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Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

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November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

A controlled trial of a rapid response system in an academic medical center. | PSNet

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June 23, 2010 - Study A controlled trial of a rapid response system in an academic medical center. Citation Text: Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365. Copy Citation F…

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. | PSNet

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April 15, 2014 - Study National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. Citation Text: Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency d…

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. | PSNet

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August 10, 2011 - Study Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. Citation Text: Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. | PSNet

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November 21, 2021 - Commentary The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. Citation Text: Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education …

Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. | PSNet

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May 01, 2015 - Study Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. Citation Text: Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002. Copy Citation …

Resident fatigue: is there a patient safety issue? | PSNet

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February 03, 2010 - Study Resident fatigue: is there a patient safety issue? Citation Text: Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg. 2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028. Copy Citation Format: DOI Google Scholar PubM…

Creating champions for health care quality and safety. | PSNet

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August 04, 2021 - Study Creating champions for health care quality and safety. Citation Text: Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. Copy Citation Format: DOI Google S…

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet

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September 01, 2021 - Commentary Classic Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Citation Text: Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet

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July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…

Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. | PSNet

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August 20, 2018 - Study Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. Citation Text: Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…

Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations

March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. | PSNet

psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult-population

May 06, 2009 - Study Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. Citation Text: Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteri…

Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? | PSNet

psnet.ahrq.gov/issue/does-compliance-patient-safety-tasks-improve-and-sustain-when-radiotherapy-treatment

December 05, 2018 - Study Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? Citation Text: Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardize…

Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. | PSNet

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September 04, 2019 - Commentary Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. Citation Text: Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…

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

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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.…

Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. | PSNet

psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read

November 10, 2021 - Study Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. Citation Text: Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read…

Costs of adverse events in intensive care units. | PSNet

psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units

July 23, 2008 - Study Classic Costs of adverse events in intensive care units. Citation Text: Kaushal R, Bates DW, Franz C, et al. Costs of adverse events in intensive care units. Crit Care Med. 2007;35(11):2479-83. Copy Citation Format: Google Scholar PubMed Bi…

Medication administration errors in nursing homes using an automated medication dispensing system. | PSNet

psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system

January 23, 2019 - Study Medication administration errors in nursing homes using an automated medication dispensing system. Citation Text: van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…

Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. | PSNet

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July 10, 2024 - Study Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. Citation Text: DiDiodato G. Has improved hand hygiene compliance reduced the risk of h…

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