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  1. Graded autonomy in medical education—managing things that go bump in the night. | PSNet

    psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
    July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…

  2. Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. | PSNet

    psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
    March 15, 2017 - Study Classic Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. Citation Text: Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…

  3. Risk reduction strategy to decrease incidence of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
    July 06, 2022 - Study Risk reduction strategy to decrease incidence of retained surgical items. Citation Text: Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. Copy …

  4. EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? | PSNet

    psnet.ahrq.gov/issue/ems-non-conveyance-safe-practice-decrease-ed-crowding-or-threat-patient-safety
    January 12, 2022 - Study EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? Citation Text: Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12…

  5. Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. | PSNet

    psnet.ahrq.gov/issue/accuracy-emergency-department-clinical-findings-diagnosis-coronavirus-disease-2019
    September 09, 2020 - Study Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. Citation Text: Peyrony O, Marbeuf-Gueye C, Truong V, et al. Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. Ann Emerg Med. 2020;76(4):405-412.…

  6. Developing and evaluating an automated all-cause harm trigger system. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
    July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

  7. Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration. | PSNet

    psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
    December 13, 2023 - Study Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration. Citation Text: Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis management in magnetic-re…

  8. Surgical safety and hospital volume across a wide range of interventions. | PSNet

    psnet.ahrq.gov/issue/surgical-safety-and-hospital-volume-across-wide-range-interventions
    April 04, 2011 - Study Surgical safety and hospital volume across a wide range of interventions. Citation Text: Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6. Copy Citation …

  9. A report of information technology and health deficiencies in U.S. nursing homes. | PSNet

    psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
    October 28, 2020 - Study A report of information technology and health deficiencies in U.S. nursing homes. Citation Text: Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. Copy …

  10. Morning handover of on-call issues: opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
    September 26, 2012 - Study Morning handover of on-call issues: opportunities for improvement. Citation Text: Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033. Copy Citation Fo…

  11. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. | PSNet

    psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce-adverse-events
    June 21, 2016 - Review Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Citation Text: Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse eve…

  12. Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. | PSNet

    psnet.ahrq.gov/issue/global-oncology-pharmacy-response-covid-19-pandemic-medication-access-and-safety
    January 23, 2017 - Commentary Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. Citation Text: Alexander M, Jupp J, Chazan G, et al. Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. J Oncol Pharm Pract. 2020;26(5):1225-1229. doi:10.11…

  13. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. | PSNet

    psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
    July 03, 2014 - Study Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. Citation Text: Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…

  14. Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet

    psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
    July 07, 2010 - Study Awareness of diagnosis and follow up care after discharge from the emergency department Citation Text: Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…

  15. The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. | PSNet

    psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
    May 18, 2022 - Study The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. Citation Text: Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…

  16. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet

    psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
    November 03, 2015 - Study Classic Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. Citation Text: Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to …

  17. Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. | PSNet

    psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
    April 03, 2024 - Study Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. Citation Text: Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…

  18. Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? | PSNet

    psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they
    September 23, 2020 - Study Classic Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Citation Text: Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are …

  19. Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. | PSNet

    psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare
    May 25, 2011 - Study Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. Citation Text: Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…

  20. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet

    psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
    August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
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