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4461. Association between operative autonomy of surgical residents and patient outcomes. | PSNet
      psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes
      September 09, 2020 - Study Association between operative autonomy of surgical residents and patient outcomes. Citation Text: Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.64…

4462. Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. | PSNet
      psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
      October 22, 2014 - Study Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. Citation Text: Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Pro…

4463. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. | PSNet
      psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
      January 20, 2021 - Study Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Citation Text: Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…

4464. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. | PSNet
      psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers
      April 18, 2011 - Study Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. Citation Text: Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery r…

4465. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. | PSNet
      psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices
      June 14, 2017 - Study He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Citation Text: Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identifica…

4466. Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
      August 17, 2018 - Study Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. Citation Text: Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…

4467. We will not compete on safety: how children's hospitals have come together to hasten harm reduction. | PSNet
      psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction
      August 10, 2022 - Study We will not compete on safety: how children's hospitals have come together to hasten harm reduction. Citation Text: Lyren A, Coffey M, Shepherd M, et al. We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction. Jt Comm J Qual Patient Saf.…

4468. The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. | PSNet
      psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results
      November 23, 2016 - Study Classic The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. Citation Text: Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life comm…

4469. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
      psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
      May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

4470. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. | PSNet
      psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
      February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…

4471. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. | PSNet
      psnet.ahrq.gov/issue/what-attributes-patients-affect-their-involvement-safety-key-opinion-leaders-perspective
      June 02, 2010 - Study What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. Citation Text: Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104.…

4472. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. | PSNet
      psnet.ahrq.gov/issue/identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-pharmacist
      July 15, 2010 - Study Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. Citation Text: Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospital…

4473. Feasibility of prospective error reporting in home palliative care: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
      November 11, 2020 - Study Feasibility of prospective error reporting in home palliative care: a mixed methods study. Citation Text: Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692…

4474. Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. | PSNet
      psnet.ahrq.gov/issue/neurobehavioral-performance-residents-after-heavy-night-call-vs-after-alcohol-ingestion
      June 22, 2022 - Study Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. Citation Text: Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.10…

4475. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. | PSNet
      psnet.ahrq.gov/issue/racial-and-ethnic-discrepancy-pulse-oximetry-and-delayed-identification-treatment-eligibility
      June 22, 2022 - Study Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. Citation Text: Fawzy A, Wu TD, Wang K, et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among …

4476. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. | PSNet
      psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospitals-impact-teamwork
      October 22, 2014 - Study Uncomfortable prescribing decisions in hospitals: the impact of teamwork. Citation Text: Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150. Copy Citation Format: …

4477. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet
      psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
      May 05, 2021 - Study Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Citation Text: Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…

4478. Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. | PSNet
      psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure
      September 16, 2020 - Commentary Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. Citation Text: Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…

4479. ED overcrowding is associated with an increased frequency of medication errors. | PSNet
      psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
      August 20, 2018 - Study ED overcrowding is associated with an increased frequency of medication errors. Citation Text: Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …

4480. Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
      March 18, 2020 - Review Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. Citation Text: Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…