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Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

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March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

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September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

Association of measured quality with financial health among U.S. hospitals. | PSNet

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December 07, 2022 - Study Association of measured quality with financial health among U.S. hospitals. Citation Text: Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696. Copy Citation …

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. | PSNet

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April 17, 2011 - Commentary Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. Citation Text: Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. Using in situ simulation to identify and resolve latent environme…

Innovation in patient safety: a new task design in reducing patient falls. | PSNet

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January 04, 2010 - Study Innovation in patient safety: a new task design in reducing patient falls. Citation Text: Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5. Copy Citation …

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. | PSNet

psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic

June 11, 2008 - Study Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. Citation Text: Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in old…

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. | PSNet

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July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. Citation Text: Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…

Emergency hospitalizations for unsupervised prescription medication ingestions by young children. | PSNet

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April 22, 2020 - Study Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Citation Text: Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-1…

Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. | PSNet

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November 21, 2021 - Study Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Citation Text: Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. …

Effect of admission medication reconciliation on adverse drug events from admission medication changes. | PSNet

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April 12, 2019 - Study Effect of admission medication reconciliation on adverse drug events from admission medication changes. Citation Text: Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events from admission medication changes. Arch Intern Med. 201…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

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November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. | PSNet

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December 30, 2014 - Commentary Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. Citation Text: Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured…

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. | PSNet

psnet.ahrq.gov/issue/effectiveness-pharmacist-nurse-intervention-resolving-medication-discrepancies-patients

December 03, 2014 - Study Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. Citation Text: Setter SM, Corbett CF, Neumiller JJ, et al. Effectiveness of a pharmacist-nurse intervention on resolving medication…

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. | PSNet

psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery

July 21, 2021 - Study A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. Citation Text: Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…

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

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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…

Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation

March 06, 2019 - Review Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test …

Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. | PSNet

psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study

August 04, 2021 - Study Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Citation Text: Charpiat B, Goutelle S, Schoeffler M, et al. Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Acta Anaes…

Medical team training improves team performance: AOA critical issues. | PSNet

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April 24, 2018 - Commentary Medical team training improves team performance: AOA critical issues. Citation Text: Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. Copy …

Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. | PSNet

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August 04, 2015 - Study Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. Citation Text: Ruiz M, Bottle A, Aylin PP. Exploring the impact of consultants’ experience on hospital mortality by day of the week: a …

A controlled trial of a rapid response system in an academic medical center. | PSNet

psnet.ahrq.gov/issue/controlled-trial-rapid-response-system-academic-medical-center

June 23, 2010 - Study A controlled trial of a rapid response system in an academic medical center. Citation Text: Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365. Copy Citation F…

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