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  1. SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet

    psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
    November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. Citation Text: De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…

  2. How accurately do older adult emergency department patients recall their medications? | PSNet

    psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their-medications
    September 02, 2020 - Study How accurately do older adult emergency department patients recall their medications? Citation Text: Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…

  3. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
    March 10, 2010 - Study Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. Citation Text: Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…

  4. The attributes of medical event reporting systems. | PSNet

    psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
    February 14, 2024 - Study Classic The attributes of medical event reporting systems. Citation Text: Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…

  5. Fast tracking in cardiac surgery: is it safe? | PSNet

    psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe
    October 05, 2022 - Study Fast tracking in cardiac surgery: is it safe? Citation Text: MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  6. Determinants of patient–oncologist prognostic discordance in advanced cancer. | PSNet

    psnet.ahrq.gov/issue/determinants-patient-oncologist-prognostic-discordance-advanced-cancer
    July 13, 2022 - Study Determinants of patient–oncologist prognostic discordance in advanced cancer. Citation Text: Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861. Cop…

  7. Using safety culture results to guide the merger of four general practices in the UK. | PSNet

    psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
    February 01, 2023 - Study Using safety culture results to guide the merger of four general practices in the UK. Citation Text: Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-…

  8. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. | PSNet

    psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
    June 29, 2022 - Study Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. Citation Text: Falcone ML, Tokac U, Fish AF, et al. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory fac…

  9. 40 years behind the mask: safety revisited. | PSNet

    psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
    January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

  10. Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
    July 31, 2013 - Study Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. Citation Text: Kim J-sung, Bae H-J, Sohn CH, et al. Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. Crit Care. 2020;24(1):305.…

  11. Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. | PSNet

    psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
    September 01, 2021 - Study Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. Citation Text: Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associ…

  12. Implementing online medication reconciliation at a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
    January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

  13. Medication errors in the homes of children with chronic conditions. | PSNet

    psnet.ahrq.gov/issue/medication-errors-homes-children-chronic-conditions
    April 27, 2010 - Study Medication errors in the homes of children with chronic conditions. Citation Text: Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479. Copy Citation Format: …

  14. Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet

    psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study
    August 18, 2021 - Study Developing a hospital-wide quality and safety dashboard: a qualitative research study. Citation Text: Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. do…

  15. The development and psychometric evaluation of a safety climate measure for primary care. | PSNet

    psnet.ahrq.gov/issue/development-and-psychometric-evaluation-safety-climate-measure-primary-care
    February 29, 2012 - Study The development and psychometric evaluation of a safety climate measure for primary care. Citation Text: de Wet C, Spence W, Mash R, et al. The development and psychometric evaluation of a safety climate measure for primary care. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.03…

  16. Closing the loop: a process evaluation of inpatient care team communication. | PSNet

    psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
    March 09, 2019 - Study Closing the loop: a process evaluation of inpatient care team communication. Citation Text: Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580. Copy Cita…

  17. Patient perspectives on adverse event investigations in health care. | PSNet

    psnet.ahrq.gov/issue/patient-perspectives-adverse-event-investigations-health-care
    December 18, 2024 - Study Patient perspectives on adverse event investigations in health care. Citation Text: Dijkstra-Eijkemans RI, Knap LJ, Elbers NA, et al. Patient perspectives on adverse event investigations in health care. BMC Health Serv Res. 2024;24(1):1044. doi:10.1186/s12913-024-11522-x. Copy Ci…

  18. Body mass index category and adverse events in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
    August 03, 2022 - Study Body mass index category and adverse events in hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. Copy Citation …

  19. Effect of a comprehensive surgical safety system on patient outcomes. | PSNet

    psnet.ahrq.gov/issue/effect-comprehensive-surgical-safety-system-patient-outcomes
    May 17, 2012 - Study Classic Effect of a comprehensive surgical safety system on patient outcomes. Citation Text: de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/…

  20. Frequency and clinical importance of pages sent to the wrong physician. | PSNet

    psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
    October 31, 2011 - Study Frequency and clinical importance of pages sent to the wrong physician. Citation Text: Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117. Copy Citation…
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