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Using a medical emergency team to manage anaphylactic shock. | PSNet

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June 26, 2024 - Commentary Using a medical emergency team to manage anaphylactic shock. Citation Text: Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3. Copy Citation Format: Google Scholar PubMed …

Considering human factors and developing systems-thinking behaviours to ensure patient safety. | PSNet

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March 01, 2023 - Newspaper/Magazine Article Considering human factors and developing systems-thinking behaviours to ensure patient safety. Citation Text: Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted

May 08, 2017 - Study The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. Citation Text: Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…

Interprofessional education in team communication: working together to improve patient safety. | PSNet

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April 24, 2018 - Study Interprofessional education in team communication: working together to improve patient safety. Citation Text: Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…

Critical events in the lives of interns. | PSNet

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November 16, 2022 - Study Critical events in the lives of interns. Citation Text: Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. | PSNet

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July 10, 2017 - Study Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. Citation Text: Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption …

Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. | PSNet

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November 24, 2010 - Study Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. Citation Text: Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. …

Project BOOST implementation: lessons learned. | PSNet

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August 21, 2013 - Study Project BOOST implementation: lessons learned. Citation Text: Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Diagnostic errors related to acute abdominal pain in the emergency department. | PSNet

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December 16, 2020 - Study Diagnostic errors related to acute abdominal pain in the emergency department. Citation Text: Medford-Davis L, Park E, Shlamovitz G, et al. Diagnostic errors related to acute abdominal pain in the emergency department. Emerg Med J. 2016;33(4):253-9. doi:10.1136/emermed-2015-204754.…

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. | PSNet

psnet.ahrq.gov/issue/acceptance-recommendations-inpatient-pharmacy-case-managers-unintended-consequences

November 16, 2022 - Study Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. Citation Text: Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…

Residents' duty hours—toward an empirical narrative. | PSNet

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March 28, 2018 - Commentary Residents' duty hours—toward an empirical narrative. Citation Text: Rosenbaum L, Lamas D. Residents' duty hours--toward an empirical narrative. N Engl J Med. 2012;367(21):2044-9. doi:10.1056/NEJMsr1210160. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. | PSNet

psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation

July 13, 2010 - Commentary Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. Citation Text: DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform…

Effect of clinical pharmacists on care in the emergency department: a systematic review. | PSNet

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January 16, 2008 - Review Classic Effect of clinical pharmacists on care in the emergency department: a systematic review. Citation Text: Cohen V, Jellinek SP, Hatch A, et al. Effect of clinical pharmacists on care in the emergency department: a systematic review. Am J Health Sy…

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center. | PSNet

psnet.ahrq.gov/issue/impact-pharmacist-medication-reconciliation-patient-admission-veterans-affairs-medical-center

July 22, 2020 - Study Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center. Citation Text: Strunk LB, Matson AW, Steinke DT. Impact of a Pharmacist on Medication Reconciliation on Patient Admission to a Veterans Affairs Medical Center. Hosp Pharm.…

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet

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June 01, 2019 - Study An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. Citation Text: Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…

A Tale of Two Stories: Contrasting Views of Patient Safety. | PSNet

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March 27, 2005 - Book/Report Classic A Tale of Two Stories: Contrasting Views of Patient Safety. Citation Text: A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997. Copy Citation …

Use of a novel, modified fishbone diagram to analyze diagnostic errors. | PSNet

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February 13, 2019 - Commentary Use of a novel, modified fishbone diagram to analyze diagnostic errors. Citation Text: Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040. Copy Citation…

Validation of a mobile app for reducing errors of administration of medications in an emergency. | PSNet

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September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…

Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. | PSNet

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December 07, 2022 - Study Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. Citation Text: Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…

"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. | PSNet

psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox

September 23, 2020 - Commentary "Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. Citation Text: Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…

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