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Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. | PSNet

psnet.ahrq.gov/issue/preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging

April 06, 2022 - Study Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. Citation Text: Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov…

Targeting zero harm: a stretch goal that risks breaking the spring. | PSNet

psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring

December 01, 2021 - Commentary Targeting zero harm: a stretch goal that risks breaking the spring. Citation Text: Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354. Copy Citation F…

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…

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. | PSNet

psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education

March 17, 2021 - Commentary Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. Citation Text: Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. | PSNet

psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder

September 28, 2010 - Study Classic Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Col…

Interprofessional teamwork and team interventions in chronic care: a systematic review. | PSNet

psnet.ahrq.gov/issue/interprofessional-teamwork-and-team-interventions-chronic-care-systematic-review

April 24, 2019 - Review Interprofessional teamwork and team interventions in chronic care: a systematic review. Citation Text: Körner M, Bütof S, Müller C, et al. Interprofessional teamwork and team interventions in chronic care: A systematic review. J Interprof Care. 2016;30(1):15-28. doi:10.3109/135618…

Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. | PSNet

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August 15, 2018 - Review Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. Citation Text: Paradis E, Leslie M, Gropper MA, et al. Interprofessional care in intensive care settings and the factors that impact it: resul…

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. | PSNet

psnet.ahrq.gov/issue/teamwork-and-patient-safety-dynamic-domains-healthcare-review-literature

May 29, 2013 - Review Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Citation Text: Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…

The introduction of a surgical safety checklist in a tertiary referral obstetric centre. | PSNet

psnet.ahrq.gov/issue/introduction-surgical-safety-checklist-tertiary-referral-obstetric-centre

October 04, 2023 - Study The introduction of a surgical safety checklist in a tertiary referral obstetric centre. Citation Text: Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs…

Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. | PSNet

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January 26, 2022 - Study Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. Citation Text: Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatie…

Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. | PSNet

psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess

August 15, 2018 - Study Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. Citation Text: Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…

Measuring and improving patient safety through health information technology: the Health IT Safety Framework. | PSNet

psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety

December 06, 2023 - Commentary Measuring and improving patient safety through health information technology: the Health IT Safety Framework. Citation Text: Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(…

Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. | PSNet

psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons

January 10, 2018 - Review Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. Citation Text: Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying …

Clinical handover of the critically ill postoperative patient: an integrative review. | PSNet

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March 23, 2016 - Review Clinical handover of the critically ill postoperative patient: an integrative review. Citation Text: Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.…

A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. | PSNet

psnet.ahrq.gov/issue/prospective-cohort-study-medication-reconciliation-using-pharmacy-technicians-emergency

July 01, 2019 - Study A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. Citation Text: Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharm…

What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/what-evidence-pharmacy-team-working-acute-or-emergency-medicine-department-improves-outcomes

August 10, 2022 - Review What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. Citation Text: Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or emergency medic…

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. | PSNet

psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates

May 01, 2019 - Study Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. Citation Text: Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admiss…

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. | PSNet

psnet.ahrq.gov/issue/black-women-should-not-die-giving-life-lived-experiences-black-women-diagnosed-severe

August 17, 2017 - Study "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. Citation Text: Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of Black women diagnosed with s…

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors

July 15, 2009 - Study If only...: failed, missed and absent error recovery opportunities in medication errors. Citation Text: Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…

Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association

April 21, 2021 - Study Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. Citation Text: Fromm MF, Maas R, Tümena T, et al. Potentially inappropriate medications in a large cohort of patients in geriatric u…

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