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Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. | PSNet

psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic

September 04, 2013 - Study Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Citation Text: Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units us…

A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. | PSNet

psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically

March 15, 2016 - Study A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Citation Text: Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…

Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. | PSNet

psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient

July 06, 2022 - Study Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Citation Text: Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…

Peer training using cognitive rehearsal to promote a culture of safety in health care. | PSNet

psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care

November 16, 2022 - Study Peer training using cognitive rehearsal to promote a culture of safety in health care. Citation Text: Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.00000000…

Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet

psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors

August 14, 2019 - Study Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Citation Text: Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…

From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. | PSNet

psnet.ahrq.gov/issue/flight-deck-bedside-core-aviation-concepts-applied-acute-care-physical-therapist-practice-and

December 14, 2022 - Commentary From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. Citation Text: Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice a…

ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances

June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

Patterns of unexpected in-hospital deaths: a root cause analysis. | PSNet

psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis

March 13, 2019 - Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOI Google Scholar P…

Bringing the clinical laboratory into the strategy to advance diagnostic excellence. | PSNet

psnet.ahrq.gov/issue/bringing-clinical-laboratory-strategy-advance-diagnostic-excellence

September 08, 2021 - Commentary Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Citation Text: Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/…

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. | PSNet

psnet.ahrq.gov/issue/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and

June 13, 2011 - Study A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. Citation Text: Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…

Workarounds in the workplace: a second look. | PSNet

psnet.ahrq.gov/issue/workarounds-workplace-second-look

December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

Using data to enhance performance and improve quality and safety in surgery. | PSNet

psnet.ahrq.gov/issue/using-data-enhance-performance-and-improve-quality-and-safety-surgery

March 15, 2023 - Commentary Using data to enhance performance and improve quality and safety in surgery. Citation Text: Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. Co…

Design of a safety dashboard for patients. | PSNet

psnet.ahrq.gov/issue/design-safety-dashboard-patients

March 16, 2022 - Study Design of a safety dashboard for patients. Citation Text: Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). | PSNet

psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness

May 01, 2017 - Grant Announcement Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). Citation Text: Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). Rockville, MD: Agency for …

Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. | PSNet

psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes

February 04, 2015 - Study Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. Citation Text: Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …

Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/pharmaceutical-interventions-improve-safety-chemotherapy-treated-cancer-patients-cross

March 10, 2011 - Study Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. Citation Text: Daupin J, Perrin G, Lhermitte-Pastor C, et al. Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: A cross-sectional s…

Bedside shift report improves patient safety and nurse accountability. | PSNet

psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability

April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. Citation Text: Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

Structured patient handoff on an internal medicine ward: a cluster randomized control trial. | PSNet

psnet.ahrq.gov/issue/structured-patient-handoff-internal-medicine-ward-cluster-randomized-control-trial

September 23, 2020 - Study Structured patient handoff on an internal medicine ward: a cluster randomized control trial. Citation Text: Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journa…

Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. | PSNet

psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee

November 29, 2023 - Book/Report Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Citation Text: Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Washington, DC: Department of Veterans Affairs, Office of Inspector…

Essential activities for electronic health record safety: a qualitative study. | PSNet

psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study

April 29, 2018 - Study Essential activities for electronic health record safety: a qualitative study. Citation Text: Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. …

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