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4861. Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet
      psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
      November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

4862. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. | PSNet
      psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
      October 19, 2022 - Study Classic Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Citation Text: Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …

4863. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. | PSNet
      psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
      October 19, 2022 - Study Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. Citation Text: Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 cons…

4864. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. | PSNet
      psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
      April 15, 2014 - Study National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. Citation Text: Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency d…

4865. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. | PSNet
      psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
      April 11, 2011 - Study Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Citation Text: Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-13…

4866. Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. | PSNet
      psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
      August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…

4867. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet
      psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
      October 11, 2023 - Study Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Citation Text: Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…

4868. Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. | PSNet
      psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
      May 01, 2012 - Study Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. Citation Text: Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…

4869. Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/coe1304.html
      April 01, 2013 - Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications Search All Impact Case Studies April 2013 The Maryland Department of Health and Mental Hygiene used materials created by AHRQ's Effective Health Care Program to help set up a new program for appropriate use of antipsychotic medications…

4870. PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. | PSNet
      psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations
      October 29, 2017 - Commentary PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. Citation Text: Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…

4871. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. | PSNet
      psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
      February 17, 2016 - Study Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Citation Text: Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. d…

4872. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. | PSNet
      psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion
      September 23, 2020 - Study Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. Citation Text: Stainsby D, Jones H, Wells AW, et al. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards …

4873. Improving patient safety via automated laboratory-based adverse event grading. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
      October 19, 2022 - Study Improving patient safety via automated laboratory-based adverse event grading. Citation Text: Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…

4874. Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. | PSNet
      psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
      August 15, 2013 - Study Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. Citation Text: Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…

4875. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. | PSNet
      psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority
      June 01, 2016 - Commentary Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Citation Text: Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a prio…

4876. Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. | PSNet
      psnet.ahrq.gov/issue/developing-conceptual-framework-patient-safety-culture-emergency-department-review-literature
      March 02, 2011 - Review Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. Citation Text: Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…

4877. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. | PSNet
      psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review
      December 14, 2016 - Review Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Citation Text: Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2…

4878. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. | PSNet
      psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
      December 17, 2014 - Study Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. Citation Text: De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric an…

4879. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. | PSNet
      psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
      September 25, 2008 - Study Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Citation Text: Moore TJ, Furberg CD, Mattison DR, et al. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Pharmacoe…

4880. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. | PSNet
      psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical-outcomes-and-patient
      November 03, 2021 - Review Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. Citation Text: Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient saf…