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System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. | PSNet

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August 25, 2021 - Study Emerging Classic System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. Citation Text: Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraope…

Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. | PSNet

psnet.ahrq.gov/issue/consumers-perspectives-their-involvement-recognizing-and-responding-patient-deterioration

February 28, 2024 - Study Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. Citation Text: King L, Peacock G, Crotty M, et al. Consumers' perspectives on their involvement in recognizing and responding to patient de…

The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. | PSNet

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August 03, 2017 - Study The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Citation Text: Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. do…

Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. | PSNet

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August 25, 2011 - Study Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Citation Text: Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…

The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. | PSNet

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November 21, 2021 - Study The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. Citation Text: Ross P, Hodgson CL, Ilic D, et al. The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. Contemp Nurse. 2023;59(1):3-15. do…

Safety of overlapping surgery at a high-volume referral center. | PSNet

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January 11, 2017 - Study Classic Safety of overlapping surgery at a high-volume referral center. Citation Text: Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. …

An electronic trigger to detect telemedicine-related diagnostic errors. | PSNet

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June 21, 2023 - Study An electronic trigger to detect telemedicine-related diagnostic errors. Citation Text: Murphy DR, Kadiyala H, Wei L, et al. An electronic trigger to detect telemedicine-related diagnostic errors. J Telemed Telecare. 2024;Epub Apr 1. doi:10.1177/1357633x241236570. Copy Citation …

Universal protection: operationalizing infection prevention guidance in the COVID-19 era. | PSNet

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August 18, 2021 - Study Universal protection: operationalizing infection prevention guidance in the COVID-19 era. Citation Text: Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. …

Perspectives about racism and patient-clinician communication among black adults with serious illness. | PSNet

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September 13, 2023 - Study Perspectives about racism and patient-clinician communication among black adults with serious illness. Citation Text: Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication among black adults with serious illness. JAMA Netw Open. 2023…

Association of opioid prescribing with opioid consumption after surgery in Michigan. | PSNet

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December 02, 2020 - Study Classic Association of opioid prescribing with opioid consumption after surgery in Michigan. Citation Text: Howard R, Fry B, Gunaseelan V, et al. Association of Opioid Prescribing With Opioid Consumption After Surgery in Michigan. JAMA Surg. 2019;154(1):e1…

Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet

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August 21, 2019 - Study Evaluating an evidence-based bundle for preventing surgical site infection. Citation Text: Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.20…

Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. | PSNet

psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing

December 21, 2014 - Study Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. Citation Text: Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…

Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. | PSNet

psnet.ahrq.gov/issue/low-perfusion-and-missed-diagnosis-hypoxemia-pulse-oximetry-darkly-pigmented-skin-prospective

March 14, 2022 - Study Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. Citation Text: Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective s…

Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. | PSNet

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November 28, 2018 - Study Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Citation Text: Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…

The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. | PSNet

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April 03, 2013 - Study The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. Citation Text: Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the operating room t…

Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. | PSNet

psnet.ahrq.gov/issue/use-situ-simulation-investigate-latent-safety-threats-prior-opening-new-emergency-department

January 20, 2021 - Study Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Citation Text: Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-…

Identifying what is known about improving operating room to intensive care handovers: a scoping review. | PSNet

psnet.ahrq.gov/issue/identifying-what-known-about-improving-operating-room-intensive-care-handovers-scoping-review

September 23, 2020 - Review Identifying what is known about improving operating room to intensive care handovers: a scoping review. Citation Text: Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…

Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. | PSNet

psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians

September 23, 2020 - Study Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. Citation Text: Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of p…

ESPEN guideline on hospital nutrition. | PSNet

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February 17, 2015 - Organizational Policy/Guidelines ESPEN guideline on hospital nutrition. Citation Text: Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039. Copy Citation Format: DOI Google Schola…

Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. | PSNet

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August 18, 2021 - Study Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. Citation Text: Brunt BA, Gifford L. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timel…

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