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Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet

psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and

May 04, 2022 - Study Collaborative case review: a systems-based approach to patient safety event investigation and analysis. Citation Text: Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…

Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet

psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy

September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet

psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers

June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? | PSNet

psnet.ahrq.gov/issue/simulation-based-teamwork-training-emergency-department-staff-does-it-improve-clinical-team

December 22, 2009 - Study Classic Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Citation Text: Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork t…

Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. | PSNet

psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult

July 29, 2020 - Review Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. Citation Text: McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-catheter-associated-urinary-tract-infection-cauti-prevention

February 07, 2022 - Review Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Citation Text: Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic revie…

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during

November 16, 2022 - Commentary Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. Citation Text: Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…

Prescribers' responses to alerts during medication ordering in the long term care setting. | PSNet

psnet.ahrq.gov/issue/prescribers-responses-alerts-during-medication-ordering-long-term-care-setting

February 26, 2009 - Study Prescribers' responses to alerts during medication ordering in the long term care setting. Citation Text: Judge J, Field T, DeFlorio M, et al. Prescribers' responses to alerts during medication ordering in the long term care setting. J Am Med Inform Assoc. 2006;13(4):385-90. Co…

Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care. | PSNet

psnet.ahrq.gov/issue/clinical-application-computerized-system-physician-order-entry-clinical-decision-support

February 26, 2009 - Study Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care. Citation Text: Rochon P, Field T, Bates DW, et al. Clinical application of a computerized system for physician order entry with…

A long-term follow-up evaluation of electronic health record prescribing safety. | PSNet

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November 26, 2014 - Study A long-term follow-up evaluation of electronic health record prescribing safety. Citation Text: Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl…

The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. | PSNet

psnet.ahrq.gov/issue/efficacy-mindful-practice-improving-diagnosis-healthcare-systematic-review-and-evidence

May 05, 2021 - Review The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. Citation Text: Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synth…

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured

September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. Citation Text: Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. | PSNet

psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative

January 10, 2018 - Study Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Citation Text: Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. | PSNet

psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality

July 14, 2009 - Study Classic Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. Citation Text: Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet

psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness

May 26, 2021 - Study Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. Citation Text: Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…

Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet

psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive

November 10, 2021 - Study Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. Citation Text: Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient safety incidents: a descriptive…

Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. | PSNet

psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments

September 02, 2015 - Review Emerging Classic Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. Citation Text: Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…

Support from hospital to home for elders: a randomized trial. | PSNet

psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial

November 30, 2016 - Study Support from hospital to home for elders: a randomized trial. Citation Text: Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094. Copy Citation Format: DOI Google…

Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. | PSNet

psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse

December 29, 2014 - Study Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. Citation Text: Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real ti…

Repeat prescribing of medications: a system-centred risk management model for primary care organisations. | PSNet

psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care

January 20, 2016 - Study Repeat prescribing of medications: a system-centred risk management model for primary care organisations. Citation Text: Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …

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