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Electronic alerts to prevent venous thromboembolism among hospitalized patients. | PSNet

psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients

October 19, 2022 - Study Classic Electronic alerts to prevent venous thromboembolism among hospitalized patients. Citation Text: Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. …

Safety incident reports associated with blood transfusions. | PSNet

psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions

July 13, 2010 - Study Safety incident reports associated with blood transfusions. Citation Text: Vossoughi S, Perez G, Whitaker BI, et al. Safety incident reports associated with blood transfusions. Transfusion (Paris). 2019;59(9):2827-2832. doi:10.1111/trf.15429. Copy Citation Format: DOI…

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. | PSNet

psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs

October 12, 2022 - Study Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. Citation Text: Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical…

A proposed approach to allegations of sexual boundary violation in health care. | PSNet

psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care

October 19, 2022 - Study A proposed approach to allegations of sexual boundary violation in health care. Citation Text: Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcj…

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet

psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient

January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. | PSNet

psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff

September 14, 2011 - Study Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. Citation Text: Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…

Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. | PSNet

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September 25, 2024 - Study Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Citation Text: Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet

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September 01, 2021 - Commentary Classic Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Citation Text: Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…

Impact of duty hours restrictions on quality of care and clinical outcomes. | PSNet

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May 25, 2010 - Study Impact of duty hours restrictions on quality of care and clinical outcomes. Citation Text: Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical outcomes. Am J Med. 2007;120(11):968-74. Copy Citation Format: Google S…

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet

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July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…

Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. | PSNet

psnet.ahrq.gov/issue/large-scale-deployment-global-trigger-tool-across-large-hospital-system-refinements

November 23, 2014 - Study Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. Citation Text: Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trig…

Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-complementary-interventions-redesign-care-teamwork-and-quality-hospitalized-medical

November 25, 2020 - Study Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. Citation Text: O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality …

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. …

Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. | PSNet

psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident

July 27, 2016 - Study Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. Citation Text: Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause analysis of a critical incident…

How providers can optimize effective and safe scribe use: a qualitative study. | PSNet

psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study

November 18, 2020 - Study How providers can optimize effective and safe scribe use: a qualitative study. Citation Text: Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. …

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…

The medical liability climate and prospects for reform. | PSNet

psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform

September 29, 2017 - Commentary The medical liability climate and prospects for reform. Citation Text: Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. Copy Citation Format: DOI Google Scholar Pub…

New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. | PSNet

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February 22, 2010 - Study New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Citation Text: Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordi…

Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. | PSNet

psnet.ahrq.gov/issue/perceptions-quality-and-safety-and-experience-adverse-events-27-european-union-healthcare

March 21, 2012 - Study Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. Citation Text: Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-…

Improving resident physician participation in reporting patient safety and quality concerns. | PSNet

psnet.ahrq.gov/issue/improving-resident-physician-participation-reporting-patient-safety-and-quality-concerns

May 18, 2022 - Study Improving resident physician participation in reporting patient safety and quality concerns. Citation Text: Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.…

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