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The impact of drug shortages on children with cancer—the example of mechlorethamine. | PSNet

psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine

February 15, 2023 - Study The impact of drug shortages on children with cancer—the example of mechlorethamine. Citation Text: Metzger ML, Billett A, Link MP. The impact of drug shortages on children with cancer--the example of mechlorethamine. N Engl J Med. 2012;367(26):2461-2463. doi:10.1056/NEJMp1212468. …

Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. | PSNet

psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care

October 11, 2023 - Study Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. Citation Text: McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …

Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care-worker-time

November 30, 2016 - Study Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial. Citation Text: Rock C, Harris AD, Reich NG, et al. Is hand hygiene before putting on nonsterile gloves in the intensive care unit a wa…

Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. | PSNet

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January 26, 2022 - Study Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. Citation Text: Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…

Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. | PSNet

psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20

October 21, 2020 - Study Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. Citation Text: Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England…

COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. | PSNet

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August 19, 2020 - Commentary Emerging Classic COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. Citation Text: Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulat…

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. | PSNet

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December 02, 2020 - Study Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Citation Text: Donovan AL, Aaronson EL, Black L, et al. Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Jt Comm J Qual Patient Saf. 20…

The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. | PSNet

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October 27, 2021 - Study The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. Citation Text: Kwon CS, Duzyj C. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a …

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. | PSNet

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October 07, 2020 - Study The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. Citation Text: Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time se…

Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange. | PSNet

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December 02, 2020 - Study Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange. Citation Text: Wiley KK, Hilts KE, Ancker JS, et al. Organizational characteristics and perceptions of clinical event notification …

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet

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October 27, 2021 - Study Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals Citation Text: Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…

A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. | PSNet

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October 19, 2012 - Study A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. Citation Text: Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…

A multisite study of interprofessional teamwork and collaboration on general medical services. | PSNet

psnet.ahrq.gov/issue/multisite-study-interprofessional-teamwork-and-collaboration-general-medical-services

November 15, 2023 - Study A multisite study of interprofessional teamwork and collaboration on general medical services. Citation Text: O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…

Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. | PSNet

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October 09, 2024 - Study Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. Citation Text: Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US h…

The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. | PSNet

psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications

June 09, 2021 - Commentary The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. Citation Text: Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…

Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. | PSNet

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July 21, 2021 - Study Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. Citation Text: Kotwal S, Fanai M, Fu W, et al. Real-world virtual patient simulation to improve diagnostic performance through deliberate pra…

Differences in the rates of patient safety events by payer: implications for providers and policymakers. | PSNet

psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers

November 16, 2022 - Study Differences in the rates of patient safety events by payer: implications for providers and policymakers. Citation Text: Spencer CS, Roberts ET, Gaskin DJ. Differences in the rates of patient safety events by payer: implications for providers and policymakers. Med Care. 2015;53(6):5…

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. | PSNet

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October 27, 2021 - Study Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Citation Text: Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):4…

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. | PSNet

psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable

September 02, 2020 - Study Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. Citation Text: Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is associated with a r…

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. | PSNet

psnet.ahrq.gov/issue/tracking-rates-patient-safety-indicators-over-time-lessons-veterans-administration

July 14, 2009 - Study Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. Citation Text: Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Med Care. 2006;44(9):850-61. Copy…

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