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Organizational learning in the morbidity and mortality conference. | PSNet

psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference

June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. | PSNet

psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking

August 03, 2022 - Review Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. Citation Text: Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…

We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/we-thought-we-would-be-perfect-medication-errors-and-after-initiation-computerized-physician

September 18, 2019 - Study We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. Citation Text: Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet

psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia

May 06, 2009 - Study The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. Citation Text: Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…

A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. | PSNet

psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during

April 13, 2022 - Commentary A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. Citation Text: Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…

The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. | PSNet

psnet.ahrq.gov/issue/influence-stress-responses-surgical-performance-and-outcomes-literature-review-and

December 21, 2014 - Review Emerging Classic The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. Citation Text: Chrouser KL, Xu J, Hallbeck S, et al. The influence of stress res…

Exploring the human factors of prescribing errors in paediatric intensive care units. | PSNet

psnet.ahrq.gov/issue/exploring-human-factors-prescribing-errors-paediatric-intensive-care-units

March 06, 2024 - Study Emerging Classic Exploring the human factors of prescribing errors in paediatric intensive care units. Citation Text: Sutherland A, Ashcroft DM, Phipps D. Exploring the human factors of prescribing errors in paediatric intensive care units. Arch Dis Child.…

Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-error-rates-adult-medical

July 23, 2010 - Study Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. Citation Text: DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on medication error rates in an adult medical inte…

Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/exploring-causes-copd-misdiagnosis-primary-care-mixed-methods-study

September 23, 2020 - Study Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. Citation Text: Patel K, Smith DJ, Huntley CC, et al. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. PLoS ONE. 2024;19(3):e0298432. doi:10.1371/journal.pone.0298432. …

The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet

psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based

May 22, 2013 - Study The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. Citation Text: van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…

Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. | PSNet

psnet.ahrq.gov/issue/do-remote-community-telepharmacies-have-higher-medication-error-rates-traditional-community

October 17, 2012 - Study Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. Citation Text: Friesner DL, Scott DM, Rathke AM, et al. Do remote community telepharmacies have higher medication erro…

Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error

June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet

psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids

April 21, 2021 - Commentary Crisis checklists in emergency medicine: another step forward for cognitive aids. Citation Text: Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203. Copy Cit…

Weekend and night outcomes in a statewide trauma system. | PSNet

psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system

November 16, 2022 - Study Weekend and night outcomes in a statewide trauma system. Citation Text: Carr BG, Reilly PM, Schwab W, et al. Weekend and night outcomes in a statewide trauma system. Arch Surg. 2011;146(7):810-7. doi:10.1001/archsurg.2011.60. Copy Citation Format: DOI Google Scholar P…

Analysis of paediatric long-term ventilation incidents in the community | PSNet

psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community

November 06, 2024 - Study Analysis of paediatric long-term ventilation incidents in the community Citation Text: Nawaz RF, Page B, Harrop E, et al. Analysis of paediatric long-term ventilation incidents in the community. Arch Dis Child. 2020;105(5):446-451. doi:10.1136/archdischild-2019-317965. Copy Citat…

Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program | PSNet

psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance

May 12, 2021 - Study Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program Citation Text: Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322…

Therapeutic errors involving diabetes medications reported to United States poison centers. | PSNet

psnet.ahrq.gov/issue/therapeutic-errors-involving-diabetes-medications-reported-united-states-poison-centers

September 27, 2023 - Study Therapeutic errors involving diabetes medications reported to United States poison centers. Citation Text: Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.…

How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams

February 14, 2017 - Review Classic How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. Citation Text: Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…

What defines a high-performing health system: a systematic review. | PSNet

psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review

August 17, 2022 - Review What defines a high-performing health system: a systematic review. Citation Text: Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…

The second victim of unanticipated adverse events. | PSNet

psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events

February 12, 2020 - Commentary The second victim of unanticipated adverse events. Citation Text: Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010. Copy Citation Format: DOI …

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