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Handoffs and teamwork: a framework for care transition communication. | PSNet

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September 28, 2022 - Commentary Handoffs and teamwork: a framework for care transition communication. Citation Text: Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001…

Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet

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March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…

High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. | PSNet

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December 12, 2018 - Study High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. Citation Text: Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res S…

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…

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study

October 19, 2022 - Study Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. Citation Text: Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of pr…

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. | PSNet

psnet.ahrq.gov/issue/patient-whiteboards-communication-tool-hospital-setting-survey-practices-and-recommendations

February 18, 2011 - Study Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. Citation Text: Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J …

From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. | PSNet

psnet.ahrq.gov/issue/closest-observers-patient-care-thematic-analysis-online-narrative-reviews-hospitals

December 12, 2014 - Study From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. Citation Text: Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. BMJ Qua…

Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study. | PSNet

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June 29, 2011 - Study Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study. Citation Text: Harris MF, Chan BC, Daniel C, et al. Development and early experience from an intervention to facilitate teamwor…

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-internal-hospital-transfer-and-impact-computerized

October 15, 2008 - Study Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Citation Text: Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann …

Addressing bias in acute postoperative pain management. | PSNet

psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pain-management

September 23, 2020 - Review Addressing bias in acute postoperative pain management. Citation Text: Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0. Copy Citation Format: …

Intimidation: practitioners speak up about this unresolved problem. | PSNet

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September 26, 2017 - Study Intimidation: practitioners speak up about this unresolved problem. Citation Text: Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4. Copy Citation Forma…

Patient safety in surgery. | PSNet

psnet.ahrq.gov/issue/patient-safety-surgery

June 16, 2011 - Study Patient safety in surgery. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Patient safety in surgery. Ann Surg. 2006;243(5):628-32; discussion 632-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Preferred language and diagnostic errors in the pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/preferred-language-and-diagnostic-errors-pediatric-emergency-department

April 06, 2022 - Study Preferred language and diagnostic errors in the pediatric emergency department. Citation Text: Lowe JT, Leonard J, Dominguez F, et al. Preferred language and diagnostic errors in the pediatric emergency department. Diagnosis (Berl). 2024;11(1):49-53. doi:10.1515/dx-2023-0079. Cop…

Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. | PSNet

psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support

December 23, 2020 - Study Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. Citation Text: Use of the Second Victim …

An evolution of reporting: identifying the missing link. | PSNet

psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link

August 17, 2022 - Commentary An evolution of reporting: identifying the missing link. Citation Text: Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761. Copy Citation Format: …

A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. | PSNet

psnet.ahrq.gov/issue/work-observation-study-nuclear-medicine-technologists-interruptions-resilience-and

May 25, 2011 - Study A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. Citation Text: Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications f…

The Institute of Medicine report on medical errors—could it do harm? | PSNet

psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could-it-do-harm

February 18, 2011 - Commentary Classic The Institute of Medicine report on medical errors—could it do harm? Citation Text: Brennan TA. The Institute of Medicine report on medical errors--could it do harm? N Engl J Med. 2002;342(15):1123-1125. doi:10.1056/nejm200004133421510. Co…

IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. | PSNet

psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue-improve-patient-safety

January 31, 2024 - Journal Article IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. Citation Text: Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940. Copy Citation Format: …

Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after

April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

Potential medication errors associated with computer prescriber order entry. | PSNet

psnet.ahrq.gov/issue/potential-medication-errors-associated-computer-prescriber-order-entry

May 05, 2014 - Study Potential medication errors associated with computer prescriber order entry. Citation Text: Villamañán E, Larrubia Y, Ruano M, et al. Potential medication errors associated with computer prescriber order entry. Int J Clin Pharm. 2013;35(4):577-83. doi:10.1007/s11096-013-9771-2. …

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