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

psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery

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…

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

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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 …

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

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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…

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. | PSNet

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March 23, 2022 - Study The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. Citation Text: Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…

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

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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.…

Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. | PSNet

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March 21, 2012 - Study Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. Citation Text: Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-…

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.…

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

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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…

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 …

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

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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…

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet

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January 11, 2017 - Study Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. Citation Text: Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…

Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. | PSNet

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March 04, 2020 - Commentary Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Citation Text: Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…

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

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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…

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. | PSNet

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August 04, 2021 - Study Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. Citation Text: Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):…

Economic impact of medication error: a systematic review. | PSNet

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November 04, 2020 - Review Economic impact of medication error: a systematic review. Citation Text: Walsh EK, Hansen CR, Sahm LJ, et al. Economic impact of medication error: a systematic review. Pharmacoepidemiol Drug Saf. 2017;26(5):481-497. doi:10.1002/pds.4188. Copy Citation Format: DOI Goo…

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

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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…

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…

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…

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…

Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet

psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth

September 23, 2020 - Study Communication and birth experiences among Black birthing people who experienced preterm birth. Citation Text: Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…

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