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  1. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? | PSNet

    psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
    July 02, 2008 - Study How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? Citation Text: Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…

  2. Activation of a medical emergency team using an electronic medical recording–based screening system. | PSNet

    psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system
    September 06, 2017 - Study Activation of a medical emergency team using an electronic medical recording–based screening system. Citation Text: Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. …

  3. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

    psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
    July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

  4. Factors influencing incident reporting in surgical care. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
    March 03, 2011 - Study Factors influencing incident reporting in surgical care. Citation Text: Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. Copy Citation Format: …

  5. Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-failures-children-and-young-adults-chronic-disease-during-intensive
    June 22, 2022 - Study Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Citation Text: DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…

  6. The Harvard Medical Practice Study trigger system performance in deceased patients. | PSNet

    psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
    March 02, 2022 - Study The Harvard Medical Practice Study trigger system performance in deceased patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…

  7. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/relationship-between-performance-measurement-and-accreditation-implications-quality-care-and
    March 13, 2013 - Study Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Citation Text: Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and pati…

  8. Estimating the hospital costs of inpatient harms. | PSNet

    psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
    February 07, 2024 - Study Estimating the hospital costs of inpatient harms. Citation Text: Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  9. Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
    June 28, 2011 - Review Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. Citation Text: Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…

  10. Crew resource management in the intensive care unit: a prospective 3-year cohort study. | PSNet

    psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-study
    August 10, 2022 - Study Crew resource management in the intensive care unit: a prospective 3-year cohort study. Citation Text: Haerkens MHTM, Kox M, Lemson J, et al. Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319-29. doi:10…

  11. Test-retest reliability of an experienced Global Trigger Tool review team. | PSNet

    psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team
    August 03, 2022 - Study Test-retest reliability of an experienced Global Trigger Tool review team. Citation Text: Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433. Copy …

  12. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
    April 12, 2011 - Study Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. Citation Text: Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related …

  13. Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. | PSNet

    psnet.ahrq.gov/issue/six-habits-enhance-met-performance-under-stress-discussion-paper-reviewing-team-mechanisms
    December 12, 2018 - Commentary Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. Citation Text: Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechan…

  14. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet

    psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
    January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

  15. Variability in the measurement of hospital-wide mortality rates. | PSNet

    psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates
    July 01, 2016 - Study Classic Variability in the measurement of hospital-wide mortality rates. Citation Text: Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. …

  16. Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet

    psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
    October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. Citation Text: Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…

  17. Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. | PSNet

    psnet.ahrq.gov/issue/workplace-training-senior-trainees-systematic-review-and-narrative-synthesis-current
    February 07, 2024 - Review Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. Citation Text: Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of curren…

  18. Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. | PSNet

    psnet.ahrq.gov/issue/medication-errors-antituberculosis-therapy-inpatient-academic-setting-forgotten-not-gone
    April 27, 2016 - Study Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. Citation Text: Jen SP, Zucker J, Buczynski P, et al. Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. J Clin Pharm Th…

  19. Differential perceptions of what constitutes a medical error associated with electronic medical records. | PSNet

    psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records
    August 09, 2023 - Commentary Differential perceptions of what constitutes a medical error associated with electronic medical records. Citation Text: Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error associated with electronic medical records. Stud Health …

  20. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet

    psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
    June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …
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