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  1. Rapid response team in a rural hospital. | PSNet

    psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
    October 19, 2022 - Study Rapid response team in a rural hospital. Citation Text: Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-102. doi:10.1097/NUR.0b013e31824590fb. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  2. Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. | PSNet

    psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
    March 20, 2019 - Study Emerging Classic Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. Citation Text: Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…

  3. Hospital and procedure incidence of pediatric retained surgical items. | PSNet

    psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
    December 02, 2020 - Study Hospital and procedure incidence of pediatric retained surgical items. Citation Text: Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. Copy Citation Format:…

  4. Use of "Doctor" badges for physician role identification during clinical training. | PSNet

    psnet.ahrq.gov/issue/use-doctor-badges-physician-role-identification-during-clinical-training
    December 18, 2017 - Study Use of "Doctor" badges for physician role identification during clinical training. Citation Text: Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. …

  5. Methicillin-resistant Staphylococcus aureus disease in three communities. | PSNet

    psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
    July 03, 2014 - Study Methicillin-resistant Staphylococcus aureus disease in three communities. Citation Text: Fridkin SK, Hageman JC, Morrison M, et al. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005;352(14):1436-44. Copy Citation Format: Go…

  6. Shifting supervision: implications for safe administration of medication by nursing students. | PSNet

    psnet.ahrq.gov/issue/shifting-supervision-implications-safe-administration-medication-nursing-students
    January 27, 2021 - Study Shifting supervision: implications for safe administration of medication by nursing students. Citation Text: Reid-Searl K, Moxham L, Walker S, et al. Shifting supervision: implications for safe administration of medication by nursing students. J Clin Nurs. 2008;17(20):2750-7. doi…

  7. Hospital medication errors: a cross sectional study. | PSNet

    psnet.ahrq.gov/issue/hospital-medication-errors-cross-sectional-study
    September 30, 2020 - Study Hospital medication errors: a cross sectional study. Citation Text: ISAACS AN, Ch'ng K, DELHIWALE N, et al. Hospital medication errors: a cross-sectional study. Int J Qual Health Care. 2021;33(1):mzaa136. doi:10.1093/intqhc/mzaa136. Copy Citation Format: DOI Google Sc…

  8. Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
    January 26, 2022 - Commentary Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. Citation Text: John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…

  9. Hospital rules-based system: the next generation of medical informatics for patient safety. | PSNet

    psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety
    April 21, 2010 - Study Hospital rules-based system: the next generation of medical informatics for patient safety. Citation Text: Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. C…

  10. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. | PSNet

    psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
    June 10, 2020 - Study Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. Citation Text: Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1…

  11. An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. | PSNet

    psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
    May 15, 2024 - Study An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Citation Text: Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…

  12. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet

    psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
    July 06, 2011 - Study Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Citation Text: Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…

  13. Quality and patient safety improvement is never finished. | PSNet

    psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
    September 18, 2024 - Study Quality and patient safety improvement is never finished. Citation Text: Kachalia A, Vanhaecht K. Quality and patient safety improvement is never finished. NEJM Catalyst. 2024;5(9). doi:10.1056/cat.24.0316. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  14. Development of patient safety measures to identify inappropriate diagnosis of common infections. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
    April 10, 2024 - Study Development of patient safety measures to identify inappropriate diagnosis of common infections. Citation Text: White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-14…

  15. Improving adverse drug event reporting by healthcare professionals. | PSNet

    psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals
    April 12, 2019 - Review Improving adverse drug event reporting by healthcare professionals. Citation Text: Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2. …

  16. An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet

    psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
    June 01, 2019 - Study An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. Citation Text: Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…

  17. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. | PSNet

    psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward
    September 24, 2016 - Study Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. Citation Text: Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. J Pat…

  18. Assessing and supporting late career practitioners: four key questions. | PSNet

    psnet.ahrq.gov/issue/assessing-and-supporting-late-career-practitioners-four-key-questions
    May 18, 2022 - Commentary Assessing and supporting late career practitioners: four key questions. Citation Text: White AA, Sage WM, Mazor KM, et al. Assessing and supporting late career practitioners: four key questions. Jt Comm J Qual Patient Saf. 2020;46(10):591-595. doi:10.1016/j.jcjq.2020.07.001. …

  19. Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. | PSNet

    psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
    March 02, 2012 - Study Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. Citation Text: Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…

  20. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
    January 19, 2022 - Commentary Clinical progress note: situation awareness for clinical deterioration in hospitalized children. Citation Text: Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…
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