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6361. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
      February 22, 2019 - Study Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis Citation Text: Dinnen T, Williams H, Yardley S, et al. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Support Palliat Care. 2019. do…

6362. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. | PSNet
      psnet.ahrq.gov/issue/covid-19-crisis-safe-reopening-simulation-centres-and-new-normal-food-thought
      September 30, 2020 - Commentary COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Citation Text: Ingrassia PL, Capogna G, Diaz-Navarro C, et al. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Adv Simul (Lond). 2020;5:13. d…

6363. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  | PSNet
      psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
      July 15, 2020 - Study The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  Citation Text: Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…

6364. Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. | PSNet
      psnet.ahrq.gov/issue/speaking-about-care-concerns-icu-patient-and-family-experiences-attitudes-and-perceived
      August 09, 2018 - Study Emerging Classic Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers. Citation Text: Bell SK, Roche S, Mueller A, et al. Speaking up about care concerns in the ICU: patient and family experiences, at…

6365. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. | PSNet
      psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
      April 12, 2023 - Study Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. Citation Text: McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…

6366. Observing sources of system resilience using in situ alarm simulations. | PSNet
      psnet.ahrq.gov/issue/observing-sources-system-resilience-using-situ-alarm-simulations
      August 30, 2023 - Study Observing sources of system resilience using in situ alarm simulations. Citation Text: McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. Copy Citation Form…

6367. Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. | PSNet
      psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
      September 29, 2021 - Review Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. Citation Text: Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…

6368. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. | PSNet
      psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis
      May 17, 2017 - Study Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. Citation Text: Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101…

6369. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. | PSNet
      psnet.ahrq.gov/issue/measuring-impact-ai-diagnosis-hospitalized-patients-randomized-clinical-vignette-survey-study
      December 20, 2020 - Study Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. Citation Text: Jabbour S, Fouhey D, Shepard S, et al. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study…

6370. Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet
      psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
      June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

6371. Medication-related problems in critical care survivors: a systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
      August 20, 2018 - Review Medication-related problems in critical care survivors: a systematic review. Citation Text: Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …

6372. Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet
      psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
      May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…

6373. Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
      June 15, 2022 - Review Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. Citation Text: Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …

6374. Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. | PSNet
      psnet.ahrq.gov/issue/just-what-doctor-ordered-review-evidence-impact-computerized-physician-order-entry-system
      June 15, 2016 - Review Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. Citation Text: Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of computerized physician o…

6375. Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. | PSNet
      psnet.ahrq.gov/issue/medicare-letters-curb-overprescribing-controlled-substances-had-no-detectable-effect
      May 25, 2016 - Study Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. Citation Text: Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled Substances Had No Detectable Effect On Providers. Health Aff (Mil…

6376. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/clinical-diagnoses-vs-autopsy-findings-early-deceased-septic-patients-intensive-care
      September 22, 2021 - Study Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. Citation Text: Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive c…

6377. Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. | PSNet
      psnet.ahrq.gov/issue/incivility-and-patient-safety-longitudinal-study-rudeness-protocol-compliance-and-adverse
      June 21, 2016 - Study Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. Citation Text: Riskin A, Bamberger P, Erez A, et al. Incivility and Patient Safety: A Longitudinal Study of Rudeness, Protocol Compliance, and Adverse Events. Jt Comm J Qual Pa…

6378. Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet
      psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic
      May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

6379. Central venous catheter guidewire retention: lessons from England's never event database. | PSNet
      psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
      September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

6380. Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. | PSNet
      psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
      September 22, 2021 - Study Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…