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  1. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. | PSNet

    psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
    March 02, 2011 - Study Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. Citation Text: Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…

  2. Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. | PSNet

    psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
    January 07, 2015 - Study Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. Citation Text: Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case dura…

  3. Training safer surgeons: how do patients view the role of simulation in orthopaedic training? | PSNet

    psnet.ahrq.gov/issue/training-safer-surgeons-how-do-patients-view-role-simulation-orthopaedic-training
    March 01, 2023 - Study Training safer surgeons: how do patients view the role of simulation in orthopaedic training? Citation Text: Akhtar K, Sugand K, Wijendra A, et al. Training safer surgeons: How do patients view the role of simulation in orthopaedic training? Patient Saf Surg. 2015;9:11. doi:10.1186…

  4. Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. | PSNet

    psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
    August 02, 2015 - Study Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. Citation Text: Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…

  5. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. | PSNet

    psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing-patient-safety
    October 19, 2022 - Study Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. Citation Text: Foster PN, Sidhu R, Gadhia DA, et al. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate me…

  6. Antibiotic timing and errors in diagnosing pneumonia. | PSNet

    psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia
    March 20, 2024 - Study Antibiotic timing and errors in diagnosing pneumonia. Citation Text: Welker JA, Huston M, McCue JD. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008;168(4):351-6. doi:10.1001/archinternmed.2007.84. Copy Citation Format: DOI Google Scholar …

  7. Why pediatricians fail to diagnose hypertension: a multicenter survey. | PSNet

    psnet.ahrq.gov/issue/why-pediatricians-fail-diagnose-hypertension-multicenter-survey
    August 26, 2020 - Study Why pediatricians fail to diagnose hypertension: a multicenter survey. Citation Text: Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066. Copy Cita…

  8. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/inter-and-intra-rater-reliability-classification-medication-related-events-paediatric
    August 20, 2018 - Study Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Citation Text: Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf …

  9. Risk factors in patient safety: minimally invasive surgery versus conventional surgery. | PSNet

    psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional-surgery
    August 10, 2016 - Study Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Citation Text: Rodrigues SP, Wever AM, Dankelman J, et al. Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Surg Endosc. 2012;26(2):350-6. doi:10.1007/s0…

  10. Duty-hours monitoring revisited: self-report may not be adequate. | PSNet

    psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-self-report-may-not-be-adequate
    April 24, 2018 - Study Duty-hours monitoring revisited: self-report may not be adequate. Citation Text: Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003. Copy Citation Format: …

  11. Building a community engagement approach for patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
    April 01, 2010 - Commentary Building a community engagement approach for patient safety improvement. Citation Text: Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. Copy Citation Format:…

  12. Detecting clinical medication errors with AI enabled wearable cameras. | PSNet

    psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras
    August 03, 2022 - Study Detecting clinical medication errors with AI enabled wearable cameras. Citation Text: Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. Copy Citation Format: …

  13. Intentionally harmful violations and patient safety: the example of Harold Shipman. | PSNet

    psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
    January 25, 2017 - Commentary Intentionally harmful violations and patient safety: the example of Harold Shipman. Citation Text: Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. Copy C…

  14. Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. | PSNet

    psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
    March 11, 2009 - Study Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. Citation Text: Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …

  15. Understanding the behaviour of newly qualified doctors in acute care contexts. | PSNet

    psnet.ahrq.gov/issue/understanding-behaviour-newly-qualified-doctors-acute-care-contexts
    July 02, 2014 - Study Understanding the behaviour of newly qualified doctors in acute care contexts. Citation Text: Tallentire VR, Smith SE, Skinner J, et al. Understanding the behaviour of newly qualified doctors in acute care contexts. Med Educ. 2011;45(10):995-1005. doi:10.1111/j.1365-2923.2011.040…

  16. Predictors of perceived discrimination in medical settings among Muslim women in the USA. | PSNet

    psnet.ahrq.gov/issue/predictors-perceived-discrimination-medical-settings-among-muslim-women-usa
    November 26, 2012 - Study Predictors of perceived discrimination in medical settings among Muslim women in the USA. Citation Text: Murrar S, Baqai B, Padela AI. Predictors of perceived discrimination in medical settings among Muslim women in the USA. J Racial Ethn Health Disparities. 2024;11(1):150-156. doi…

  17. Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. | PSNet

    psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
    October 19, 2022 - Study Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. Citation Text: Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…

  18. Problems with medical devices may be severely under-reported. | PSNet

    psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported
    November 16, 2022 - Study Problems with medical devices may be severely under-reported. Citation Text: Vicente KJ, Kern S. Problems with medical devices may be severely under-reported. Nurs Leadersh (Tor Ont). 2005;18(1):82-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  19. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
    February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

  20. Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. | PSNet

    psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
    December 15, 2021 - Study Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. Citation Text: Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoidi…
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