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The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. | PSNet

psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies

April 09, 2013 - Study Classic The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. Citation Text: Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…

What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. | PSNet

psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and

February 07, 2024 - Study What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Citation Text: Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitativ…

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. | PSNet

psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency

May 04, 2017 - Study Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. Citation Text: Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department…

Bar-coding surgical sponges to improve safety: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial

March 02, 2011 - Study Classic Bar-coding surgical sponges to improve safety: a randomized controlled trial. Citation Text: Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive

December 09, 2020 - Study Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Citation Text: Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study. | PSNet

psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study

January 18, 2023 - Study Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study. Citation Text: McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study. Nurs Crit Care. 2…

Impact of a national QI programme on reducing electronic health record notifications to clinicians. | PSNet

psnet.ahrq.gov/issue/impact-national-qi-programme-reducing-electronic-health-record-notifications-clinicians

February 24, 2021 - Study Classic Impact of a national QI programme on reducing electronic health record notifications to clinicians. Citation Text: Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clin…

Cost implications of reduced work hours and workloads for resident physicians. | PSNet

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August 05, 2015 - Study Cost implications of reduced work hours and workloads for resident physicians. Citation Text: Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251…

What is the role of individual accountability in patient safety? A multi-site ethnographic study. | PSNet

psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study

June 16, 2021 - Study What is the role of individual accountability in patient safety? A multi-site ethnographic study. Citation Text: Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):21…

Association of interruptions with an increased risk and severity of medication administration errors. | PSNet

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August 26, 2020 - Study Classic Association of interruptions with an increased risk and severity of medication administration errors. Citation Text: Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…

Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. | PSNet

psnet.ahrq.gov/issue/opportunities-and-challenges-quality-and-safety-applications-icd-11-international-survey

February 17, 2017 - Study Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. Citation Text: Southern DA, Hall M, White DE, et al. Opportunities and challenges for quality and safety applications in ICD-11: an international surve…

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. | PSNet

psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources

August 04, 2021 - Review Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. Citation Text: De Oliveira GS, Castro-Alves LJ, Kendall MC, et al. Effectiveness of Pharmacist Int…

Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. | PSNet

psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals

November 03, 2015 - Study Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. Citation Text: Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):…

Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. | PSNet

psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative

December 29, 2014 - Study Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. Citation Text: Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hosp…

Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/improving-admission-medication-reconciliation-pharmacists-or-pharmacy-technicians-emergency

May 08, 2017 - Study Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial. Citation Text: Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with pharmacists or pharmacy …

A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." | PSNet

psnet.ahrq.gov/issue/qualitative-evaluation-barriers-and-facilitators-toward-implementation-who-surgical-safety

January 19, 2016 - Study Classic A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." Citation Text: Russ SJ, Sevdalis N, Moor…

Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. | PSNet

psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician

June 25, 2014 - Study Classic Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. Citation Text: Network WG for the CHECKLIST-ICUI and the BR in IC, Cavalcanti AB, Bozza FA, et …

Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effects-multimodal-transitional-care-intervention-patients-high-risk-readmission-target-read

August 18, 2021 - Study Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial. Citation Text: Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission…

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic

April 01, 2015 - Review Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Citation Text: Keers RN, Williams SD, Cooke J, et al. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Drug …

Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation. | PSNet

psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care-unit-behavioral

October 05, 2022 - Study Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation. Citation Text: Ulmer FF, Lutz AM, Müller F, et al. Communication patterns during routine patient care in a pediatric intensive care unit: the behavior…

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