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Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. | PSNet

psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors

July 19, 2023 - Study Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. Citation Text: Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …

Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. | PSNet

psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate

December 21, 2014 - Study Classic Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. Citation Text: Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determin…

Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet

psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human

October 21, 2020 - Study Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. Citation Text: Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…

Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation | PSNet

psnet.ahrq.gov/issue/pharmacist-led-video-stimulated-feedback-reduce-prescribing-errors-doctors-training-mixed

August 10, 2022 - Journal Article Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation Citation Text: Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A…

Teaching hospital five-year mortality trends in the wake of duty hour reforms. | PSNet

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November 26, 2014 - Study Teaching hospital five-year mortality trends in the wake of duty hour reforms. Citation Text: Volpp KG, Small DS, Romano PS, et al. Teaching hospital five-year mortality trends in the wake of duty hour reforms. J Gen Intern Med. 2013;28(8):1048-55. doi:10.1007/s11606-013-2401-9. …

Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet

psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department

November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. | PSNet

psnet.ahrq.gov/issue/involving-patients-and-carers-patient-safety-primary-care-qualitative-study-co-designed

February 22, 2023 - Study Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. Citation Text: Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a qualitative study of a co‐designed patient …

Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. | PSNet

psnet.ahrq.gov/issue/allergy-safety-events-healthcare-development-and-application-classification-schema-based

December 09, 2020 - Study Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. Citation Text: Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application of a classification schema based on retro…

Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. | PSNet

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September 29, 2021 - Commentary Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. Citation Text: Hardie JA, Brennan PA. Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. Br J Oral Maxillofac Surg. …

Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. | PSNet

psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated

April 23, 2014 - Review Classic Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Citation Text: Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infe…

Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. | PSNet

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February 28, 2024 - Review Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Citation Text: Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency departme…

The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet

psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk

October 18, 2023 - Study The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. Citation Text: Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computeri…

Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study. | PSNet

psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and-requirements

February 28, 2024 - Study Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study. Citation Text: Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to…

Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. | PSNet

psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board

March 27, 2019 - Study Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. Citation Text: Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient…

Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. | PSNet

psnet.ahrq.gov/issue/wrong-site-surgery-pennsylvania-during-2015-2019-study-variables-associated-368-events-178

October 09, 2024 - Study Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. Citation Text: Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. …

The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample

November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

Patients' perceptions of safety in emergency medical services: an interview study. | PSNet

psnet.ahrq.gov/issue/patients-perceptions-safety-emergency-medical-services-interview-study

July 29, 2020 - Study Patients' perceptions of safety in emergency medical services: an interview study. Citation Text: Venesoja A, Castrén M, Tella S, et al. Patients’ perceptions of safety in emergency medical services: an interview study. BMJ Open. 2020;10(10):e037488. doi:10.1136/bmjopen-2020-037488…

Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. | PSNet

psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self

May 12, 2021 - Study Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. Citation Text: Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…

Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. | PSNet

psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care

February 28, 2024 - Study Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Citation Text: Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…

Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. | PSNet

psnet.ahrq.gov/issue/perceptions-hospital-electronic-health-record-ehr-training-support-and-patient-safety-staff

October 03, 2018 - Study Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. Citation Text: Campione JR, Liu H. Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. B…

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