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Errors in medication history at hospital admission: prevalence and predicting factors. | PSNet

psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors

October 14, 2020 - Study Errors in medication history at hospital admission: prevalence and predicting factors. Citation Text: Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…

Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. | PSNet

psnet.ahrq.gov/issue/learning-overcome-hierarchical-pressures-achieve-safer-patient-care-interprofessional

November 18, 2016 - Commentary Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. Citation Text: Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve …

Do house officers learn from their mistakes? | PSNet

psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes

April 19, 2011 - Study Classic Do house officers learn from their mistakes? Citation Text: Wu AW, Folkman S, McPhee SJ, et al. Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Should all duty hours be the same? Results of a national survey of surgical trainees. | PSNet

psnet.ahrq.gov/issue/should-all-duty-hours-be-same-results-national-survey-surgical-trainees

October 19, 2022 - Study Should all duty hours be the same? Results of a national survey of surgical trainees. Citation Text: Moalem J, Salzman P, Ruan DT, et al. Should All Duty Hours Be the Same? Results of a National Survey of Surgical Trainees. J Am Coll Surg. 2009;209(1). doi:10.1016/j.jamcollsurg.2…

What do patients and relatives know about problems and failures in care? | PSNet

psnet.ahrq.gov/issue/what-do-patients-and-relatives-know-about-problems-and-failures-care

November 28, 2016 - Study What do patients and relatives know about problems and failures in care? Citation Text: Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100. Copy Citation …

Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. | PSNet

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January 27, 2021 - Study Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. Citation Text: Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…

Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. | PSNet

psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage

September 23, 2020 - Study Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. Citation Text: Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…

Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment

August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. | PSNet

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May 19, 2021 - Study Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. Citation Text: Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…

Biased language in simulated handoffs and clinician recall and attitudes. | PSNet

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June 29, 2022 - Study Biased language in simulated handoffs and clinician recall and attitudes. Citation Text: Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. …

Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos

November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Citation Text: Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. C…

Emergency physician perceptions of electronic health record usability and safety. | PSNet

psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety

August 24, 2022 - Study Emergency physician perceptions of electronic health record usability and safety. Citation Text: Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…

Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. | PSNet

psnet.ahrq.gov/issue/analysis-medication-therapy-discontinuation-orders-new-electronic-prescriptions-and

July 23, 2018 - Study Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. Citation Text: Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and op…

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. | PSNet

psnet.ahrq.gov/issue/comparison-and-interpretation-urinalysis-performed-nephrologist-versus-hospital-based

March 14, 2016 - Study Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. Citation Text: Tsai JJ, Yeun JY, Kumar VA, et al. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laborato…

Development and evaluation of the Institute for Healthcare Improvement global trigger tool. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool

February 10, 2015 - Commentary Development and evaluation of the Institute for Healthcare Improvement global trigger tool. Citation Text: Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.10…

Assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using

October 09, 2013 - Study Assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool. Citation Text: Schildmeijer K, Nilsson L, Årestedt K, et al. Assessment of adverse events in medical care: lack of consistency between experienced teams usin…

Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. | PSNet

psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus

March 24, 2012 - Study Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. Citation Text: Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for r…

Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet

psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement

January 18, 2013 - Review Emerging Classic Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. Citation Text: Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and im…

Cognitive biases encountered by physicians in the emergency room. | PSNet

psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room

June 19, 2024 - Study Cognitive biases encountered by physicians in the emergency room. Citation Text: Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3. Copy Citation Format: DOI …

The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. | PSNet

psnet.ahrq.gov/issue/lawrence-d-dorr-surgical-techniques-technologies-award-running-two-rooms-does-not-compromise

July 29, 2020 - Study The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. Citation Text: Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Ro…

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