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Total Results: 9,165 records

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101. Factors that drive team participation in surgical safety checks: a prospective study. | PSNet
     psnet.ahrq.gov/issue/factors-drive-team-participation-surgical-safety-checks-prospective-study
     August 15, 2018 - approximately 35 hours of field observations, these researchers identified various interlinked factors, including … Related Resources A retrospective audit of postoperative days alive and out of hospital, including

102. Epidemiology of adverse events and medical errors in the care of cardiology patients. | PSNet
     psnet.ahrq.gov/issue/epidemiology-adverse-events-and-medical-errors-care-cardiology-patients
     November 26, 2014 - of adverse events and medical errors has been broadly characterized among different patient groups including … July 1, 2017 Bundle interventions including nontechnical skills for surgeons can reduce

103. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. | PSNet
     psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
     November 07, 2012 - systematic review evaluated the cost-effectiveness of interventions to address 15 key safety targets (including … Based on this limited dataset, the authors identified 4 cost-effective safety interventions, including

104. Changing the "working while sick" culture. | PSNet
     psnet.ahrq.gov/issue/changing-working-while-sick-culture
     March 14, 2018 - Clinicians often feel pressured to work while sick or fatigued because of cultural and system factors, including … The authors recommend strategies and policies to address this problem, including promoting professionalism

105. A systematic review of simulation for multidisciplinary team training in operating rooms. | PSNet
     psnet.ahrq.gov/issue/systematic-review-simulation-multidisciplinary-team-training-operating-rooms
     November 17, 2014 - training programs generally felt that they were realistic and useful, significant barriers were noted, including … February 18, 2017 A retrospective audit of postoperative days alive and out of hospital, including

106. Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
     October 13, 2018 - Infection control precautions including use of personal protective equipment (PPE) are critical for … This direct observation study observed frequent failures in use of PPE, including entering rooms without

107. Interventions to improve team effectiveness within health care: a systematic review of the past decade. | PSNet
     psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-within-health-care-systematic-review-past-decade
     March 05, 2010 - The review analyzed 297 publications focused on three types of interventions: (1) training, including … crew resource management , TeamSTEPPS  and simulations , (2) tools, including SBARs and checklists

108. Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. | PSNet
     psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american
     February 03, 2011 - from the American Heart Association reviews the specific types of medication errors in these patients, including … specific, evidence-based recommendations for preventing medication errors in this patient population, including

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862614/psn-pdf
     February 14, 2024 - This scoping review including 38 articles identified 29 systemic issues faced by nursing homes, including

110. Interdisciplinary teamwork | PSNet
     psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
     September 15, 2025 - This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional … at Brigham and Women’s Hospital in Boston, the authors discuss development of a patient safety team, including … Efforts to improve the care of complex patients in intensive care units (ICUs) focus on many factors, including … This review summarizes the evidence regarding teamwork, including strategies to measure team performance … This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865930/psn-pdf
     May 22, 2024 - This study, including general practitioners and patients in the UK National Health Service (NHS), used … Participants identified several areas for improvement, including missing test results and inaccuracies

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855431/psn-pdf
     January 01, 2024 - This article highlights the advantages of including patients in patient safety event reporting, including

113. Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. | PSNet
     psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled
     July 02, 2014 - Centers for Medicare and Medicaid Services (CMS) eliminated reimbursement for certain preventable errors, including … The impact of the policy was debated , including the ability of providers and systems to accurately

114. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. | PSNet
     psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
     February 23, 2011 - where a $1.2 million investment was made in each to secure improvements across a wide range of aims, including … The robust program, including this independently requested evaluation, demonstrated a few improvements

115. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit
     June 29, 2011 - This study used high-fidelity clinical simulation  to replicate admission, including tracheal intubation … participants, several infection control-related workflow problems and safety threats were identified, including

116. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet
     psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
     October 31, 2011 - Hospitals currently use various communication strategies including alphanumeric pagers, smartphones, … 24, 2016 Successful implementation of standardized multidisciplinary bedside rounds, including

117. Protocol-based computer reminders, the quality of care and the non-perfectability of man. | PSNet
     psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man
     April 24, 2018 - computerized decision support systems improve physician performance at a variety of processes of care, including … January 23, 2017 Impact of including readmissions for qualifying events in the Patient

118. Fatigue among clinicians and the safety of patients. | PSNet
     psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
     November 15, 2018 - The authors discuss the likely consequences of these limitations, including decreased work force, increased … Specific challenges, including behavioral and cultural shifts as well as potential economic impact, are

119. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. | PSNet
     psnet.ahrq.gov/issue/prescription-errors-related-use-computerized-provider-order-entry-system-pediatric-patients
     November 07, 2018 - studies in pediatrics, this investigation uncovered dosing errors associated with weight-based dosing, including … Related Resources From the Same Author(s) Effects of a multimodal program including

120. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. | PSNet
     psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
     February 03, 2011 - This scoping review including 27 articles found wide variation in how medication safety is evaluated … propose a sociotechnical-based conceptual model to evaluate medication safety in future studies, including