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Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. | PSNet

psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically

February 12, 2014 - Study Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Citation Text: Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…

When the 5 rights go wrong: medication errors from the nursing perspective. | PSNet

psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective

June 27, 2018 - Study When the 5 rights go wrong: medication errors from the nursing perspective. Citation Text: Jones JH, Treiber LA. When the 5 rights go wrong: medication errors from the nursing perspective. J Nurs Care Qual. 2010;25(3):240-247. doi:10.1097/NCQ.0b013e3181d5b948. Copy Citation …

Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet

psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being

February 15, 2023 - Study Supporting recovery after adverse events: an essential component of surgeon well-being. Citation Text: Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…

Analysis of medication errors in simulated pediatric resuscitation by residents. | PSNet

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January 22, 2016 - Study Analysis of medication errors in simulated pediatric resuscitation by residents. Citation Text: Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. Cop…

Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. | PSNet

psnet.ahrq.gov/issue/impact-resident-participation-morbidity-and-mortality-neurosurgical-procedures-analysis-16098

June 17, 2014 - Study Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. Citation Text: Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis …

Making care better in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit

September 02, 2020 - Review Making care better in the pediatric intensive care unit. Citation Text: Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267-274. doi:10.21037/tp.2018.09.10. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Patient safety attitudes and behaviors of graduating medical students. | PSNet

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June 01, 2016 - Study Patient safety attitudes and behaviors of graduating medical students. Citation Text: Wetzel AP, Dow AW, Mazmanian PE. Patient safety attitudes and behaviors of graduating medical students. Eval Health Prof. 2012;35(2):221-38. doi:10.1177/0163278711414560. Copy Citation For…

Global oximetry: an international anaesthesia quality improvement project. | PSNet

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November 12, 2014 - Study Global oximetry: an international anaesthesia quality improvement project. Citation Text: Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x. Co…

Physician understanding and ability to communicate harms and benefits of common medical treatments. | PSNet

psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments

September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…

Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet

psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application

March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…

Organizational costs of preventable medical errors. | PSNet

psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors

April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. | PSNet

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December 22, 2018 - Book/Report Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. Citation Text: Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No…

Using simulation to identify sources of medical diagnostic error in child physical abuse. | PSNet

psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse

January 12, 2022 - Study Using simulation to identify sources of medical diagnostic error in child physical abuse. Citation Text: Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.…

Attitudes and barriers to incident reporting: a collaborative hospital study. | PSNet

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June 15, 2011 - Study Attitudes and barriers to incident reporting: a collaborative hospital study. Citation Text: Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006;15(1):39-43. Copy Citation Format: …

Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. | PSNet

psnet.ahrq.gov/issue/evidence-based-medicine-cornerstone-clinical-care-not-quality-improvement

September 01, 2021 - Commentary Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. Citation Text: Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.131…

The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-crisis-role-anaesthesiologist-reducing-opioid-use-and-misuse

November 16, 2022 - Review Emerging Classic The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. Citation Text: Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and m…

Description and yield of current quality and safety review in selected US academic emergency departments. | PSNet

psnet.ahrq.gov/issue/description-and-yield-current-quality-and-safety-review-selected-us-academic-emergency

July 13, 2016 - Study Description and yield of current quality and safety review in selected US academic emergency departments. Citation Text: Griffey RT, Schneider RM, Sharp BR, et al. Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments. J Patient Sa…

Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety

October 19, 2022 - Commentary Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. Citation Text: Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …

Composite measures for profiling hospitals on bariatric surgery performance. | PSNet

psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance

January 31, 2013 - Study Composite measures for profiling hospitals on bariatric surgery performance. Citation Text: Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. Copy Cit…

Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error

March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

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