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Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet

psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem

March 13, 2013 - Study Retained guidewires in the Veterans Health Administration: getting to the root of the problem. Citation Text: Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…

Improving the quality of drug error reporting. | PSNet

psnet.ahrq.gov/issue/improving-quality-drug-error-reporting

December 21, 2016 - Study Improving the quality of drug error reporting. Citation Text: Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x. Copy Citation Format: DOI Google Scholar PubMed …

How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet

psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals

October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

Crew resource management training in the intensive care unit. A multisite controlled before-after study. | PSNet

psnet.ahrq.gov/issue/crew-resource-management-training-intensive-care-unit-multisite-controlled-after-study

July 10, 2013 - Study Crew resource management training in the intensive care unit. A multisite controlled before-after study. Citation Text: Kemper PF, de Bruijne M, van Dyck C, et al. Crew resource management training in the intensive care unit. A multisite controlled before-after study. BMJ Qual Saf.…

A framework for engaging physicians in quality and safety. | PSNet

psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety

July 10, 2008 - Study Classic A framework for engaging physicians in quality and safety. Citation Text: Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167. Copy Citation …

Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. | PSNet

psnet.ahrq.gov/issue/evaluating-impact-auto-calculation-settings-opioid-prescribing-academic-medical-center

March 09, 2011 - Study Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. Citation Text: Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid Prescribing at an Academic Medical Center. Jt Comm J Qual…

More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? | PSNet

psnet.ahrq.gov/issue/more-holes-cheese-what-prevents-delivery-effective-high-quality-and-safe-healthcare-england

December 18, 2017 - Study More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? Citation Text: Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomic…

Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. | PSNet

psnet.ahrq.gov/issue/client-caregiver-and-provider-perspectives-safety-palliative-home-care-mixed-method-design

March 02, 2016 - Study Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Citation Text: Lang A, Toon L, Cohen SR, et al. Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Safety Health. 2015;1(1):3. …

Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial. | PSNet

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July 10, 2017 - Study Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial. Citation Text: Taylor-Phillips S, Jenkinson D, Stinton C, et al. Double Reading in Breast Cancer Screening: Cohort Evaluation in the CO-OPS Trial. Radiology. 2018;287(3):749-757. doi:10.1148/radiol.20…

Diagnostic accuracy of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/diagnostic-accuracy-artificial-intelligence-based-automated-diabetic-retinopathy-screening

September 28, 2022 - Review Diagnostic accuracy of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic review and meta-analysis. Citation Text: Joseph S, Selvaraj J, Mani I, et al. Diagnostic accuracy of artificial intelligence-based automated diabetic …

The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. | PSNet

psnet.ahrq.gov/issue/effects-patient-handoff-characteristics-subsequent-care-systematic-review-and-areas-future

January 19, 2011 - Review The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Citation Text: Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med.…

Double checking: a second look. | PSNet

psnet.ahrq.gov/issue/double-checking-second-look

August 28, 2017 - Study Double checking: a second look. Citation Text: Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review. | PSNet

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February 14, 2024 - Review Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review. Citation Text: Opondo D, Eslami S, Visscher S, et al. Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic r…

Measuring adverse events in hospitalized patients: an administrative method for measuring harm. | PSNet

psnet.ahrq.gov/issue/measuring-adverse-events-hospitalized-patients-administrative-method-measuring-harm

December 17, 2014 - Study Measuring adverse events in hospitalized patients: an administrative method for measuring harm. Citation Text: Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31. d…

Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. | PSNet

psnet.ahrq.gov/issue/analysis-consistency-emergency-department-physician-variation-propensity-admission-across

May 19, 2021 - Study Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. Citation Text: Khidir H, McWilliams JM, O’Malley AJ, et al. Analysis of consistency in emergency department physician variation in propensity for …

Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. | PSNet

psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary

January 23, 2013 - Study Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. Citation Text: Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a…

Radiology errors: are we learning from our mistakes? | PSNet

psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes

May 26, 2011 - Study Radiology errors: are we learning from our mistakes? Citation Text: Mankad K, Hoey ETD, Jones JB, et al. Radiology errors: are we learning from our mistakes? Clin Radiol. 2009;64(10):988-93. doi:10.1016/j.crad.2009.06.002. Copy Citation Format: DOI Google Scholar Pu…

Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. | PSNet

psnet.ahrq.gov/issue/development-and-reliability-explicit-professional-oral-communication-observation-tool

April 23, 2014 - Study Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. Citation Text: Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communi…

An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. | PSNet

psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-practices-after-crew

May 04, 2012 - Study An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. Citation Text: France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices a…

Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. | PSNet

psnet.ahrq.gov/issue/impact-introduction-electronic-prescribing-staff-perceptions-patient-safety-and

June 17, 2015 - Study Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. Citation Text: Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organization…

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