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Educating seniors to be patient safety self-advocates in primary care. | PSNet

psnet.ahrq.gov/issue/educating-seniors-be-patient-safety-self-advocates-primary-care

December 15, 2011 - Study Educating seniors to be patient safety self-advocates in primary care. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806. Copy Citation Form…

Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet

psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk

October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter

June 29, 2009 - Study Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. Citation Text: Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…

Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet

psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction

May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Citation Text: Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Sensors (Basel). 2022;22(9):…

Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/improving-adherence-long-term-opioid-therapy-guidelines-reduce-opioid-misuse-primary-care

January 23, 2019 - Study Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. Citation Text: Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Ca…

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient

October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level. | PSNet

psnet.ahrq.gov/issue/scoping-review-patients-attitudes-about-their-role-and-behaviours-ensure-safe-care-direct

May 19, 2021 - Review Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level. Citation Text: Duhn L, Godfrey C, Medves J. Scoping review of patients’ attitudes about their role and behaviours to ensure safe care at the direct care level. Healt…

Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. | PSNet

psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills

November 11, 2009 - Review Emerging Classic Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. Citation Text: Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Profes…

Parent–provider miscommunications in hospitalized children. | PSNet

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. Copy Citation Format: DOI Google Sc…

Anesthesiology patient handoff education interventions: a systematic review. | PSNet

psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review

April 28, 2021 - Review Anesthesiology patient handoff education interventions: a systematic review. Citation Text: Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…

Crisis recovery in surgery: error management and problem solving in safety-critical situations. | PSNet

psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations

November 30, 2022 - Study Crisis recovery in surgery: error management and problem solving in safety-critical situations. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. …

Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical

August 09, 2023 - Study Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. Citation Text: Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care …

Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. | PSNet

psnet.ahrq.gov/issue/using-ecological-systems-theory-understand-blackwhite-disparities-maternal-morbidity-and

February 08, 2023 - Study Emerging Classic Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. Citation Text: Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white …

A combined assessment tool of teamwork, communication, and workload in hospital procedural units. | PSNet

psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital-procedural-units

August 04, 2021 - Study A combined assessment tool of teamwork, communication, and workload in hospital procedural units. Citation Text: Weaver BW, Murphy DJ. A combined assessment tool of teamwork, communication, and workload in hospital procedural units. Jt Comm J Qual Patient Saf. 2024;50(3):219-227. d…

Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. | PSNet

psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process

August 26, 2011 - Study Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. Citation Text: Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Err…

Failure mode and effects analysis to reduce risk of heparin use. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use

July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. Citation Text: Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. Copy Citation F…

The impact of mobile technology on teamwork and communication in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review

January 29, 2020 - Review Emerging Classic The impact of mobile technology on teamwork and communication in hospitals: a systematic review. Citation Text: Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic…

Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. | PSNet

psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient

June 13, 2018 - Study Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. Citation Text: Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events

January 16, 2008 - Study Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. Citation Text: Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…

Effect of clinical decision-support systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review

September 23, 2020 - Review Effect of clinical decision-support systems: a systematic review. Citation Text: Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450. Copy Citatio…

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