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First-year analysis of the Operating Room Black Box study. | PSNet

psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study

October 16, 2019 - Study Emerging Classic First-year analysis of the Operating Room Black Box study. Citation Text: Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. Copy…

Transforming team performance through reimplementation of the surgical safety checklist. | PSNet

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March 09, 2022 - Study Transforming team performance through reimplementation of the surgical safety checklist. Citation Text: Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…

Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes. | PSNet

psnet.ahrq.gov/issue/type-1-diabetes-defined-severe-insulin-deficiency-occurs-after-30-years-age-and-commonly

October 19, 2022 - Study Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes. Citation Text: Thomas NJ, Lynam AL, Hill A, et al. Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated…

Adverse events in healthcare: learning from mistakes. | PSNet

psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes

February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. | PSNet

psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute

May 30, 2016 - Study Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospita…

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian

January 24, 2024 - Study Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. Citation Text: Goldman J, Rotteau L, Flintoft V, et al. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a C…

Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/efficacy-educational-video-game-versus-traditional-educational-apps-improving-physician

August 04, 2021 - Study Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. Citation Text: Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational apps …

More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. | PSNet

psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety

September 02, 2016 - Congressional Testimony More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Citation Text: More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…

Preventing medical injury. | PSNet

psnet.ahrq.gov/issue/preventing-medical-injury

February 18, 2011 - Study Classic Preventing medical injury. Citation Text: Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. Copy Citation Format: DOI Google Scholar BibTeX…

The costs of adverse drug events in hospitalized patients. | PSNet

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February 10, 2011 - Study Classic The costs of adverse drug events in hospitalized patients. Citation Text: Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11. Copy…

Improving clinician well-being and patient safety through human-centered design. | PSNet

psnet.ahrq.gov/issue/improving-clinician-well-being-and-patient-safety-through-human-centered-design

April 29, 2018 - Commentary Improving clinician well-being and patient safety through human-centered design. Citation Text: Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through human-centered design. JAMA. 2023;329(14):1149-1150. doi:10.1001/jama.2023.2…

Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. | PSNet

psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical

February 24, 2021 - Study Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. Citation Text: Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nur…

House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. | PSNet

psnet.ahrq.gov/issue/house-staff-team-workload-and-organization-effects-patient-outcomes-academic-general-internal

February 24, 2011 - Study House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. Citation Text: Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient outcomes in an academic general in…

The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. | PSNet

psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing

August 03, 2017 - Review The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. Citation Text: Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhanc…

Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-anesthetic-care-survey-physician-anesthesiologists

March 15, 2016 - Study Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Citation Text: Estrada Alamo CE, Diatta F, Monsell SE, et al. Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Anesth Analg. 2024;138(5):938-950. doi:10.1213/ane…

Medical line entanglement: the unspoken patient safety hazard of medical devices. | PSNet

psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices

May 08, 2019 - Study Medical line entanglement: the unspoken patient safety hazard of medical devices. Citation Text: Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. Copy Cit…

Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/deficiencies-provider-reported-interpreter-use-clinical-trial-comparing-telephonic-and-video

August 12, 2020 - Study Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. Citation Text: Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial compa…

Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-patient-outcomes-among-hospitalized-children-cared-general-pediatricians

March 23, 2016 - Study Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. Citation Text: Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.…

The disclosure dilemma—large-scale adverse events. | PSNet

psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events

January 22, 2017 - Commentary The disclosure dilemma—large-scale adverse events. Citation Text: Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134. Copy Citation Format: DOI Google S…

Unintended patient safety risks due to wireless smart infusion pump library update delays. | PSNet

psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays

September 25, 2019 - Study Unintended patient safety risks due to wireless smart infusion pump library update delays. Citation Text: Hsu K-Y, DeLaurentis P, Bitan Y, et al. Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. J Patient Saf. 2019;15(1):e8-e14. doi:10.1097…

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