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Operational failures in general practice: a consensus-building study on the priorities for improvement. | PSNet

psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement

February 07, 2024 - Study Operational failures in general practice: a consensus-building study on the priorities for improvement. Citation Text: Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building study on the priorities for improvement. Br J Gen Pract. 2…

Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. | PSNet

psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united

December 02, 2020 - Study Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. Citation Text: Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …

Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. | PSNet

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April 22, 2011 - Study Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. Citation Text: Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospecti…

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. | PSNet

psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention

December 02, 2020 - Study Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. Citation Text: Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

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February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…

Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet

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May 25, 2016 - Government Resource Promoting Patient Safety Through Effective Health Information Technology Risk Management. Citation Text: Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…

What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. | PSNet

psnet.ahrq.gov/issue/what-quality-and-safety-care-patients-admitted-clinically-inappropriate-wards-systematic

February 15, 2023 - Review What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. Citation Text: La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review. J Ge…

Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness. | PSNet

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July 28, 2023 - Study Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness. Citation Text: Thomas DB, Newman-Toker DE. Diagnosis is a team sport - partnering with allied health profes…

Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. | PSNet

psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse

March 30, 2022 - Study Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. Citation Text: Eriksson CO, Ovregaard N, Hansen M, et al. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety ev…

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. | PSNet

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March 23, 2022 - Study Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. Citation Text: Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet

psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center

February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…

Utilising improvement science methods to optimise medication reconciliation. | PSNet

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July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

Physician attitudes toward family-activated medical emergency teams for hospitalized children. | PSNet

psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children

April 06, 2012 - Study Physician attitudes toward family-activated medical emergency teams for hospitalized children. Citation Text: Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. | PSNet

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April 03, 2019 - Review Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. Citation Text: Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. | PSNet

psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care

December 01, 2019 - Study The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. Citation Text: Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. J Patient Saf.…

Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic

March 09, 2022 - Review Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. Citation Text: Nguyen OT, Kunta AR, Katoju SV, et al. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. JAMA Netw Ope…

Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet

psnet.ahrq.gov/issue/assessing-between-and-within-hospital-differences-patient-safety-between-medicaid-and

July 31, 2024 - Study Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. Citation Text: Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patien…

Patient-clinician diagnostic concordance upon hospital admission. | PSNet

psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission

October 16, 2024 - Study Patient-clinician diagnostic concordance upon hospital admission. Citation Text: Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. Copy Citation Format: …

Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. | PSNet

psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations

January 19, 2022 - Study Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Citation Text: Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Drugs …

The value of autopsies in the era of high-tech medicine: discrepant findings persist. | PSNet

psnet.ahrq.gov/issue/value-autopsies-era-high-tech-medicine-discrepant-findings-persist

October 18, 2023 - Study The value of autopsies in the era of high-tech medicine: discrepant findings persist. Citation Text: Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136…

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