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  1. Causes of adverse events in home mechanical ventilation: a nursing perspective. | PSNet

    psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
    November 10, 2021 - Study Causes of adverse events in home mechanical ventilation: a nursing perspective. Citation Text: Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. Copy…

  2. Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
    August 11, 2010 - Review Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. Citation Text: Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory moni…

  3. "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet

    psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
    January 22, 2016 - Study "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. Citation Text: Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…

  4. Who applies an intervention to influence cultural attributes in a quality improvement collaborative? | PSNet

    psnet.ahrq.gov/issue/who-applies-intervention-influence-cultural-attributes-quality-improvement-collaborative
    January 22, 2016 - Study Who applies an intervention to influence cultural attributes in a quality improvement collaborative? Citation Text: Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative? J Patient Saf. 2020;16(1):1-6. Copy Cit…

  5. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. | PSNet

    psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records-patient-safety
    October 30, 2013 - Study IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. Citation Text: Caron A, Chazard E, Muller J, et al. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. J Am Med Infor…

  6. The critical incident technique. | PSNet

    psnet.ahrq.gov/issue/critical-incident-technique
    January 07, 2015 - Study Classic The critical incident technique. Citation Text: FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  7. Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
    October 16, 2019 - Study Day of discharge does not impact hospital readmission after major cardiac surgery. Citation Text: Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.201…

  8. Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. | PSNet

    psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary
    November 16, 2022 - Study Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. Citation Text: Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff commu…

  9. Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

    psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
    October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…

  10. Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/post-discharge-adverse-events-among-urban-and-rural-patients-urban-community-hospital
    September 07, 2022 - Study Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. Citation Text: Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospe…

  11. Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/development-and-interrater-agreement-novel-classification-system-combining-medical-and
    September 20, 2011 - Study Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. Citation Text: Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adve…

  12. Consumer rankings and health care: toward validation and transparency. | PSNet

    psnet.ahrq.gov/issue/consumer-rankings-and-health-care-toward-validation-and-transparency
    July 06, 2022 - Study Consumer rankings and health care: toward validation and transparency. Citation Text: Hota B, Webb TA, Stein BD, et al. Consumer Rankings and Health Care: Toward Validation and Transparency. Jt Comm J Qual Patient Saf. 2016;42(10):439-446. Copy Citation Format: Google…

  13. The impact of video games on training surgeons in the 21st century.   | PSNet

    psnet.ahrq.gov/issue/impact-video-games-training-surgeons-21st-century
    October 19, 2022 - Study The impact of video games on training surgeons in the 21st century.   Citation Text: Rosser JC, Lynch PJ, Cuddihy L, et al. The impact of video games on training surgeons in the 21st century. Arch Surg. 2007;142(2):181-6; discusssion 186. Copy Citation Format: Googl…

  14. Preoperative site marking: are we adhering to good surgical practice? | PSNet

    psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
    August 02, 2017 - Study Preoperative site marking: are we adhering to good surgical practice? Citation Text: Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. Copy Citation Format: DOI Google Scholar BibT…

  15. Resident participation does not affect surgical outcomes, despite introduction of new techniques. | PSNet

    psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques
    September 23, 2020 - Study Resident participation does not affect surgical outcomes, despite introduction of new techniques. Citation Text: Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…

  16. Medicines management support to older people: understanding the context of systems failure. | PSNet

    psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure
    October 04, 2023 - Study Medicines management support to older people: understanding the context of systems failure. Citation Text: Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-00…

  17. Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

    psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
    July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

  18. Alternative medications for medications in the Use of High-Risk Medications in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality measures. | PSNet

    psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful
    April 27, 2011 - Review Alternative medications for medications in the Use of High-Risk Medications in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality measures. Citation Text: Hanlon JT, Semla TP, Schmader KE. Alternative Medications for Medications in the Use of High…

  19. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. | PSNet

    psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
    March 09, 2022 - Study Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. Citation Text: Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeo…

  20. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. | PSNet

    psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
    May 29, 2019 - Study Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. Citation Text: Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …
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