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  1. Root cause analysis of ambulatory adverse drug events that present to the emergency department. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
    April 25, 2016 - Study Root cause analysis of ambulatory adverse drug events that present to the emergency department. Citation Text: Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.10…

  2. Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. | PSNet

    psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
    October 12, 2016 - Book/Report Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. Citation Text: Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Poo…

  3. Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
    November 16, 2022 - Study Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. Citation Text: Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…

  4. Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

    psnet.ahrq.gov/issue/reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
    August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

  5. Engaging the patient and family in the surgical safety process utilizing SafeStart. | PSNet

    psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
    October 19, 2022 - Study Engaging the patient and family in the surgical safety process utilizing SafeStart. Citation Text: Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012. …

  6. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. | PSNet

    psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative
    February 03, 2011 - Study Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Citation Text: Parnes B, Fernald D, Quintela J, et al. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Qual Saf Health Care. 2007;16(1):12-6. Copy Citation …

  7. Market-based control mechanisms for patient safety. | PSNet

    psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
    June 30, 2010 - Commentary Market-based control mechanisms for patient safety. Citation Text: Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care. 2009;18(2):99-103. doi:10.1136/qshc.2007.025833. Copy Citation Format: DOI Google Scholar PubMe…

  8. Emotional exhaustion and workload predict clinician-rated and objective patient safety. | PSNet

    psnet.ahrq.gov/issue/emotional-exhaustion-and-workload-predict-clinician-rated-and-objective-patient-safety
    February 14, 2017 - Study Emotional exhaustion and workload predict clinician-rated and objective patient safety. Citation Text: Welp A, Meier LL, Manser T. Emotional exhaustion and workload predict clinician-rated and objective patient safety. Front Psychol. 2014;5:1573. doi:10.3389/fpsyg.2014.01573. Cop…

  9. Summary of USPSTF Draft Recommendation: Behavioral Counseling Interventions to Support Breastfeeding (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/QH2JxjAo7FmcfCBy8c_65Y
    November 18, 2024 - Summary of USPSTF Draft Recommendation: Behavioral Counseling Interventions to Support Breastfeeding 1 The Task Force is an independent, volunteer panel of national experts in prevention and evidence-based medicine that works to improve the health of people nationwide by m…

  10. Diagnostic error in a national incident reporting system in the UK. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
    February 15, 2013 - Study Diagnostic error in a national incident reporting system in the UK. Citation Text: Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x. Copy Citati…

  11. Every patient should be enabled to stop the line. | PSNet

    psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line
    September 30, 2020 - Commentary Every patient should be enabled to stop the line. Citation Text: Bell SK, Martinez W. Every patient should be enabled to stop the line. BMJ Qual Saf. 2019;28(3):172-176. doi:10.1136/bmjqs-2018-008714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  12. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet

    psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
    February 04, 2015 - Study Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. Citation Text: Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. BMC Health Serv R…

  13. Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet

    psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
    February 15, 2023 - Study Supporting recovery after adverse events: an essential component of surgeon well-being. Citation Text: Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…

  14. Patient safety and job-related stress: a focus group study. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study
    December 05, 2012 - Study Patient safety and job-related stress: a focus group study. Citation Text: Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001. Copy Citation Format: …

  15. Identification of warning signs during selection of surgical trainees. | PSNet

    psnet.ahrq.gov/issue/identification-warning-signs-during-selection-surgical-trainees
    March 17, 2021 - Study Identification of warning signs during selection of surgical trainees. Citation Text: Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002. Copy Ci…

  16. Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. | PSNet

    psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
    April 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. Citation Text: Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Contr…

  17. When the 5 rights go wrong: medication errors from the nursing perspective. | PSNet

    psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
    June 27, 2018 - Study When the 5 rights go wrong: medication errors from the nursing perspective. Citation Text: Jones JH, Treiber LA. When the 5 rights go wrong: medication errors from the nursing perspective. J Nurs Care Qual. 2010;25(3):240-247. doi:10.1097/NCQ.0b013e3181d5b948. Copy Citation …

  18. Impact of miscommunication in medical dispute cases in Japan. | PSNet

    psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
    September 25, 2019 - Study Impact of miscommunication in medical dispute cases in Japan. Citation Text: Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028. Copy Citation Format: DOI G…

  19. Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. | PSNet

    psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-technical-skills-competency-compliance
    November 16, 2022 - Study Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. Citation Text: Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical Skills Competency Compliance: Urologic Surgical Sk…

  20. Older veterans and emergency department discharge information. | PSNet

    psnet.ahrq.gov/issue/older-veterans-and-emergency-department-discharge-information
    March 02, 2011 - Study Older veterans and emergency department discharge information. Citation Text: Hastings S, Stechuchak K, Oddone E, et al. Older veterans and emergency department discharge information. BMJ Qual Saf. 2012;21(10):835-42. Copy Citation Format: Google Scholar PubMed BibT…
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