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  1. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
    February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

  2. The impact of the 80-hour work week on appropriate resident case coverage. | PSNet

    psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
    June 18, 2008 - Study The impact of the 80-hour work week on appropriate resident case coverage. Citation Text: Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003. Copy …

  3. Outpatient adverse drug events identified by screening electronic health records. | PSNet

    psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
    June 08, 2016 - Study Outpatient adverse drug events identified by screening electronic health records. Citation Text: Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…

  4. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. | PSNet

    psnet.ahrq.gov/issue/identifying-barriers-effective-use-clinical-reminders-bootstrapping-multiple-methods
    March 11, 2011 - Study Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. Citation Text: Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. J Biomed Inform. 2005;38(3):…

  5. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-prescribing-errors-among-multi-professional-prescribers-within-e
    December 02, 2020 - Study A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Citation Text: Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Int J Clin…

  6. Enhancing safe medication use in home care: insights from informal caregivers. | PSNet

    psnet.ahrq.gov/issue/enhancing-safe-medication-use-home-care-insights-informal-caregivers
    December 02, 2020 - Study Enhancing safe medication use in home care: insights from informal caregivers. Citation Text: Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.202…

  7. Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. | PSNet

    psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
    June 22, 2022 - Commentary Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. Citation Text: Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…

  8. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. | PSNet

    psnet.ahrq.gov/issue/lost-translation-silent-reporting-and-electronic-patient-records-nursing-handovers
    October 20, 2021 - Study Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Citation Text: Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:1…

  9. Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. | PSNet

    psnet.ahrq.gov/issue/identifying-and-analyzing-diagnostic-paths-new-approach-studying-diagnostic-practices
    July 17, 2019 - Commentary Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. Citation Text: Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.…

  10. An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting. | PSNet

    psnet.ahrq.gov/issue/interprofessional-qualitative-study-barriers-and-potential-solutions-safe-use-insulin
    November 07, 2018 - Study An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting. Citation Text: Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and potential solutions for the safe use …

  11. Detecting and assessing suicide ideation during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/improvement-brief-detecting-and-assessing-suicide-ideation-during-covid-19-pandemic
    October 13, 2021 - Study Detecting and assessing suicide ideation during the COVID-19 pandemic. Citation Text: Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2…

  12. Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. | PSNet

    psnet.ahrq.gov/issue/using-ecological-systems-theory-understand-blackwhite-disparities-maternal-morbidity-and
    February 08, 2023 - Study Emerging Classic Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. Citation Text: Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white …

  13. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-unacceptable-behaviour-between-healthcare-workers-clinical-performance-and-patient
    April 27, 2022 - Review Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. Citation Text: Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcom…

  14. "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. | PSNet

    psnet.ahrq.gov/issue/were-not-taken-seriously-describing-experiences-perceived-discrimination-medical-settings
    August 26, 2020 - Study "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. Citation Text: Washington A, Randall J. "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. …

  15. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? | PSNet

    psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
    March 02, 2022 - Study Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? Citation Text: van Dulmen SA, Tacken MAJB, Staal B, et al. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory coh…

  16. A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. | PSNet

    psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
    December 04, 2016 - Review A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. Citation Text: Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. Copy Cita…

  17. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
    June 29, 2009 - Study Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. Citation Text: Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…

  18. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. | PSNet

    psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large
    January 03, 2017 - Study Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional …

  19. Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012. | PSNet

    psnet.ahrq.gov/issue/adoption-electronic-health-records-grows-rapidly-fewer-half-us-hospitals-had-least-basic
    August 07, 2013 - Study Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012. Citation Text: DesRoches CM, Charles D, Furukawa MF, et al. Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had…

  20. Inappropriate diagnosis of pneumonia among hospitalized adults. | PSNet

    psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
    July 17, 2024 - Study Inappropriate diagnosis of pneumonia among hospitalized adults. Citation Text: Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077. Copy Citation Form…
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