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  1. Measuring communication in the surgical ICU: better communication equals better care. | PSNet

    psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
    April 03, 2005 - Study Measuring communication in the surgical ICU: better communication equals better care. Citation Text: Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…

  2. Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

    psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
    July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

  3. Unrecognized cardiovascular emergencies among Medicare patients. | PSNet

    psnet.ahrq.gov/issue/unrecognized-cardiovascular-emergencies-among-medicare-patients
    November 16, 2022 - Study Unrecognized cardiovascular emergencies among Medicare patients. Citation Text: Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018;178(4):477-484. doi:10.1001/jamainternmed.2017.8628. Copy Citation Forma…

  4. Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. | PSNet

    psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
    November 15, 2023 - Commentary Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. Citation Text: Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …

  5. Traditions of research into interruptions in healthcare: a conceptual review. | PSNet

    psnet.ahrq.gov/issue/traditions-research-interruptions-healthcare-conceptual-review
    April 19, 2017 - Review Traditions of research into interruptions in healthcare: a conceptual review. Citation Text: McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005. Copy…

  6. Increase in US medication-error deaths between 1983 and 1993. | PSNet

    psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
    March 14, 2022 - Study Classic Increase in US medication-error deaths between 1983 and 1993. Citation Text: Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4. Copy Citation Format: Go…

  7. Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. | PSNet

    psnet.ahrq.gov/issue/family-involvement-patient-safety-and-suicide-prevention-mental-healthcare-ethnographic-study
    February 19, 2020 - Study Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. Citation Text: Gorman LS, Littlewood DL, Quinlivan L, et al. Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. BJPsych Open. 2023;9(…

  8. Quality measures of clinical pharmacy services during transitions of care. | PSNet

    psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Quality measures of clinical pharmacy services during transitions of care. Citation Text: King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. Cop…

  9. Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. | PSNet

    psnet.ahrq.gov/issue/assessment-wearable-fall-prevention-system-veterans-health-administration-hospital
    October 19, 2022 - Study Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. Citation Text: Osborne TF, Veigulis ZP, Arreola DM, et al. Assessment of a wearable fall prevention system at a veterans health administration hospital. Digit Health. 2023;9:20552076231187…

  10. Using Medical Emergency Teams to detect preventable adverse events. | PSNet

    psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
    December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

  11. Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation. | PSNet

    psnet.ahrq.gov/issue/adopting-national-quality-forum-medication-safe-practices-progress-and-barriers-hospital
    December 16, 2011 - Study Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation. Citation Text: Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress and barriers to hospital implementation. J Hosp Med.…

  12. Fostering patient safety competencies using multiple-patient simulation experiences. | PSNet

    psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences
    January 12, 2022 - Study Fostering patient safety competencies using multiple-patient simulation experiences. Citation Text: Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…

  13. Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. | PSNet

    psnet.ahrq.gov/issue/factors-associated-adverse-events-resulting-medical-errors-emergency-department-two-work
    July 02, 2019 - Study Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. Citation Text: Freund Y, Goulet H, Bokobza J, et al. Factors associated with adverse events resulting from medical errors in the emergency department: two w…

  14. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. | PSNet

    psnet.ahrq.gov/issue/adequacy-information-transferred-resident-sign-out-hospital-handover-care-prospective-survey
    April 30, 2008 - Study Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. Citation Text: Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective …

  15. Medication safety in the neonatal intensive care unit: big measures for our smallest patients. | PSNet

    psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients
    September 18, 2024 - Commentary Medication safety in the neonatal intensive care unit: big measures for our smallest patients. Citation Text: Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.00…

  16. Adverse respiratory events in anesthesia: a closed claims analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
    February 10, 2011 - Study Classic Adverse respiratory events in anesthesia: a closed claims analysis. Citation Text: Caplan RA, Posner KL, Ward RJ, et al. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology. 1990;72(5):828-33. Copy Citation Form…

  17. A systematic review of adult admissions to ICUs related to adverse drug events. | PSNet

    psnet.ahrq.gov/issue/systematic-review-adult-admissions-icus-related-adverse-drug-events
    March 16, 2016 - Review A systematic review of adult admissions to ICUs related to adverse drug events. Citation Text: Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. Co…

  18. Has the Leapfrog Group had an impact on the health care market? | PSNet

    psnet.ahrq.gov/issue/has-leapfrog-group-had-impact-health-care-market
    November 13, 2024 - Commentary Has the Leapfrog Group had an impact on the health care market? Citation Text: Galvin RS, Delbanco S, Milstein A, et al. Has the leapfrog group had an impact on the health care market? Health Aff (Millwood). 2005;24(1):228-33. Copy Citation Format: Google Schola…

  19. Medication errors in hospitalised children. | PSNet

    psnet.ahrq.gov/issue/medication-errors-hospitalised-children
    September 03, 2014 - Study Medication errors in hospitalised children. Citation Text: Manias E, Kinney S, Cranswick N, et al. Medication errors in hospitalised children. J Paediatr Child Health. 2014;50(1):71-7. doi:10.1111/jpc.12412. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  20. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet

    psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
    March 11, 2013 - Study Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Citation Text: Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;…
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