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Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable

February 10, 2011 - Study Classic Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. Citation Text: Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra cos…

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet

psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england

November 16, 2022 - Study The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. Citation Text: Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…

Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study. | PSNet

psnet.ahrq.gov/issue/changes-cancer-detection-and-false-positive-recall-mammography-using-artificial-intelligence

August 23, 2023 - Study Classic Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study. Citation Text: Kim H-E, Kim HH, Han B-K, et al. Changes in cancer detection and false-positive recall in mammogr…

Look alike/sound alike drugs: a literature review on causes and solutions. | PSNet

psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions

September 28, 2022 - Review Look alike/sound alike drugs: a literature review on causes and solutions. Citation Text: Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. Copy Citation For…

The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. | PSNet

psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit

October 27, 2021 - Study The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. Citation Text: Kwon CS, Duzyj C. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a …

Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. | PSNet

psnet.ahrq.gov/issue/second-victim-experiences-health-care-learners-and-influence-training-environment-postevent

January 31, 2024 - Study Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. Citation Text: Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postev…

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet

psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers

June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

Incidence and characteristics of potential and actual retained foreign object events in surgical patients. | PSNet

psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical

January 02, 2017 - Study Classic Incidence and characteristics of potential and actual retained foreign object events in surgical patients. Citation Text: Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet

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October 27, 2021 - Study Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals Citation Text: Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…

Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. | PSNet

psnet.ahrq.gov/issue/urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes

November 02, 2022 - Study Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. Citation Text: Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin ca…

Evaluation of communication and safety behaviors during hospital-wide code response simulation. | PSNet

psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation

February 23, 2022 - Study Evaluation of communication and safety behaviors during hospital-wide code response simulation. Citation Text: Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…

Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. | PSNet

psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013

June 21, 2023 - Study Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. Citation Text: Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…

Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare

May 25, 2011 - Study Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. Citation Text: Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. | PSNet

psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification

March 10, 2021 - Study Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. Citation Text: Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. | PSNet

psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-postoperative-patient-outcomes-surgical

February 14, 2017 - Study Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. Citation Text: Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialt…

Impact of sleep deficiency on surgical performance: a prospective assessment. | PSNet

psnet.ahrq.gov/issue/impact-sleep-deficiency-surgical-performance-prospective-assessment

November 29, 2023 - Study Impact of sleep deficiency on surgical performance: a prospective assessment. Citation Text: Quan SF, Landrigan CP, Barger LK, et al. Impact of sleep deficiency on surgical performance: a prospective assessment. J Clin Sleep Med. 2023;19(4):673-683. doi:10.5664/jcsm.10406. Copy C…

Surgical residents' work hours and well-being in year 2 of the FIRST trial. | PSNet

psnet.ahrq.gov/issue/surgical-residents-work-hours-and-well-being-year-2-first-trial

March 15, 2017 - Study Surgical residents' work hours and well-being in year 2 of the FIRST trial. Citation Text: Dahlke AR, Quinn CM, Chung JW, et al. Surgical Residents' Work Hours and Well-Being in Year 2 of the FIRST Trial. New Engl J Med. 2017;377(2):192-194. doi:10.1056/NEJMc1703812. Copy Citatio…

Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency-department-cardiovascular

March 16, 2022 - Review Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. Citation Text: Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations prese…

Varying rates of patient identity verification when using computerized provider order entry. | PSNet

psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry

July 07, 2021 - Study Varying rates of patient identity verification when using computerized provider order entry. Citation Text: Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928…

Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. | PSNet

psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical-performance

May 19, 2018 - Study Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. Citation Text: Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measu…

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