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Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. | PSNet

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August 18, 2017 - Study Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. Citation Text: Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…

Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. | PSNet

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August 04, 2021 - Study Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Citation Text: Charpiat B, Goutelle S, Schoeffler M, et al. Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Acta Anaes…

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. | PSNet

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September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2015. Am J Health Syst …

Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet

psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care

December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. | PSNet

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August 20, 2018 - Study Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. Citation Text: Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patie…

Improving patient handovers from hospital to primary care: a systematic review. | PSNet

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March 06, 2013 - Review Improving patient handovers from hospital to primary care: a systematic review. Citation Text: Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-…

Adverse drug events caused by serious medication administration errors. | PSNet

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December 19, 2009 - Study Adverse drug events caused by serious medication administration errors. Citation Text: Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. Copy Citation …

Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. | PSNet

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August 18, 2021 - Study Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. Citation Text: Puri K, Singh H, Denfield SW, et al. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease…

Hospital at night: an organizational design that provides safer care at night. | PSNet

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November 16, 2022 - Study Hospital at night: an organizational design that provides safer care at night. Citation Text: Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17. …

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

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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…

Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. | PSNet

psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box

March 20, 2024 - Study Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Citation Text: Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box …

Psychological safety during the test of new work processes in an emergency department. | PSNet

psnet.ahrq.gov/issue/psychological-safety-during-test-new-work-processes-emergency-department

September 08, 2021 - Study Psychological safety during the test of new work processes in an emergency department. Citation Text: Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/…

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. | PSNet

psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation

September 23, 2020 - Study A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. Citation Text: Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…

Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. | PSNet

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July 23, 2008 - Review Classic Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. Citation Text: Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in Hospit…

Teaching quality improvement and patient safety to trainees: a systematic review. | PSNet

psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review

June 09, 2015 - Review Classic Teaching quality improvement and patient safety to trainees: a systematic review. Citation Text: Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…

Study of a multisite prospective adverse event surveillance system. | PSNet

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October 16, 2019 - Study Study of a multisite prospective adverse event surveillance system. Citation Text: Forster AJ, Huang A, Lee TC, et al. Study of a multisite prospective adverse event surveillance system. BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2018-008664. Copy Citation Format: DO…

Validating administrative data for the detection of adverse events in older hospitalized patients. | PSNet

psnet.ahrq.gov/issue/validating-administrative-data-detection-adverse-events-older-hospitalized-patients

March 13, 2015 - Study Validating administrative data for the detection of adverse events in older hospitalized patients. Citation Text: Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in older hospitalized patients. Drug Healthc Patient Saf. 201…

Missed, rationed or unfinished nursing care: a scoping review of patient outcomes. | PSNet

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May 29, 2024 - Review Missed, rationed or unfinished nursing care: a scoping review of patient outcomes. Citation Text: Kalánková D, Kirwan M, Bartoníčková D, et al. Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.1…

40 years behind the mask: safety revisited. | PSNet

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January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

Improving resident handoffs for children transitioning from the intensive care unit. | PSNet

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January 12, 2022 - Study Improving resident handoffs for children transitioning from the intensive care unit. Citation Text: Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…

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