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  1. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. | PSNet

    psnet.ahrq.gov/issue/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and
    June 13, 2011 - Study A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. Citation Text: Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…

  2. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. | PSNet

    psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using-case-vignettes
    August 20, 2018 - Study Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Citation Text: Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1…

  3. A health system–wide initiative to decrease opioid-related morbidity and mortality. | PSNet

    psnet.ahrq.gov/issue/health-system-wide-initiative-decrease-opioid-related-morbidity-and-mortality
    November 16, 2022 - Commentary Emerging Classic A health system–wide initiative to decrease opioid-related morbidity and mortality. Citation Text: Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qu…

  4. Educational strategy to reduce medication errors in a neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
    November 03, 2008 - Study Educational strategy to reduce medication errors in a neonatal intensive care unit. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Educational strategy to reduce medication errors in a neonatal intensive care unit. Acta Paediatr. 2009;98(5):782-5. doi:10.1…

  5. Frontiers in measuring structural racism and its health effects. | PSNet

    psnet.ahrq.gov/issue/frontiers-measuring-structural-racism-and-its-health-effects
    April 06, 2022 - Commentary Frontiers in measuring structural racism and its health effects. Citation Text: Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978. Copy Citation Format: DOI Google…

  6. Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet

    psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
    May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm. Citation Text: Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. Copy Citation …

  7. A public health approach to patient safety reporting systems is urgently needed. | PSNet

    psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed
    January 14, 2014 - Review A public health approach to patient safety reporting systems is urgently needed. Citation Text: Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. …

  8. Anatomy of a patient safety event: a pediatric patient safety taxonomy. | PSNet

    psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient-safety-taxonomy
    May 18, 2022 - Study Anatomy of a patient safety event: a pediatric patient safety taxonomy. Citation Text: Woods DM, Johnson JK, Holl JL, et al. Anatomy of a patient safety event: a pediatric patient safety taxonomy. Qual Saf Health Care. 2005;14(6):422-7. Copy Citation Format: Google …

  9. Improving patient safety: effects of a safety program on performance and culture in a department of radiology. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-effects-safety-program-performance-and-culture-department-radiology
    May 12, 2010 - Study Improving patient safety: effects of a safety program on performance and culture in a department of radiology. Citation Text: Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiolo…

  10. Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

    psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
    July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

  11. Implementing a standardized safe surgery program reduces serious reportable events. | PSNet

    psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable-events
    October 30, 2024 - Study Implementing a standardized safe surgery program reduces serious reportable events. Citation Text: Loftus T, Dahl D, OHare B, et al. Implementing a standardized safe surgery program reduces serious reportable events. J Am Coll Surg. 2015;220(1):12-17.e3. doi:10.1016/j.jamcollsurg.2…

  12. Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

    psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
    January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

  13. Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. | PSNet

    psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
    September 26, 2012 - Study Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. Citation Text: Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…

  14. Blurring the boundaries: scenario-based simulation in a clinical setting.   | PSNet

    psnet.ahrq.gov/issue/blurring-boundaries-scenario-based-simulation-clinical-setting
    September 23, 2020 - Study Blurring the boundaries: scenario-based simulation in a clinical setting.   Citation Text: Kneebone RL, Kidd J, Nestel D, et al. Blurring the boundaries: scenario-based simulation in a clinical setting. Med Educ. 2005;39(6). doi:10.1111/j.1365-2929.2005.02110.x. Copy Citation …

  15. Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. | PSNet

    psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
    March 18, 2020 - Study Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. Citation Text: Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…

  16. Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. | PSNet

    psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
    August 18, 2010 - Study Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Citation Text: Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…

  17. Evaluation of an anonymous system to report medical errors in pediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/evaluation-anonymous-system-report-medical-errors-pediatric-inpatients
    April 30, 2014 - Study Evaluation of an anonymous system to report medical errors in pediatric inpatients. Citation Text: Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33. Copy Citation Forma…

  18. Radiology research in quality and safety: current trends and future needs. | PSNet

    psnet.ahrq.gov/issue/radiology-research-quality-and-safety-current-trends-and-future-needs
    November 16, 2022 - Review Radiology research in quality and safety: current trends and future needs. Citation Text: Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021. Copy …

  19. Elucidating reasons for resident underutilization of electronic adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
    November 21, 2021 - Study Elucidating reasons for resident underutilization of electronic adverse event reporting. Citation Text: Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615…

  20. Do no harm: is it time to rethink the Hippocratic Oath? | PSNet

    psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath
    May 04, 2022 - Commentary Do no harm: is it time to rethink the Hippocratic Oath? Citation Text: Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
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