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Observing sources of system resilience using in situ alarm simulations. | PSNet

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August 30, 2023 - Study Observing sources of system resilience using in situ alarm simulations. Citation Text: McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. Copy Citation Form…

Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet

psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide

June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet

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May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…

Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis

May 17, 2017 - Study Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. Citation Text: Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101…

Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. | PSNet

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April 12, 2023 - Study Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. Citation Text: McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…

Medication-related problems in critical care survivors: a systematic review. | PSNet

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August 20, 2018 - Review Medication-related problems in critical care survivors: a systematic review. Citation Text: Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …

Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet

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June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. | PSNet

psnet.ahrq.gov/issue/measuring-impact-ai-diagnosis-hospitalized-patients-randomized-clinical-vignette-survey-study

December 20, 2020 - Study Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. Citation Text: Jabbour S, Fouhey D, Shepard S, et al. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study…

Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. | PSNet

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June 15, 2022 - Review Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. Citation Text: Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …

Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. | PSNet

psnet.ahrq.gov/issue/association-between-handover-anesthesiology-care-and-1-year-mortality-among-adults-undergoing

June 08, 2022 - Study Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. Citation Text: Sun LY, Jones PM, Wijeysundera DN, et al. Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surger…

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. | PSNet

psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission

October 19, 2022 - Study Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. Citation Text: Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. | PSNet

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January 17, 2024 - Review Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Prevalence, causes and severity of medication administration errors in the…

Free-text computerized provider order entry orders used as workaround for communicating medication information. | PSNet

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July 29, 2020 - Study Free-text computerized provider order entry orders used as workaround for communicating medication information. Citation Text: Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J…

Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice. | PSNet

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May 26, 2021 - Study Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice. Citation Text: Huang C, Barwise A, Soleimani J, et al. Bedside clinicians' perceptions on the contributing role of diagnos…

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet

psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting

March 24, 2021 - Study Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. Citation Text: Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…

Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? | PSNet

psnet.ahrq.gov/issue/do-telephone-call-interruptions-have-impact-radiology-resident-diagnostic-accuracy

July 19, 2023 - Study Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Citation Text: Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.a…

Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up. | PSNet

psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions-care-between-hospital

June 07, 2023 - Study Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up. Citation Text: Armor BL, Wight AJ, Carter SM. Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between H…

Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/burnout-and-secondary-traumatic-stress-health-system-pharmacists-during-covid-19-pandemic

April 06, 2022 - Study Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. Citation Text: Jones AM, Clark JS, Mohammad RA. Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. Am J Health Syst Pharm. 2021;78(9):818…

Outcomes of emergency department patients presenting with adverse drug events. | PSNet

psnet.ahrq.gov/issue/outcomes-emergency-department-patients-presenting-adverse-drug-events

April 22, 2011 - Study Outcomes of emergency department patients presenting with adverse drug events. Citation Text: Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.0…

What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. | PSNet

psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety

March 29, 2023 - Study What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. Citation Text: Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality Improvement and Patient S…

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