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Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality

July 19, 2019 - Review Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. Citation Text: Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. | PSNet

psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs

September 15, 2011 - Study The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Citation Text: Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…

Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety. | PSNet

psnet.ahrq.gov/issue/must-we-bust-trust-understanding-how-clinician-patient-relationship-influences-patient

January 11, 2023 - Study Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety. Citation Text: Mishra SR, Haldar S, Khelifi M, et al. Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement i…

The value of learning from near misses to improve patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review

April 27, 2022 - Review The value of learning from near misses to improve patient safety: a scoping review. Citation Text: Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…

Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet

psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses

March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. Citation Text: Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care

August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. | PSNet

psnet.ahrq.gov/issue/systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying

July 20, 2022 - Review Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Citation Text: Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and trigger warning systems for identif…

Common general surgical never events: analysis of NHS England never event data. | PSNet

psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data

April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

Can medical record reviewers reliably identify errors and adverse events in the ED? | PSNet

psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed

October 11, 2023 - Study Can medical record reviewers reliably identify errors and adverse events in the ED? Citation Text: Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.00…

Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. | PSNet

psnet.ahrq.gov/issue/designing-human-centered-ai-prevent-medication-dispensing-errors-focus-group-study

August 31, 2022 - Study Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. Citation Text: Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e…

Missing the near miss: recognizing valuable learning opportunities in radiation oncology. | PSNet

psnet.ahrq.gov/issue/missing-near-miss-recognizing-valuable-learning-opportunities-radiation-oncology

November 18, 2020 - Study Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Citation Text: Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.101…

Burns surgery handover study: trainees' assessment of current practice in the British Isles. | PSNet

psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles

February 01, 2013 - Study Burns surgery handover study: trainees' assessment of current practice in the British Isles. Citation Text: Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.bu…

Gaps in ambulatory patient safety for immunosuppressive specialty medications. | PSNet

psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications

November 19, 2018 - Study Gaps in ambulatory patient safety for immunosuppressive specialty medications. Citation Text: Patterson S, Schmajuk G, Evans M, et al. Gaps in Ambulatory Patient Safety for Immunosuppressive Specialty Medications. Jt Comm J Qual Patient Saf. 2019;45(5):348-357. doi:10.1016/j.jcjq.2…

Measuring harm in health care: optimizing adverse event review. | PSNet

psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review

May 15, 2013 - Study Measuring harm in health care: optimizing adverse event review. Citation Text: Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679. Copy Citation Format: DOI…

Medication errors among adults and children with cancer in the outpatient setting. | PSNet

psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting

January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-perspectives-use-artificial-intelligence-skin-cancer-screening-qualitative-study

October 19, 2022 - Study Emerging Classic Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. Citation Text: Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin can…

White patients’ physical responses to healthcare treatments are influenced by provider race and gender. | PSNet

psnet.ahrq.gov/issue/white-patients-physical-responses-healthcare-treatments-are-influenced-provider-race-and

April 04, 2016 - Study White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Citation Text: Howe LC, Hardebeck EJ, Eberhardt JL, et al. White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Proc Natl Acad …

Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans

November 21, 2012 - Study Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. Citation Text: Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in t…

Injury and liability associated with monitored anesthesia care: a closed claims analysis. | PSNet

psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis

June 23, 2009 - Study Injury and liability associated with monitored anesthesia care: a closed claims analysis. Citation Text: Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234. Cop…

Suicide and suicide attempts on hospital grounds and clinic areas. | PSNet

psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas

October 29, 2017 - Study Suicide and suicide attempts on hospital grounds and clinic areas. Citation Text: Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. Copy Citation Format: …

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