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Assessment of the use of patient vital sign data for preventing misidentification and medical errors. | PSNet

psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors

February 16, 2022 - Commentary Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Citation Text: Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. do…

Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. | PSNet

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August 18, 2010 - Study Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Citation Text: Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…

Toward more proactive approaches to safety in the electronic health record era. | PSNet

psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era

December 06, 2023 - Commentary Toward more proactive approaches to safety in the electronic health record era. Citation Text: Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. …

Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement

March 24, 2011 - Study Medication error reporting in nursing homes: identifying targets for patient safety improvement. Citation Text: Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. | PSNet

psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3

March 01, 2008 - Commentary Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. Citation Text: Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. Copy Citation Format: Google …

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide

September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

Do HSMRs really measure patient safety? | PSNet

psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety

June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety? Citation Text: Do HSMRs really measure patient safety? Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. | PSNet

psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit

January 04, 2010 - Study Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. Citation Text: McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…

Microsystems in health care: Part 2. Creating a rich information environment. | PSNet

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July 19, 2023 - Study Classic Microsystems in health care: Part 2. Creating a rich information environment. Citation Text: Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report

May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. | PSNet

psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major

August 11, 2010 - Study An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Citation Text: Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…

Impact of an electronic health record transition on chemotherapy error reporting | PSNet

psnet.ahrq.gov/issue/impact-electronic-health-record-transition-chemotherapy-error-reporting

June 17, 2020 - Study Impact of an electronic health record transition on chemotherapy error reporting Citation Text: Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/10781552198…

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet

psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals

February 15, 2023 - Organizational Policy/Guidelines Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. Citation Text: Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…

Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. | PSNet

psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative

April 12, 2023 - Study Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. Citation Text: Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. JAMA Intern Med. 2024…

Implementation of Condition Help: family teaching and evaluation of family understanding. | PSNet

psnet.ahrq.gov/issue/implementation-condition-help-family-teaching-and-evaluation-family-understanding

June 03, 2013 - Study Implementation of Condition Help: family teaching and evaluation of family understanding. Citation Text: Hueckel RM, Mericle JM, Frush K, et al. Implementation of condition help: family teaching and evaluation of family understanding. J Nurs Care Qual. 2012;27(2):176-81. doi:10.109…

Parents' perspectives on "keeping their children safe" in the hospital. | PSNet

psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital

June 27, 2018 - Study Parents' perspectives on "keeping their children safe" in the hospital. Citation Text: Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193. Cop…

Prevalence and characteristics of interruptions and distractions during surgical counts. | PSNet

psnet.ahrq.gov/issue/prevalence-and-characteristics-interruptions-and-distractions-during-surgical-counts

March 09, 2016 - Study Prevalence and characteristics of interruptions and distractions during surgical counts. Citation Text: Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-56…

Computerized surveillance for adverse drug events in a pediatric hospital. | PSNet

psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-pediatric-hospital

January 03, 2017 - Study Computerized surveillance for adverse drug events in a pediatric hospital. Citation Text: Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167. C…

Variation in hospital mortality associated with inpatient surgery. | PSNet

psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery

August 02, 2015 - Study Classic Variation in hospital mortality associated with inpatient surgery. Citation Text: Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…

Preventable morbidity at a mature trauma center. | PSNet

psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center

September 22, 2021 - Study Preventable morbidity at a mature trauma center. Citation Text: Preventable morbidity at a mature trauma center. Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. Copy Citation Save Save to your library Print Download PDF …

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