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6641. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. | PSNet
      psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists
      July 28, 2010 - Commentary A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Citation Text: Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…

6642. A survey of hospital quality improvement activities. | PSNet
      psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
      January 27, 2019 - Study A survey of hospital quality improvement activities. Citation Text: Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. Copy Citation Format: DOI Google Sch…

6643. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. | PSNet
      psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
      August 17, 2022 - Study Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. Citation Text: Ivanovic V, Broadhead K, Beck R, et al. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medic…

6644. Toward improving patient safety through voluntary peer-to-peer assessment. | PSNet
      psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
      August 25, 2015 - Commentary Toward improving patient safety through voluntary peer-to-peer assessment. Citation Text: Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …

6645. Healthcare professionals' views on feedback of a patient safety culture assessment. | PSNet
      psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
      October 25, 2023 - Study Healthcare professionals' views on feedback of a patient safety culture assessment. Citation Text: Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1…

6646. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. | PSNet
      psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy
      December 02, 2015 - Study Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Citation Text: Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth. 2013;110(3):463-7…

6647. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. | PSNet
      psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational
      November 17, 2014 - Study Information transfer in multidisciplinary operating room teams: a simulation-based observational study. Citation Text: Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Qual Saf. 2017;26(3):209-…

6648. A new, evidence-based estimate of patient harms associated with hospital care. | PSNet
      psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
      October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

6649. Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. | PSNet
      psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
      August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…

6650. Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery | PSNet
      psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
      January 23, 2017 - Commentary Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery Citation Text: Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…

6651. Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation
      March 06, 2019 - Review Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test …

6652. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet
      psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
      March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

6653. Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. | PSNet
      psnet.ahrq.gov/issue/exploring-impact-consultants-experience-hospital-mortality-day-week-retrospective-analysis
      August 04, 2015 - Study Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. Citation Text: Ruiz M, Bottle A, Aylin PP. Exploring the impact of consultants’ experience on hospital mortality by day of the week: a …

6654. Association between implementation of an intensivist-led medical emergency team and mortality. | PSNet
      psnet.ahrq.gov/issue/association-between-implementation-intensivist-led-medical-emergency-team-and-mortality
      July 13, 2010 - Study Association between implementation of an intensivist-led medical emergency team and mortality. Citation Text: Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152…

6655. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. | PSNet
      psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
      October 19, 2022 - Study Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. Citation Text: Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 cons…

6656. The impacts of medication shortages on patient outcomes: a scoping review. | PSNet
      psnet.ahrq.gov/issue/impacts-medication-shortages-patient-outcomes-scoping-review
      March 10, 2021 - Review Emerging Classic The impacts of medication shortages on patient outcomes: a scoping review. Citation Text: Phuong JM, Penm J, Chaar B, et al. The impacts of medication shortages on patient outcomes: A scoping review. PLoS One. 2019;14(5):e0215837. doi:10.…

6657. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. | PSNet
      psnet.ahrq.gov/issue/role-assistant-nurse-implementing-who-surgical-safety-checklist-perception-and-perspectives
      January 17, 2024 - Study The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Citation Text: Ališić E, Krupić M, Alić J, et al. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Cureus. 20…

6658. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet
      psnet.ahrq.gov/issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
      March 14, 2018 - Study Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. Citation Text: Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely …

6659. Human error and the problem of causality in analysis of accidents. | PSNet
      psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
      August 25, 2021 - Commentary Classic Human error and the problem of causality in analysis of accidents. Citation Text: Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462. Copy Citation …

6660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49630/psn-pdf
      July 01, 2011 - doctor at the time of discharge, or immediately faxed a discharge summary or letter to convey the last measured … Effect of a simple two-step warfarin dosing algorithm on anticoagulant control as measured by time in