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Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. | PSNet

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June 27, 2012 - Study Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. Citation Text: Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9)…

Improving safety for hospitalized patients: much progress but many challenges remain. | PSNet

psnet.ahrq.gov/issue/improving-safety-hospitalized-patients-much-progress-many-challenges-remain

September 24, 2017 - Commentary Improving safety for hospitalized patients: much progress but many challenges remain. Citation Text: Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887. Copy…

The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. | PSNet

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May 20, 2020 - Study The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. Citation Text: Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;9…

Vital signs: maternity care experiences — United States, April 2023. | PSNet

psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023

July 19, 2023 - Study Vital signs: maternity care experiences — United States, April 2023. Citation Text: Mohamoud YA, Cassidy E, Fuchs E, et al. Vital Signs: Maternity Care Experiences — United States, April 2023. MMWR Morb Mortal Wkly Rep. 2023;72(35):961–967. doi:10.15585/mmwr.mm7235e1. Copy Citati…

Moving beyond the weekend effect: how can we best target interventions to improve patient care? | PSNet

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September 09, 2015 - Commentary Moving beyond the weekend effect: how can we best target interventions to improve patient care? Citation Text: Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. …

How will we know patients are safer? An organization-wide approach to measuring and improving safety. | PSNet

psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety

May 20, 2009 - Study How will we know patients are safer? An organization-wide approach to measuring and improving safety. Citation Text: Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-wide approach to measuring and improving safety. Crit Care Med…

Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency rooms: a prospective observational study. | PSNet

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October 21, 2020 - Study Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency rooms: a prospective observational study. Citation Text: Hackenberg EAM, Sallinen V, Handolin L, et al. Victims of severe intimate partner violence are left without advocacy…

Predictors of likelihood of speaking up about safety concerns in labour and delivery. | PSNet

psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-delivery

October 19, 2022 - Study Predictors of likelihood of speaking up about safety concerns in labour and delivery. Citation Text: Lyndon A, Sexton B, Simpson KR, et al. Correction. BMJ Qual Saf. 2011;22(2):791-799. doi:10.1136/bmjqs.2010.050211. Copy Citation Format: DOI Google Scholar BibTeX E…

Intervention to reduce transmission of resistant bacteria in intensive care. | PSNet

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February 29, 2012 - Study Classic Intervention to reduce transmission of resistant bacteria in intensive care. Citation Text: Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med. 2011;364(15):1407-18…

Clinical practice guideline: safe medication use in the ICU. | PSNet

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February 19, 2014 - Review Clinical practice guideline: safe medication use in the ICU. Citation Text: Kane-Gill SL, Dasta JF, Buckley MS, et al. Clinical Practice Guideline: Safe Medication Use in the ICU. Crit Care Med. 2017;45(9):e877-e915. doi:10.1097/CCM.0000000000002533. Copy Citation Format: …

Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. | PSNet

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November 20, 2024 - Study Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. Citation Text: Jallow F, Stehling E, Sajwani-Merchant Z, et al. Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. J Patient Sa…

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet

psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery

March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Citation Text: Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…

Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/compliance-and-barriers-implementing-surgical-safety-checklist-mixed-methods-study

October 06, 2021 - Study Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. Citation Text: Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:…

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study

July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…

Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. | PSNet

psnet.ahrq.gov/issue/checklists-reduce-diagnostic-error-systematic-review-literature-using-human-factors-framework

February 22, 2023 - Review Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. Citation Text: Al-Khafaji J, Townshend RF, Townsend W, et al. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.…

Potential biases in machine learning algorithms using electronic health record data. | PSNet

psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data

June 12, 2019 - Commentary Classic Potential biases in machine learning algorithms using electronic health record data. Citation Text: Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …

Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. | PSNet

psnet.ahrq.gov/issue/implementation-world-health-organization-trauma-care-checklist-program-11-centers-across

November 16, 2022 - Study Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. Citation Text: Lashoher A, Schneider EB, Juillard C, et al. Implementation of the World Health Organization Trauma Care Chec…

Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. | PSNet

psnet.ahrq.gov/issue/breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and

May 18, 2022 - Study Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. Citation Text: Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.…

Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. | PSNet

psnet.ahrq.gov/issue/healthcare-associated-infections-adult-intensive-care-units-multisource-study-examining

June 28, 2023 - Study Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. Citation Text: Alanazi FK, Lapkin S, Molloy L, et al. Healthcare-associated infections in adult intensive care u…

We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. | PSNet

psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address

October 17, 2018 - Study We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. Citation Text: Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…

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