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Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality

January 11, 2023 - Review Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. Citation Text: Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. | PSNet

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July 30, 2014 - Study Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. Citation Text: Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J A…

Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. | PSNet

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December 11, 2013 - Review Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. Citation Text: Takhtinejad NJ, Stewart D, Nazar Z, et al. Identifying factors influencing clinicians’ reporti…

Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. | PSNet

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September 24, 2016 - Study Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. Citation Text: Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post St…

Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program | PSNet

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May 12, 2021 - Study Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program Citation Text: Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322…

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

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October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…

Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet

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April 12, 2011 - Study Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. Citation Text: Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related …

The combined effect of psychological and social capital in registered nurses experiencing second victimization: a structural equation model. | PSNet

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December 15, 2021 - Study The combined effect of psychological and social capital in registered nurses experiencing second victimization: a structural equation model. Citation Text: Hinkley T‐L. The combined effect of psychological and social capital in registered nurses experiencing second victimization: a…

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. | PSNet

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September 09, 2020 - Study Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. Citation Text: Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…

Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance. | PSNet

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December 15, 2010 - Study Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance. Citation Text: Rennie W, Phetsouvanh R, Lupisan S, et al. Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker perform…

Safety first! Using a checklist for intrafacility transport of adult intensive care patients. | PSNet

psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients

October 09, 2024 - Commentary Safety first! Using a checklist for intrafacility transport of adult intensive care patients. Citation Text: Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16…

Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. | PSNet

psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process

May 18, 2022 - Study Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Citation Text: Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Me…

Multi-dose drug dispensing and inappropriate drug use: a nationwide register-based study of over 700 000 elderly. | PSNet

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October 04, 2011 - Study Multi-dose drug dispensing and inappropriate drug use: a nationwide register-based study of over 700 000 elderly. Citation Text: Johnell K, Fastbom J. Multi-dose drug dispensing and inappropriate drug use: A nationwide register-based study of over 700,000 elderly. Scand J Prim He…

Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet

psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site

March 14, 2022 - Study Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? Citation Text: Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…

Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

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June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments. | PSNet

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November 16, 2022 - Study Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments. Citation Text: Patel AG, Pizzitola VJ, Johnson CD, et al. Radiologists Make More Errors Interpreting Off-Hours Body CT Studies during Overnight As…

Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration. | PSNet

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April 06, 2022 - Study Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration. Citation Text: Fernando SM, Reardon PM, Bagshaw SM, et al. Impact of nighttime Rapid Response Team activation on outcomes of hospitalized patients with acute deteriorat…

Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. | PSNet

psnet.ahrq.gov/issue/characteristics-morbidity-and-mortality-conferences-associated-implementation-patient-safety

March 18, 2020 - Study Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. Citation Text: François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences associated …

A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. | PSNet

psnet.ahrq.gov/issue/randomized-clinical-trial-compare-use-safety-net-enclosures-standard-restraints-agitated

September 07, 2022 - Study A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. Citation Text: Nawaz H, Abbas A, Sarfraz A, et al. A randomized clinical trial to compare the use of safety net enclosures with standard restrain…

Evaluation of wound photography for remote postoperative assessment of surgical site infections. | PSNet

psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections

July 03, 2014 - Study Evaluation of wound photography for remote postoperative assessment of surgical site infections. Citation Text: Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. do…

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