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Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. | PSNet

psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest

April 12, 2023 - Study Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. Citation Text: McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…

Observing sources of system resilience using in situ alarm simulations. | PSNet

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August 30, 2023 - Study Observing sources of system resilience using in situ alarm simulations. Citation Text: McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. Copy Citation Form…

Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet

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July 31, 2024 - Study Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. Citation Text: Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patien…

Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. | PSNet

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May 20, 2019 - Study Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. Citation Text: Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. | PSNet

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February 03, 2021 - Review National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. Citation Text: Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…

Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis

May 17, 2017 - Study Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. Citation Text: Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101…

Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. | PSNet

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January 08, 2025 - Study Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. Citation Text: Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…

Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet

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June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

Racial bias in pulse oximetry measurement. | PSNet

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January 19, 2022 - Study Classic Racial bias in pulse oximetry measurement. Citation Text: Sjoding MW, Dickson RP, Iwashyna TJ, et al. Racial bias in pulse oximetry measurement. N Engl J Med. 2020;383(25):2477-2478. doi:10.1056/nejmc2029240. Copy Citation Format: DOI…

Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors. | PSNet

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October 27, 2021 - Study Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors. Citation Text: Sokol-Hessner L, Dechen T, Folcarelli P, et al. Associations between organizational communication and patients' experience of prolonged …

State policies for prescription drug monitoring programs and adverse opioid-related hospital events. | PSNet

psnet.ahrq.gov/issue/state-policies-prescription-drug-monitoring-programs-and-adverse-opioid-related-hospital

August 11, 2021 - Study State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Citation Text: Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Med Care. 2020;58(7):610-616. d…

Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. | PSNet

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November 25, 2020 - Study Classic Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study. Citation Text: Aldridge C, Bion J, Boyal A, et al. Weekend specialist intensity and admission mortality in acute hospital trusts in E…

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. | PSNet

psnet.ahrq.gov/issue/just-what-doctor-ordered-review-evidence-impact-computerized-physician-order-entry-system

June 15, 2016 - Review Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. Citation Text: Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of computerized physician o…

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. | PSNet

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January 12, 2012 - Study Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. Citation Text: Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hosp…

Psychological safety in intensive care unit rounding teams. | PSNet

psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams

May 05, 2021 - Study Psychological safety in intensive care unit rounding teams. Citation Text: Diabes MA, Ervin JN, Davis BS, et al. Psychological safety in intensive care unit rounding teams. Ann Am Thorac Soc. 2021;18(6):1027-1033. doi:10.1513/annalsats.202006-753oc. Copy Citation Format: …

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. | PSNet

psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study

August 24, 2016 - Study Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. Citation Text: Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an elec…

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. | PSNet

psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience

September 23, 2020 - Commentary Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. Citation Text: Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…

The next organizational challenge: finding and addressing diagnostic error. | PSNet

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November 16, 2022 - Commentary The next organizational challenge: finding and addressing diagnostic error. Citation Text: Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10. Copy Citation …

Effects of nursing rounds on patients' call light use, satisfaction, and safety. | PSNet

psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety

September 01, 2021 - Study Effects of nursing rounds on patients' call light use, satisfaction, and safety. Citation Text: Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. Copy Citation Format: Go…

Incidence and predictors of opioid prescription at discharge after traumatic injury. | PSNet

psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury

July 02, 2019 - Study Classic Incidence and predictors of opioid prescription at discharge after traumatic injury. Citation Text: Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at Discharge After Traumatic Injury. JAMA Surg. 2017;…

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