: Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and me…

Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. | PSNet

psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high

August 30, 2017 - Study Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Citation Text: Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…

Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation

January 15, 2020 - Study Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…

A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings

November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …

Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. | PSNet

psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement

October 13, 2018 - Study Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Citation Text: Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…

Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. | PSNet

psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning

July 06, 2012 - Review Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. Citation Text: Abo-Zahhad M, El-Malek AHA, Sayed MS, et al. Minimization of occurrence of retained surgical items using machine learning and deep learning technique…

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