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Long-term impacts faced by patients and families after harmful healthcare events. | PSNet

psnet.ahrq.gov/issue/long-term-impacts-faced-patients-and-families-after-harmful-healthcare-events

December 01, 2021 - Study Long-term impacts faced by patients and families after harmful healthcare events. Citation Text: Ottosen MJ, Sedlock E, Aigbe AO, et al. Long-term impacts faced by patients and families after harmful healthcare events. J Patient Saf. 2021;17(8):e1145-e1151. doi:10.1097/pts.00000000…

Can medical record reviewers reliably identify errors and adverse events in the ED? | PSNet

psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed

October 11, 2023 - Study Can medical record reviewers reliably identify errors and adverse events in the ED? Citation Text: Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.00…

Fall prevention with the Smart Socks System reduces hospital fall rates. | PSNet

psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates

September 09, 2020 - Study Fall prevention with the Smart Socks System reduces hospital fall rates. Citation Text: Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653. Copy Citatio…

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. | PSNet

psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings

December 09, 2020 - Study Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. Citation Text: Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…

It’s time to consider national culture when designing team training initiatives in healthcare. | PSNet

psnet.ahrq.gov/issue/its-time-consider-national-culture-when-designing-team-training-initiatives-healthcare

January 26, 2022 - Commentary It’s time to consider national culture when designing team training initiatives in healthcare. Citation Text: Rice JC, Daouk-Öyry L, Hitti E. It’s time to consider national culture when designing team training initiatives in healthcare. BMJ Qual Saf. 2021;30(5):412-417. doi:10…

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. | PSNet

psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital

November 10, 2015 - Commentary Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. Citation Text: Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication administration standard to address hospit…

The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet

psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs

February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. | PSNet

psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and

June 24, 2020 - Study Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. Citation Text: Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safe…

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

psnet.ahrq.gov/issue/medication-dose-calculation-errors-and-other-numeracy-mishaps-hospitals-analysis-nature-and

May 11, 2022 - Study Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. Citation Text: Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …

Five-year audit of adherence to an anaesthesia pre-induction checklist. | PSNet

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May 19, 2021 - Study Five-year audit of adherence to an anaesthesia pre-induction checklist. Citation Text: Fuchs A, Frick S, Huber M, et al. Five‐year audit of adherence to an anaesthesia pre‐induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. Copy Citation Format: …

Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. | PSNet

psnet.ahrq.gov/issue/identifying-hot-spots-harm-and-blind-spots-across-care-pathway-patient-complaints-about

May 04, 2022 - Study Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. Citation Text: O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general pra…

Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. | PSNet

psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and-care-delivery

March 20, 2024 - Review Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. Citation Text: Ouanes K, Farhah N. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. J Med Syst. 2024;48(1):74. doi:10.1007/s10…

Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing. | PSNet

psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic

June 26, 2024 - Study Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing. Citation Text: Raimbault-Chupin M, Spiesser-Robelet L, Guir V, et al. Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing. I…

How to make medication error reporting systems work—factors associated with their successful development and implementation. | PSNet

psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful

December 05, 2012 - Study How to make medication error reporting systems work—factors associated with their successful development and implementation. Citation Text: Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…

Can we rely on patients' reports of adverse events? | PSNet

psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events

December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet

psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes

December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. Citation Text: Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. Copy Citation …

The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled interventional pilot study. | PSNet

psnet.ahrq.gov/issue/effects-mid-day-nap-neurocognitive-performance-first-year-medical-residents-controlled

November 16, 2022 - Study The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled interventional pilot study. Citation Text: Amin MM, Graber ML, Ahmad K, et al. The effects of a mid-day nap on the neurocognitive performance of first-year medical resident…

Clinical nurse competence and its effect on patient safety culture: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-nurse-competence-and-its-effect-patient-safety-culture-systematic-review

March 22, 2023 - Review Clinical nurse competence and its effect on patient safety culture: a systematic review. Citation Text: Zaitoun RA, Said NB, de Tantillo L. Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nurs. 2023;22(1):173. doi:10.1186/s12912-023-013…

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. | PSNet

psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research

February 24, 2021 - Commentary Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. Citation Text: Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Inter…

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet

psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde

November 30, 2022 - Study Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Citation Text: Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…

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