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The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. | PSNet

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October 19, 2022 - Meeting/Conference Proceedings The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. Citation Text: Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Found…

Diagnosing crime and diagnosing disease—part 1 and part 2. | PSNet

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December 05, 2018 - Review Diagnosing crime and diagnosing disease—part 1 and part 2. Citation Text: Lockhart JJ, Satya-Murti S. Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the Forensic and Clinical Sciences. J Forensic Sci. 2017;62(6):1534-1541. doi:10.1111/1556-4029.13453. Copy…

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems

May 18, 2022 - Study Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Citation Text: Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…

Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. | PSNet

psnet.ahrq.gov/issue/beyond-service-quality-mediating-role-patient-safety-perceptions-patient-experience

January 14, 2011 - Study Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. Citation Text: Rathert C, May DR, Williams E. Beyond service quality: the mediating role of patient safety perceptions in the patient experience-satisfac…

SBAR: electronic handoff tool for noncomplicated procedural patients. | PSNet

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October 19, 2022 - Study SBAR: electronic handoff tool for noncomplicated procedural patients. Citation Text: Wentworth L, Diggins J, Bartel D, et al. SBAR: electronic handoff tool for noncomplicated procedural patients. J Nurs Care Qual. 2012;27(2):125-31. doi:10.1097/NCQ.0b013e31823cc9a0. Copy Citati…

1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). | PSNet

psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos

April 12, 2019 - Commentary 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). Citation Text: Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018…

Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. | PSNet

psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using-case-vignettes

August 20, 2018 - Study Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Citation Text: Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1…

What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? | PSNet

psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing

March 23, 2011 - Study What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Citation Text: Aranaz-Andrés JM, Limón R, Mira JJ, et al. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Int J Qu…

Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? | PSNet

psnet.ahrq.gov/issue/critical-incident-monitoring-paediatric-and-adult-critical-care-reporting-improved-patient

January 22, 2016 - Review Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? Citation Text: Frey B, Schwappach DLB. Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? Curr Opin Crit…

Increasing vigilance on the medical/surgical floor to improve patient safety. | PSNet

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January 18, 2011 - Study Increasing vigilance on the medical/surgical floor to improve patient safety. Citation Text: Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. Copy Citation …

Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. | PSNet

psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety

March 02, 2016 - Study Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Citation Text: Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Q…

Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. | PSNet

psnet.ahrq.gov/issue/characteristics-unsafe-undergraduate-nursing-students-clinical-practice-integrative

May 10, 2013 - Review Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. Citation Text: Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nur…

Optimizing transitions of care to reduce rehospitalizations. | PSNet

psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations

November 04, 2015 - Review Optimizing transitions of care to reduce rehospitalizations. Citation Text: Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. Copy Citation Format: DOI Google Schol…

Ward round template: enhancing patient safety on ward rounds. | PSNet

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April 19, 2023 - Commentary Ward round template: enhancing patient safety on ward rounds. Citation Text: Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds. BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170. Copy Citation Format: …

Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. | PSNet

psnet.ahrq.gov/issue/associations-patient-safety-outcomes-models-nursing-care-organization-unit-level-hospitals

August 20, 2014 - Study Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. Citation Text: Dubois C-A, D'Amour D, Tchouaket E, et al. Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. Int J …

Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. | PSNet

psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety

November 16, 2022 - Study Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. Citation Text: Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open repair using patient safety indicators …

Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. | PSNet

psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance

March 01, 2023 - Study Classic Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. Citation Text: Miller RR. Hospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug Surveill…

Shortage of perioperative drugs: implications for anesthesia practice and patient safety. | PSNet

psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety

April 11, 2018 - Commentary Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Citation Text: De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…

Communication about harm reduction with patients who have opioid use disorder. | PSNet

psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder

January 02, 2017 - Commentary Communication about harm reduction with patients who have opioid use disorder. Citation Text: Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307. Copy Citation Form…

Surgical safety checklist: implementation in an ambulatory surgical facility. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-implementation-ambulatory-surgical-facility

September 23, 2020 - Study Surgical safety checklist: implementation in an ambulatory surgical facility. Citation Text: Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8. C…

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