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Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions. | PSNet

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February 07, 2018 - Press Release/Announcement Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions. Citation Text: Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precaut…

Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. | PSNet

psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience

February 15, 2023 - Commentary Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Citation Text: Pan D, Rajwani K. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Simul Healthc. 2020;16(1):46-51. doi:10.1097…

Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. | PSNet

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September 23, 2020 - Study Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. Citation Text: Patel R, Chesney E, Cullen AE, et al. Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. Br J Psychiatry. 2016;209(1):29-34. doi:10.1192…

Accuracy of laboratory data communication on ICU daily rounds using an electronic health record. | PSNet

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July 27, 2016 - Study Accuracy of laboratory data communication on ICU daily rounds using an electronic health record. Citation Text: Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:…

Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. | PSNet

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August 11, 2021 - Study Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. Citation Text: Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesth…

Using the rapid response system to provide better oversight of patient care processes. | PSNet

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January 07, 2015 - Commentary Using the rapid response system to provide better oversight of patient care processes. Citation Text: Moore MS, Howard SK, Lighthall GK. Using the rapid response system to provide better oversight of patient care processes. Jt Comm J Qual Patient Saf. 2007;33(11):695-8, 645. …

Medication reconciliation improvement utilizing process redesign and clinical decision support. | PSNet

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November 16, 2022 - Study Medication reconciliation improvement utilizing process redesign and clinical decision support. Citation Text: Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …

Debunking the myth that the majority of medical errors are attributed to communication. | PSNet

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February 14, 2024 - Journal Article Debunking the myth that the majority of medical errors are attributed to communication. Citation Text: Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. Copy C…

The landscape of inappropriate laboratory testing: a 15-year meta-analysis. | PSNet

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February 12, 2020 - Study The landscape of inappropriate laboratory testing: a 15-year meta-analysis. Citation Text: Zhi M, Ding EL, Theisen-Toupal J, et al. The landscape of inappropriate laboratory testing: a 15-year meta-analysis. PLoS One. 2013;8(11):e78962. doi:10.1371/journal.pone.0078962. Copy Cit…

Improving the quality of drug error reporting. | PSNet

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December 21, 2016 - Study Improving the quality of drug error reporting. Citation Text: Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x. Copy Citation Format: DOI Google Scholar PubMed …

Contingency planning for electronic health record–based care continuity: a survey of recommended practices. | PSNet

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November 11, 2020 - Study Contingency planning for electronic health record–based care continuity: a survey of recommended practices. Citation Text: Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2…

The global burden of unsafe medical care: analytic modelling of observational studies. | PSNet

psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies

September 29, 2017 - Study Classic The global burden of unsafe medical care: analytic modelling of observational studies. Citation Text: Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf.…

How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? | PSNet

psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and

May 08, 2019 - Study How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? Citation Text: Chu D, Xiao J, Shah P, et al. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?…

The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. | PSNet

psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site

November 16, 2022 - Study The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. Citation Text: Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal surge…

Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. | PSNet

psnet.ahrq.gov/issue/effects-enhanced-discharge-planning-intervention-hospitalized-older-adults-randomized-trial

September 21, 2016 - Study Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Citation Text: Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist.…

Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. | PSNet

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June 01, 2022 - Study Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. Citation Text: De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.02575…

A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. | PSNet

psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system

December 20, 2023 - Study A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. Citation Text: Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…

Drug-related morbidity and mortality and the economic impact of pharmaceutical care. | PSNet

psnet.ahrq.gov/issue/drug-related-morbidity-and-mortality-and-economic-impact-pharmaceutical-care

December 23, 2008 - Study Drug-related morbidity and mortality and the economic impact of pharmaceutical care. Citation Text: Johnson JA, Bootman JL. Drug-related morbidity and mortality and the economic impact of pharmaceutical care. Am J Health Syst Pharm. 1997;54(5):554-8. Copy Citation Format: …

Leveraging patient safety research: efforts made fifteen years since To Err Is Human. | PSNet

psnet.ahrq.gov/issue/leveraging-patient-safety-research-efforts-made-fifteen-years-err-human

March 24, 2019 - Study Leveraging patient safety research: efforts made fifteen years since To Err Is Human. Citation Text: Liang C, Miao Q, Kang H, et al. Leveraging Patient Safety Research: Efforts Made Fifteen Years Since To Err Is Human. Stud Health Technol Inform. 2019;264:983-987. doi:10.3233/SHTI1…

Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. | PSNet

psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative

June 14, 2023 - Study Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. Citation Text: Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med.…

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