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A novel approach to increase residents' involvement in reporting adverse events. | PSNet

psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events

September 23, 2020 - Study A novel approach to increase residents' involvement in reporting adverse events. Citation Text: Scott DR, Weimer M, English C, et al. A novel approach to increase residents' involvement in reporting adverse events. Acad Med. 2011;86(6):742-746. doi:10.1097/ACM.0b013e318217e12a. C…

The nature of the response to airway management incident reports in high income countries: a scoping review. | PSNet

psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review

December 15, 2014 - Review The nature of the response to airway management incident reports in high income countries: a scoping review. Citation Text: Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive…

Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet

psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health

March 10, 2010 - Study Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. Citation Text: Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…

Electronic handoff instruments: a truly multidisciplinary tool? | PSNet

psnet.ahrq.gov/issue/electronic-handoff-instruments-truly-multidisciplinary-tool

September 26, 2012 - Study Electronic handoff instruments: a truly multidisciplinary tool? Citation Text: Schuster KM, Jenq GY, Thung SF, et al. Electronic handoff instruments: a truly multidisciplinary tool? J Am Med Inform Assoc. 2014;21(e2):e352-e357. doi:10.1136/amiajnl-2013-002361. Copy Citation F…

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. | PSNet

psnet.ahrq.gov/issue/impact-reduction-working-hours-doctors-training-postgraduate-medical-education-and-patients

November 10, 2010 - Review Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. Citation Text: Moonesinghe SR, Lowery J, Shahi N, et al. Impact of reduction in working hours for doctors in training on postgraduate medical…

A 38-year-old woman with fetal loss and hysterectomy. | PSNet

psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy

January 12, 2011 - Commentary Classic A 38-year-old woman with fetal loss and hysterectomy. Citation Text: Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. Copy Citation Format: DOI Google Schola…

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

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September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

Technological distractions—part 1 and part 2. | PSNet

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April 24, 2018 - Review Technological distractions—part 1 and part 2. Citation Text: Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …

Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. | PSNet

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September 23, 2020 - Study Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. Citation Text: Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…

Human factors and ergonomics as a patient safety practice. | PSNet

psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice

March 25, 2015 - Review Human factors and ergonomics as a patient safety practice. Citation Text: Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812. Copy Citation Format: DOI Google Schol…

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable

March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. | PSNet

psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic

June 11, 2008 - Study Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. Citation Text: Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in old…

Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study

November 21, 2021 - Study Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Citation Text: Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. …

Effect of admission medication reconciliation on adverse drug events from admission medication changes. | PSNet

psnet.ahrq.gov/issue/effect-admission-medication-reconciliation-adverse-drug-events-admission-medication-changes

April 12, 2019 - Study Effect of admission medication reconciliation on adverse drug events from admission medication changes. Citation Text: Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events from admission medication changes. Arch Intern Med. 201…

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. | PSNet

psnet.ahrq.gov/issue/effectiveness-pharmacist-nurse-intervention-resolving-medication-discrepancies-patients

December 03, 2014 - Study Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. Citation Text: Setter SM, Corbett CF, Neumiller JJ, et al. Effectiveness of a pharmacist-nurse intervention on resolving medication…

Fast tracking in cardiac surgery: is it safe? | PSNet

psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe

October 05, 2022 - Study Fast tracking in cardiac surgery: is it safe? Citation Text: MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation

March 06, 2019 - Review Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test …

Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. | PSNet

psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study

August 04, 2021 - Study Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Citation Text: Charpiat B, Goutelle S, Schoeffler M, et al. Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Acta Anaes…

Patient safety and satisfaction with fully remote management of radiation oncology care. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care

October 19, 2022 - Study Patient safety and satisfaction with fully remote management of radiation oncology care. Citation Text: Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…

A patient safety approach to setting pass/fail standards for basic procedural skills checklists. | PSNet

psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists

July 28, 2010 - Commentary A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Citation Text: Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…

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