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Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. | PSNet

psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process

September 25, 2018 - Study Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. Citation Text: Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Proce…

Medication errors in overweight and obese pediatric patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-errors-overweight-and-obese-pediatric-patients-systematic-review

December 09, 2020 - Review Medication errors in overweight and obese pediatric patients: a systematic review. Citation Text: Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j…

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet

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March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues. | PSNet

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June 25, 2014 - Study Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues. Citation Text: Weenink JW, Westert GP, Schoonhoven L, et al. Am I my brother's keeper? A survey of 10 healthcare professions in the Netherl…

The economic consequences of medical injuries: implications for a no-fault insurance plan. | PSNet

psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan

February 18, 2011 - Study Classic The economic consequences of medical injuries: implications for a no-fault insurance plan. Citation Text: Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA.…

The costs of adverse drug events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients

February 10, 2011 - Study Classic The costs of adverse drug events in hospitalized patients. Citation Text: Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11. Copy…

Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. | PSNet

psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain

August 08, 2018 - Study Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. Citation Text: Ray WA, Chung CP, Murray KT, et al. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-23. doi:10.1001/jama.2016…

Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. | PSNet

psnet.ahrq.gov/issue/validating-decision-tree-serious-infection-diagnostic-accuracy-acutely-ill-children

December 02, 2020 - Study Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. Citation Text: Verbakel JY, Lemiengre MB, De Burghgraeve T, et al. Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambu…

Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet

psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection

June 01, 1989 - Study Classic Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. Citation Text: Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…

Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

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September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. | PSNet

psnet.ahrq.gov/issue/addressing-dual-patient-and-staff-safety-through-team-based-standardized-patient-simulation

December 03, 2018 - Study Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. Citation Text: Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patie…

Using patient safety reporting systems to understand the clinical learning environment: a content analysis. | PSNet

psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content

June 19, 2024 - Study Using patient safety reporting systems to understand the clinical learning environment: a content analysis. Citation Text: Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. J Surg Educ.…

Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-complementary-interventions-redesign-care-teamwork-and-quality-hospitalized-medical

November 25, 2020 - Study Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. Citation Text: O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality …

New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. | PSNet

psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly

February 22, 2010 - Study New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Citation Text: Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordi…

We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/we-thought-we-would-be-perfect-medication-errors-and-after-initiation-computerized-physician

September 18, 2019 - Study We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. Citation Text: Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…

Role of computerized physician order entry systems in facilitating medication errors. | PSNet

psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors

February 18, 2011 - Study Classic Role of computerized physician order entry systems in facilitating medication errors. Citation Text: Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):119…

Medication errors among acutely ill and injured children treated in rural emergency departments. | PSNet

psnet.ahrq.gov/issue/medication-errors-among-acutely-ill-and-injured-children-treated-rural-emergency-departments

December 13, 2013 - Study Medication errors among acutely ill and injured children treated in rural emergency departments. Citation Text: Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 36…

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. | PSNet

psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients

March 23, 2022 - Study The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. Citation Text: Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…

Systematic review of computerized prescriber order entry and clinical decision support. | PSNet

psnet.ahrq.gov/issue/systematic-review-computerized-prescriber-order-entry-and-clinical-decision-support

August 23, 2017 - Review Systematic review of computerized prescriber order entry and clinical decision support. Citation Text: Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Systematic review of computerized prescriber order entry and clinical decision support. Am J Health Syst Pharm. 2…

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.…

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