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The occurrence of potential patient safety events among trauma patients: are they random? | PSNet

psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random

July 19, 2018 - Study The occurrence of potential patient safety events among trauma patients: are they random? Citation Text: Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…

Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. | PSNet

psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors

May 16, 2012 - Study Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. Citation Text: Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …

Distraction and interruption in anaesthetic practice. | PSNet

psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice

May 18, 2022 - Study Distraction and interruption in anaesthetic practice. Citation Text: Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219. Copy Citation Format: DOI Google Scholar PubMed BibTe…

What near misses tell us about risk and safety in mental health care. | PSNet

psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care

October 19, 2022 - Study What near misses tell us about risk and safety in mental health care. Citation Text: Jeffs L, Rose D, Macrae C, et al. What near misses tell us about risk and safety in mental health care. J Psychiatr Ment Health Nurs. 2012;19(5):430-7. doi:10.1111/j.1365-2850.2011.01812.x. Cop…

Factors affecting medical residents' decisions to work after call. | PSNet

psnet.ahrq.gov/issue/factors-affecting-medical-residents-decisions-work-after-call

October 19, 2022 - Study Factors affecting medical residents' decisions to work after call. Citation Text: Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175. Copy Citation Format…

We are going to name names and call you out! Improving the team in the academic operating room environment. | PSNet

psnet.ahrq.gov/issue/we-are-going-name-names-and-call-you-out-improving-team-academic-operating-room-environment

September 23, 2020 - Study We are going to name names and call you out! Improving the team in the academic operating room environment. Citation Text: Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in the Academic Operating Room Environment. Ann Plast Surg. 2017;…

The high cost of low-frequency events: the anatomy and economics of surgical mishaps. | PSNet

psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps

October 19, 2022 - Study Classic The high cost of low-frequency events: the anatomy and economics of surgical mishaps. Citation Text: Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;3…

Systematic review of malpractice litigation in the diagnosis and treatment of acute stroke | PSNet

psnet.ahrq.gov/issue/systematic-review-malpractice-litigation-diagnosis-and-treatment-acute-stroke

October 19, 2022 - Journal Article Systematic review of malpractice litigation in the diagnosis and treatment of acute stroke Citation Text: Haslett JJ, Genadry L, Zhang X, et al. Systematic Review of Malpractice Litigation in the Diagnosis and Treatment of Acute Stroke. Stroke. 2019;50(10):2858-2864. doi:…

Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. | PSNet

psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-technical-skills-competency-compliance

November 16, 2022 - Study Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. Citation Text: Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical Skills Competency Compliance: Urologic Surgical Sk…

Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. | PSNet

psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views-automatic-drug

September 14, 2016 - Commentary Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. Citation Text: Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dis…

Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. | PSNet

psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety

November 16, 2022 - Study Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Citation Text: Murji A, Luketic L, Sobel ML, et al. Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Surg Endosc. 2…

Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. | PSNet

psnet.ahrq.gov/issue/physicians-beliefs-about-using-emr-and-cpoe-pursuit-contextualized-understanding-health-it

May 16, 2012 - Study Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Citation Text: Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Int J Med Inform. …

Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. | PSNet

psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan

October 29, 2008 - Study Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. Citation Text: Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan te…

The error of omission: a simple checklist approach for improving operating room safety. | PSNet

psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety

August 03, 2022 - Commentary The error of omission: a simple checklist approach for improving operating room safety. Citation Text: Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0…

Failure mode and effects analysis outputs: are they valid? | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid

November 25, 2009 - Study Failure mode and effects analysis outputs: are they valid? Citation Text: Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150. Copy Citation Format: DOI Google Scho…

AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. | PSNet

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November 12, 2008 - Press Release/Announcement AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Citation Text: AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Agency for Healt…

Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet

psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident

November 15, 2023 - Study Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. Citation Text: Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…

Morbidity and mortality conference in emergency medicine residencies and the culture of safety. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety

November 16, 2022 - Study Morbidity and mortality conference in emergency medicine residencies and the culture of safety. Citation Text: Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7…

Adverse drug events in ambulatory care. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care

February 24, 2011 - Study Classic Adverse drug events in ambulatory care. Citation Text: Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. | PSNet

psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality

July 26, 2023 - Commentary Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. Citation Text: Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for implementing machine learning solutions …

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