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Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised

May 19, 2018 - Review Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Citation Text: Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …

A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. | PSNet

psnet.ahrq.gov/issue/nationwide-study-july-effect-concerning-postpartum-hemorrhage-and-its-risk-factors-teaching

September 25, 2019 - Study A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. Citation Text: Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk …

Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. | PSNet

psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation

October 19, 2022 - Study Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. Citation Text: Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis to Heal…

Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie

February 14, 2024 - Study Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. Citation Text: Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…

Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in healthcare-evidence from seminars on peer support. | PSNet

psnet.ahrq.gov/issue/emotional-responses-and-support-needs-healthcare-professionals-after-adverse-or-traumatic

April 03, 2019 - Study Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in healthcare-evidence from seminars on peer support. Citation Text: Schrøder K, Assing Hvidt E. Emotional responses and support needs of healthcare professionals after adverse …

Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. | PSNet

psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary

February 06, 2019 - Study Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. Citation Text: Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process f…

Patient handovers within the hospital: translating knowledge from motor racing to healthcare. | PSNet

psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare

April 01, 2015 - Study Classic Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Citation Text: Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…

Opioid prescribing to US children and young adults in 2019. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-adults-2019

September 30, 2020 - Study Opioid prescribing to US children and young adults in 2019. Citation Text: Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539. Copy Citation Format: DOI …

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes

October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic

October 07, 2020 - Study Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Citation Text: Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses

December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

Patient safety and legal regulations: a total-scale analysis of the scientific literature. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-legal-regulations-total-scale-analysis-scientific-literature

November 16, 2022 - Review Patient safety and legal regulations: a total-scale analysis of the scientific literature. Citation Text: Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123…

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit

January 17, 2024 - Review Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Prevalence, causes and severity of medication administration errors in the…

Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. | PSNet

psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward

November 14, 2018 - Study Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. Citation Text: Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hosp…

Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-and-its-associations-health-related-and-system-related

July 28, 2021 - Review Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta-analysis. Citation Text: Mekonnen AB, Redley B, Courten B, et al. Potentially inappropriate prescribing and its ass…

Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. | PSNet

psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and

April 29, 2018 - Study Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. Citation Text: Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid prescribing at hospita…

How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. | PSNet

psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three

April 21, 2015 - Study How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. Citation Text: Martin G, Ozieranski P, Leslie M, et al. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. J Heal…

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet

psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology

April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. | PSNet

psnet.ahrq.gov/issue/who-do-hospital-physicians-and-nurses-go-advice-about-medications-social-network-analysis-and

May 22, 2013 - Study Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. Citation Text: Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A Social Network Analys…

Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. | PSNet

psnet.ahrq.gov/issue/trauma-resuscitation-using-situ-simulation-team-training-trust-study-latent-safety-threat

October 27, 2021 - Study Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. Citation Text: Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: lat…

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