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psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation
February 12, 2020 - Study
Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist.
Citation Text:
Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…
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psnet.ahrq.gov/issue/practice-and-quality-improvement-successful-implementation-teamstepps-tools-academic
April 17, 2019 - Study
Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice.
Citation Text:
Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic i…
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psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
March 11, 2011 - Study
Classic
Improving patient safety by identifying side effects from introducing bar coding in medication administration.
Citation Text:
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in me…
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psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
June 25, 2018 - Study
Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process.
Citation Text:
Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10…
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psnet.ahrq.gov/issue/root-causes-errors-simulated-prehospital-pediatric-emergency
June 11, 2014 - Study
Root causes of errors in a simulated prehospital pediatric emergency.
Citation Text:
Lammers RL, Byrwa M, Fales W. Root causes of errors in a simulated prehospital pediatric emergency. Acad Emerg Med. 2012;19(1):37-47. doi:10.1111/j.1553-2712.2011.01252.x.
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psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
March 09, 2022 - Study
Transforming team performance through reimplementation of the surgical safety checklist.
Citation Text:
Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…
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psnet.ahrq.gov/issue/we-need-talk-observational-study-impact-electronic-medical-record-implementation-hospital
February 22, 2017 - Study
We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.
Citation Text:
Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic medical record implementation on ho…
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psnet.ahrq.gov/issue/identifying-what-known-about-improving-operating-room-intensive-care-handovers-scoping-review
September 23, 2020 - Review
Identifying what is known about improving operating room to intensive care handovers: a scoping review.
Citation Text:
Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…
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psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
March 27, 2019 - Study
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.
Citation Text:
Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…
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psnet.ahrq.gov/issue/workplace-factors-associated-burnout-family-physicians
July 03, 2016 - Study
Workplace factors associated with burnout of family physicians.
Citation Text:
Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391.
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psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
December 15, 2011 - Study
Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.
Citation Text:
Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of c…
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psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
April 24, 2018 - Study
The effect of a clinical decision support for pending laboratory results at emergency department discharge.
Citation Text:
Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…
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psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans
June 14, 2011 - Study
Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program.
Citation Text:
Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patie…
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psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-children
May 08, 2017 - Study
Parent–provider miscommunications in hospitalized children.
Citation Text:
Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190.
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psnet.ahrq.gov/issue/parent-experiences-process-sharing-inpatient-safety-concerns-children-medical-complexity
July 06, 2022 - Study
Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis.
Citation Text:
Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety concerns for children with me…
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psnet.ahrq.gov/issue/effect-complementary-interventions-redesign-care-teamwork-and-quality-hospitalized-medical
November 25, 2020 - Study
Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial.
Citation Text:
O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality …
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psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
December 16, 2020 - Study
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study.
Citation Text:
Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…
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psnet.ahrq.gov/issue/anaesthesia-and-patient-safety-socio-technical-operating-theatre-narrative-review-spanning
April 10, 2024 - Review
Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century.
Citation Text:
Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Ana…
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psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - Study
Medication reconciliation improvement utilizing process redesign and clinical decision support.
Citation Text:
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site
November 16, 2022 - Study
The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings.
Citation Text:
Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal surge…