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Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. | PSNet

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February 02, 2022 - Study Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. Citation Text: Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…

Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. | PSNet

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March 02, 2016 - Study Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. Citation Text: Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …

Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. | PSNet

psnet.ahrq.gov/issue/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose

August 02, 2017 - Study Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. Citation Text: Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. He…

Individual surgeon mortality rates: can outliers be detected? A national utility analysis. | PSNet

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October 27, 2021 - Study Individual surgeon mortality rates: can outliers be detected? A national utility analysis. Citation Text: Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bm…

The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. | PSNet

psnet.ahrq.gov/issue/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient

July 10, 2008 - Study Classic The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. Citation Text: Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits on residents'…

Effectiveness of written hospitalist sign-outs in answering overnight inquiries. | PSNet

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January 15, 2014 - Study Effectiveness of written hospitalist sign-outs in answering overnight inquiries. Citation Text: Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. C…

Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. | PSNet

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December 08, 2021 - Study Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. Citation Text: Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. BMC Health Serv Res. 2…

National costs of the medical liability system. | PSNet

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May 20, 2015 - Study Classic National costs of the medical liability system. Citation Text: Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. Copy Citation F…

Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. | PSNet

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January 26, 2022 - Study Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. Citation Text: Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…

Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. | PSNet

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September 01, 2021 - Study Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. Citation Text: Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontli…

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

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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…

Prevention of ventilator-associated pneumonia: an evidence-based systematic review. | PSNet

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July 14, 2010 - Study Classic Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Citation Text: Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Ann Intern Med. 2003;138(6):49…

A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet

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May 25, 2022 - Commentary A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Citation Text: Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …

Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet

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March 24, 2021 - Commentary Two fatal cases of accidental intrathecal vincristine administration: learning from death events. Citation Text: Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. | PSNet

psnet.ahrq.gov/issue/efficacy-medical-team-training-improved-team-performance-and-decreased-operating-room-delays

October 06, 2016 - Study The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. Citation Text: Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and decreased operating room delays…

Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet

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July 29, 2020 - Commentary Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. Citation Text: Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…

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…

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…

Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet

psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017

March 18, 2020 - Study Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Citation Text: Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…

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…

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