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Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet

psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety

November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …

How active resisters and organizational constipators affect health care–acquired infection prevention efforts. | PSNet

psnet.ahrq.gov/issue/how-active-resisters-and-organizational-constipators-affect-health-care-acquired-infection

September 15, 2010 - Study How active resisters and organizational constipators affect health care–acquired infection prevention efforts. Citation Text: Saint S, Kowalski CP, Banaszak-Holl J, et al. How active resisters and organizational constipators affect health care-acquired infection prevention effort…

How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. | PSNet

psnet.ahrq.gov/issue/how-do-stakeholders-experience-adoption-electronic-prescribing-systems-hospitals-systematic

December 16, 2020 - Review How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. Citation Text: Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing syst…

Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. | PSNet

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November 13, 2019 - Review Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. Citation Text: Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…

'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective. | PSNet

psnet.ahrq.gov/issue/if-no-one-stops-me-ill-make-mistake-again-changing-prescribing-behaviours-through-feedback

July 01, 2017 - Study 'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective. Citation Text: Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing behaviours through …

Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. | PSNet

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November 16, 2022 - Commentary Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. Citation Text: Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…

Defining a high-quality and effective morbidity and mortality conference: a systematic review. | PSNet

psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review

September 30, 2012 - Review Defining a high-quality and effective morbidity and mortality conference: a systematic review. Citation Text: Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…

Patient misidentifications caused by errors in standard barcode technology. | PSNet

psnet.ahrq.gov/issue/patient-misidentifications-caused-errors-standard-barcode-technology

June 13, 2012 - Study Patient misidentifications caused by errors in standard barcode technology. Citation Text: Snyder ML, Carter A, Jenkins K, et al. Patient misidentifications caused by errors in standard bar code technology. Clin Chem. 2010;56(10):1554-60. doi:10.1373/clinchem.2010.150094. Copy …

Medicines management support to older people: understanding the context of systems failure. | PSNet

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October 04, 2023 - Study Medicines management support to older people: understanding the context of systems failure. Citation Text: Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-00…

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. | PSNet

psnet.ahrq.gov/issue/improvement-detection-adverse-drug-events-use-electronic-health-and-prescription-records

September 23, 2020 - Study Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. Citation Text: Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electr…

Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. | PSNet

psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify-medication-errors

January 23, 2017 - Study Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. Citation Text: Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Err…

The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review

October 30, 2013 - Review The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Citation Text: Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…

Emergency intubation of children outside of the operating room. | PSNet

psnet.ahrq.gov/issue/emergency-intubation-children-outside-operating-room

May 27, 2011 - Study Emergency intubation of children outside of the operating room. Citation Text: Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. Copy Citation Format: DOI G…

A 60-year-old man with delayed care for a renal mass. | PSNet

psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass

January 31, 2024 - Commentary A 60-year-old man with delayed care for a renal mass. Citation Text: Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care

June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

"We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. | PSNet

psnet.ahrq.gov/issue/were-all-truly-pulling-exact-same-direction-qualitative-study-attending-and-resident

December 09, 2020 - Study "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. Citation Text: Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qu…

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement

July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety

June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

Effects of interorganisational information technology networks on patient safety: a realist synthesis. | PSNet

psnet.ahrq.gov/issue/effects-interorganisational-information-technology-networks-patient-safety-realist-synthesis

December 02, 2020 - Review Effects of interorganisational information technology networks on patient safety: a realist synthesis. Citation Text: Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):…

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. | PSNet

psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and

September 23, 2020 - Commentary Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. Citation Text: Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicab…

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