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Wide variation and overprescription of opioids after elective surgery. | PSNet

psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery

April 24, 2018 - Study Classic Wide variation and overprescription of opioids after elective surgery. Citation Text: Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents

August 23, 2023 - Study A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. Citation Text: Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …

Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. | PSNet

psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study-rapid-response

November 03, 2015 - Study Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. Citation Text: Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 202…

Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training

January 17, 2012 - Study Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Citation Text: Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. | PSNet

psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal

July 09, 2008 - Study Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. Citation Text: Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals.…

Patient safety climate in US hospitals: variation by management level. | PSNet

psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level

November 18, 2009 - Study Classic Patient safety climate in US hospitals: variation by management level. Citation Text: Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e…

"They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences

November 29, 2017 - Study "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. Citation Text: Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…

Quality of care and quality of life: balancing patient safety and physician burnout. | PSNet

psnet.ahrq.gov/issue/quality-care-and-quality-life-balancing-patient-safety-and-physician-burnout

September 27, 2023 - Commentary Quality of care and quality of life: balancing patient safety and physician burnout. Citation Text: Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000…

Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-standard-precaution-adherence-systematic

February 13, 2019 - Review Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. Citation Text: Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …

Factors associated with post-intensive care unit adverse events: a clinical validation study. | PSNet

psnet.ahrq.gov/issue/factors-associated-post-intensive-care-unit-adverse-events-clinical-validation-study

February 13, 2013 - Study Factors associated with post-intensive care unit adverse events: a clinical validation study. Citation Text: Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.…

Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. | PSNet

psnet.ahrq.gov/issue/anaesthesia-and-patient-safety-socio-technical-operating-theatre-narrative-review-spanning

April 10, 2024 - Review Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Citation Text: Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Ana…

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. | PSNet

psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business

November 23, 2016 - Study Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. Citation Text: Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business …

Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. | PSNet

psnet.ahrq.gov/issue/pharmacy-leadership-amid-pandemic-maintaining-patient-safety-during-uncertain-times

March 29, 2023 - Commentary Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Citation Text: Derrong Lin I, Hertig JB. Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Hosp Pharm. 2022;57(3):323-328. doi:10.1177/001857872110…

Implementation of medication reconciliation in outpatient cancer care. | PSNet

psnet.ahrq.gov/issue/implementation-medication-reconciliation-outpatient-cancer-care

December 20, 2023 - Study Implementation of medication reconciliation in outpatient cancer care. Citation Text: Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. Copy Citation Fo…

Another medical malpractice crisis?: Try something different. | PSNet

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November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…

The problem with root cause analysis. | PSNet

psnet.ahrq.gov/issue/problem-root-cause-analysis

August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. | PSNet

psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality

August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…

Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative

April 24, 2019 - Review Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. Citation Text: Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …

Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room

December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. | PSNet

psnet.ahrq.gov/issue/impact-accreditation-council-graduate-medical-education-work-hour-regulations-neurosurgical

June 03, 2020 - Study Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. Citation Text: Jagannathan J, Vates E, Pouratian N, et al. Impact of the Accreditation Council for Graduate Medical Education work-hour r…

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