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Ten years later, alarm fatigue is still a safety concern. | PSNet

psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern

October 25, 2023 - Commentary Ten years later, alarm fatigue is still a safety concern. Citation Text: Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662. Copy Citation Format: …

Imperfect practice makes perfect: error management training improves transfer of learning. | PSNet

psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning

May 19, 2019 - Study Imperfect practice makes perfect: error management training improves transfer of learning. Citation Text: Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…

Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. | PSNet

psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual

March 22, 2023 - Study Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. Citation Text: Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…

Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial. | PSNet

psnet.ahrq.gov/issue/double-reading-breast-cancer-screening-cohort-evaluation-co-ops-trial

July 10, 2017 - Study Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial. Citation Text: Taylor-Phillips S, Jenkinson D, Stinton C, et al. Double Reading in Breast Cancer Screening: Cohort Evaluation in the CO-OPS Trial. Radiology. 2018;287(3):749-757. doi:10.1148/radiol.20…

Active surveillance using electronic triggers to detect adverse events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients

October 03, 2017 - Study Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Citation Text: Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…

Misleading one detail: a preventable mode of diagnostic error? | PSNet

psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error

February 10, 2016 - Study Misleading one detail: a preventable mode of diagnostic error? Citation Text: Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. Copy Citation Format: …

Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/post-discharge-adverse-events-among-urban-and-rural-patients-urban-community-hospital

September 07, 2022 - Study Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. Citation Text: Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospe…

A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital. | PSNet

psnet.ahrq.gov/issue/survey-nurses-beliefs-about-medical-emergency-team-system-canadian-tertiary-hospital

January 04, 2012 - Study A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital. Citation Text: Bagshaw SM, Mondor EE, Scouten C, et al. A survey of nurses' beliefs about the medical emergency team system in a canadian tertiary hospital. Am J Crit Care. 2010;1…

An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review. | PSNet

psnet.ahrq.gov/issue/evaluation-effects-human-factors-and-ergonomics-health-care-and-patient-safety-practices

June 29, 2022 - Review An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review. Citation Text: Mao X, Jia P, Zhang L, et al. An Evaluation of the Effects of Human Factors and Ergonomics on Health Care and Patient Safety Practices: A S…

Activation of a medical emergency team using an electronic medical recording–based screening system. | PSNet

psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system

September 06, 2017 - Study Activation of a medical emergency team using an electronic medical recording–based screening system. Citation Text: Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. …

Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. | PSNet

psnet.ahrq.gov/issue/association-health-literacy-postoperative-outcomes-patients-undergoing-major-abdominal

May 08, 2017 - Study Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. Citation Text: Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2…

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician

October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…

Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. | PSNet

psnet.ahrq.gov/issue/quality-indicators-implementation-safety-promotion-towards-valid-and-reliable-global

February 03, 2010 - Study Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. Citation Text: Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global cert…

The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet

psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey

September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey. Citation Text: Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. Copy Citation …

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet

psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry

May 29, 2019 - Study Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. Citation Text: Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…

Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet

psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health

September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

Feeling safe in the context of digitalization in healthcare: a scoping review. | PSNet

psnet.ahrq.gov/issue/feeling-safe-context-digitalization-healthcare-scoping-review

May 04, 2022 - Review Feeling safe in the context of digitalization in healthcare: a scoping review. Citation Text: Minartz P, Aumann CM, Vondeberg C, et al. Feeling safe in the context of digitalization in healthcare: a scoping review. Syst Rev. 2024;13(1):62. doi:10.1186/s13643-024-02465-9. Copy Ci…

Collective intelligence meets medical decision-making: the collective outperforms the best radiologist. | PSNet

psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist

August 17, 2016 - Study Classic Collective intelligence meets medical decision-making: the collective outperforms the best radiologist. Citation Text: Wolf M, Krause J, Carney PA, et al. Collective intelligence meets medical decision-making: the collective outperforms the best ra…

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department

October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis

September 23, 2020 - Review Classic Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. Citation Text: Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hos…

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