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An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. | PSNet

psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major

August 11, 2010 - Study An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Citation Text: Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…

Impact of an electronic health record transition on chemotherapy error reporting | PSNet

psnet.ahrq.gov/issue/impact-electronic-health-record-transition-chemotherapy-error-reporting

June 17, 2020 - Study Impact of an electronic health record transition on chemotherapy error reporting Citation Text: Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/10781552198…

Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. | PSNet

psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements

September 29, 2017 - Study Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Citation Text: Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …

Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet

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September 23, 2020 - Study Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. Citation Text: Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm.…

Optimizing the patient handoff between EMS and the emergency department. | PSNet

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April 24, 2018 - Study Optimizing the patient handoff between EMS and the emergency department. Citation Text: Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1. doi:10.1016/j.annemer…

Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study. | PSNet

psnet.ahrq.gov/issue/development-and-early-experience-intervention-facilitate-teamwork-between-general-practices

June 29, 2011 - Study Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study. Citation Text: Harris MF, Chan BC, Daniel C, et al. Development and early experience from an intervention to facilitate teamwor…

Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. | PSNet

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January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. Citation Text: Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …

Advances in Patient Safety and Medical Liability. | PSNet

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May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical Liability. Citation Text: Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…

FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet

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October 19, 2022 - Press Release/Announcement FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. Citation Text: FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet

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December 22, 2018 - Study Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Citation Text: Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review

October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. | PSNet

psnet.ahrq.gov/issue/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer

June 21, 2016 - Study Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. Citation Text: Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010. C…

Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice

August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

High reliability pediatric heart centers: always working toward getting better. | PSNet

psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better

September 18, 2024 - Commentary High reliability pediatric heart centers: always working toward getting better. Citation Text: Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. Copy C…

Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. | PSNet

psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary

September 23, 2020 - Study Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. Citation Text: Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care…

Systematic review of patient safety interventions in dentistry. | PSNet

psnet.ahrq.gov/issue/systematic-review-patient-safety-interventions-dentistry

April 25, 2018 - Review Systematic review of patient safety interventions in dentistry. Citation Text: Bailey E, Tickle M, Campbell S, et al. Systematic review of patient safety interventions in dentistry. BMC Oral Health. 2015;15:152. doi:10.1186/s12903-015-0136-1. Copy Citation Format: DO…

Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? | PSNet

psnet.ahrq.gov/issue/post-traumatic-stress-disorder-amongst-surgical-trainees-unrecognised-risk

August 04, 2021 - Study Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? Citation Text: Thompson C, Naumann DN, Fellows JL, et al. Post-traumatic stress disorder amongst surgical trainees: An unrecognised risk? Surgeon. 2017;15(3):123-130. doi:10.1016/j.surge.2015.09.002. …

Professionalism: a necessary ingredient in a culture of safety. | PSNet

psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety

November 01, 2011 - Study Professionalism: a necessary ingredient in a culture of safety. Citation Text: Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-55. Copy Citation Format: Google Scholar …

Designing safety interventions for specific contexts: results from a literature review. | PSNet

psnet.ahrq.gov/issue/designing-safety-interventions-specific-contexts-results-literature-review

June 22, 2022 - Review Designing safety interventions for specific contexts: results from a literature review. Citation Text: Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.20…

Physician burnout and medical errors: exploring the relationship, cost, and solutions received. | PSNet

psnet.ahrq.gov/issue/physician-burnout-and-medical-errors-exploring-relationship-cost-and-solutions-received

April 12, 2023 - Review Physician burnout and medical errors: exploring the relationship, cost, and solutions received. Citation Text: Li CJ, Shah YB, Harness ED, et al. Physician burnout and medical errors: exploring the relationship, cost, and solutions received. Am J Med Qual. 2023;38(4):196-202. doi:…

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