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A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet

psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery

September 09, 2015 - Review A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Citation Text: Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…

Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. | PSNet

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December 07, 2011 - Study Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. Citation Text: Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality …

Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. | PSNet

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January 07, 2015 - Review Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. Citation Text: Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…

Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet

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June 28, 2017 - Study Drug and opioid-involved overdose deaths- United States, 2013-2017. Citation Text: Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. Copy Citat…

What we can do about maternal mortality—and how to do it quickly. | PSNet

psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly

September 01, 2016 - Commentary Emerging Classic What we can do about maternal mortality—and how to do it quickly. Citation Text: Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…

Understanding the clinical implications of resident involvement in uncommon operations. | PSNet

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October 26, 2022 - Study Understanding the clinical implications of resident involvement in uncommon operations. Citation Text: Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…

Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. | PSNet

psnet.ahrq.gov/issue/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture

March 28, 2011 - Study Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Citation Text: Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qua…

Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. | PSNet

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October 26, 2022 - Study Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Citation Text: Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…

Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial. | PSNet

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August 14, 2013 - Study Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial. Citation Text: Hoffmann B, Müller V, Rochon J, et al. Effects of a team-based assessment and intervention on patient safety culture in general p…

Factors influencing incident reporting in surgical care. | PSNet

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March 03, 2011 - Study Factors influencing incident reporting in surgical care. Citation Text: Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. Copy Citation Format: …

Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. | PSNet

psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety

June 07, 2023 - Study Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Citation Text: Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…

Relationship between performance measurement and accreditation: implications for quality of care and patient safety. | PSNet

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March 13, 2013 - Study Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Citation Text: Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and pati…

Association of electronic health record design and use factors with clinician stress and burnout. | PSNet

psnet.ahrq.gov/issue/association-electronic-health-record-design-and-use-factors-clinician-stress-and-burnout

January 23, 2017 - Study Classic Association of electronic health record design and use factors with clinician stress and burnout. Citation Text: Kroth PJ, Morioka-Douglas N, Veres S, et al. Association of electronic health record design and use factors with clinician stress and b…

Barriers to the implementation of checklists in the office-based procedural setting. | PSNet

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February 18, 2019 - Study Barriers to the implementation of checklists in the office-based procedural setting. Citation Text: Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141…

Differential perceptions of what constitutes a medical error associated with electronic medical records. | PSNet

psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records

August 09, 2023 - Commentary Differential perceptions of what constitutes a medical error associated with electronic medical records. Citation Text: Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error associated with electronic medical records. Stud Health …

Beyond the team: understanding interprofessional work in two North American ICUs. | PSNet

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January 14, 2014 - Study Beyond the team: understanding interprofessional work in two North American ICUs. Citation Text: Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…

Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. | PSNet

psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill

February 14, 2024 - Study Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. Citation Text: Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Pati…

Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. | PSNet

psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study

September 04, 2016 - Study Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Citation Text: Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…

How health systems decide to use artificial intelligence for clinical decision support. | PSNet

psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support

March 30, 2022 - Study How health systems decide to use artificial intelligence for clinical decision support. Citation Text: Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:…

Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. | PSNet

psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention

March 23, 2022 - Study Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. Citation Text: Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…

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