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Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration

January 05, 2017 - Study Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. Citation Text: Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journa…

Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. | PSNet

psnet.ahrq.gov/issue/enhanced-end-life-care-associated-deploying-rapid-response-team-pilot-study

December 24, 2008 - Study Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. Citation Text: Vazquez R, Gheorghe C, Grigoriyan A, et al. Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. J Hosp Med. 2009;4(7):449-52. doi:10.1002…

The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-burnout-paediatric-nurses-attitudes-about-patient-safety-acute-hospital-setting

June 05, 2019 - Review The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setting: a systematic review. Citation Text: Flynn C, Watson C, Patton D, et al. The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setti…

Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms

September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. | PSNet

psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive

February 19, 2014 - Study Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. Citation Text: Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill patients through screening intensive…

Patient involvement in patient safety: how willing are patients to participate? | PSNet

psnet.ahrq.gov/issue/patient-involvement-patient-safety-how-willing-are-patients-participate

September 05, 2013 - Study Classic Patient involvement in patient safety: how willing are patients to participate? Citation Text: Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:…

A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. | PSNet

psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional

March 30, 2022 - Commentary A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. Citation Text: Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional ch…

VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. | PSNet

psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events

November 22, 2017 - Book/Report VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Citation Text: VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Washington, DC: United States Government Accountability Office; July 29, 2015…

Clinical reasoning in the context of active decision support during medication prescribing. | PSNet

psnet.ahrq.gov/issue/clinical-reasoning-context-active-decision-support-during-medication-prescribing

February 14, 2024 - Study Clinical reasoning in the context of active decision support during medication prescribing. Citation Text: Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.…

Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. Citation Text: Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…

Organizational response to known medical errors: does peer review protection impede improvement? | PSNet

psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement

April 24, 2018 - Commentary Organizational response to known medical errors: does peer review protection impede improvement? Citation Text: Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1…

Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. | PSNet

psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory

January 16, 2013 - Study Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. Citation Text: Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…

Confidential clinician-reported surveillance of adverse events among medical inpatients. | PSNet

psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients

June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable

March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery

July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. Citation Text: Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…

Fast tracking in cardiac surgery: is it safe? | PSNet

psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe

October 05, 2022 - Study Fast tracking in cardiac surgery: is it safe? Citation Text: MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

A controlled trial of a rapid response system in an academic medical center. | PSNet

psnet.ahrq.gov/issue/controlled-trial-rapid-response-system-academic-medical-center

June 23, 2010 - Study A controlled trial of a rapid response system in an academic medical center. Citation Text: Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365. Copy Citation F…

Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. | PSNet

psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine

October 19, 2022 - Study Classic Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Citation Text: Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …

Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. | PSNet

psnet.ahrq.gov/issue/multicompartment-compliance-aids-community-prevalence-potentially-inappropriate-medications

January 30, 2013 - Study Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. Citation Text: Counter D, Stewart D, MacLeod J, et al. Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. Br J Clin P…

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet

psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center

March 07, 2012 - Study Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Citation Text: Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…

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