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Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet

psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006

April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-clinical-services-and-workforce-2021

September 30, 2020 - Study ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. Citation Text: Schneider PJ, Pedersen CA, Ganio MC, et al. ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce—2021. Am J Health Syst Ph…

Analysis of patient safety risk management call data during the COVID‐19 pandemic. | PSNet

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February 16, 2022 - Study Analysis of patient safety risk management call data during the COVID‐19 pandemic. Citation Text: Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID‐19 pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457. Copy Citati…

Using social and behavioural science to support COVID-19 pandemic response. | PSNet

psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response

March 02, 2022 - Commentary Classic Using social and behavioural science to support COVID-19 pandemic response. Citation Text: Bavel JJV, Baicker K, Boggio PS, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-471. do…

Adolescents identifying errors and omissions in their electronic health records: a national survey. | PSNet

psnet.ahrq.gov/issue/adolescents-identifying-errors-and-omissions-their-electronic-health-records-national-survey

December 08, 2021 - Study Adolescents identifying errors and omissions in their electronic health records: a national survey. Citation Text: Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform.…

Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. | PSNet

psnet.ahrq.gov/issue/widespread-misinterpretation-advance-directives-and-portable-orders-life-sustaining

December 18, 2019 - Commentary Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. Citation Text: Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orde…

Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

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September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. | PSNet

psnet.ahrq.gov/issue/will-covid-19-pandemic-transform-infection-prevention-and-control-surgery-seeking-leverage

February 09, 2022 - Commentary Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. Citation Text: Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational le…

Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety. | PSNet

psnet.ahrq.gov/issue/interdisciplinary-and-interprofessional-communication-intervention-how-psychological-safety

May 31, 2023 - Study Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety. Citation Text: Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention: how psychologic…

Identifying and reconciling patients' allergy information within the electronic health record. | PSNet

psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record

June 15, 2022 - Study Identifying and reconciling patients' allergy information within the electronic health record. Citation Text: Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:…

Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. | PSNet

psnet.ahrq.gov/issue/patient-perspectives-delays-diagnosis-and-treatment-cancer-qualitative-analysis-free-text

March 08, 2023 - Study Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. Citation Text: Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. Br J…

The emergency department trigger tool: a novel approach to screening for quality and safety events. | PSNet

psnet.ahrq.gov/issue/emergency-department-trigger-tool-novel-approach-screening-quality-and-safety-events

August 24, 2022 - Study The emergency department trigger tool: a novel approach to screening for quality and safety events. Citation Text: Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230…

Emergency department monitor alarms rarely change clinical management: an observational study. | PSNet

psnet.ahrq.gov/issue/emergency-department-monitor-alarms-rarely-change-clinical-management-observational-study

September 30, 2020 - Study Emergency department monitor alarms rarely change clinical management: an observational study. Citation Text: Fleischman W, Ciliberto B, Rozanski N, et al. Emergency department monitor alarms rarely change clinical management: an observational study. Am J Emerg Med. 2020;38(6):1072…

Assessing resident and attending error and adverse events in the emergency department. | PSNet

psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency-department

November 25, 2020 - Study Assessing resident and attending error and adverse events in the emergency department. Citation Text: Adler JL, Gurley K, Rosen CL, et al. Assessing resident and attending error and adverse events in the emergency department. Am J Emerg Med. 2022;54:228-231. doi:10.1016/j.ajem.2022…

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…

Absence or presence: silent discourse in the operating room and impact on surgical team action. | PSNet

psnet.ahrq.gov/issue/absence-or-presence-silent-discourse-operating-room-and-impact-surgical-team-action

June 23, 2021 - Study Absence or presence: silent discourse in the operating room and impact on surgical team action. Citation Text: Brommelsiek M, Said T, Gray M, et al. Absence or presence: silent discourse in the operating room and impact on surgical team action. Am J Surg. 2021;221(5):980-986. doi:1…

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. | PSNet

psnet.ahrq.gov/issue/effect-implementing-bar-code-medication-administration-emergency-department-medication

December 01, 2021 - Study The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. Citation Text: Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …

The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department

July 07, 2021 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…

Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients

March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

Common general surgical never events: analysis of NHS England never event data. | PSNet

psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data

April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

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