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A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. | PSNet

psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association

September 02, 2020 - May 18, 2022 Rapid response teams as a patient safety practice for failure to rescue. … Associations of physician burnout with career engagement and quality of patient care: systematic review … August 4, 2021 A mixed-methods systematic review of interventions to address incivility … February 1, 2023 Accuracy of pediatric trauma field triage: a systematic review. … September 21, 2022 A state-of-the-art review of speaking up in healthcare.

Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act

August 02, 2019 - Problem-based training improves recognition of patient hazards by advanced medical students during chart review … toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review … Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid … November 16, 2022 Measures of patient safety in developing and emerging countries: a review … Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review

Adverse-event-reporting practices by US hospitals: results of a national survey. | PSNet

psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey

October 12, 2011 - received from a broad range of staff, timely dissemination of reports, and structured mechanisms to review … November 2, 2016 Measures of patient safety in developing and emerging countries: a review … October 21, 2009 Rapid response teams: a systematic review and meta-analysis. … Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review … August 3, 2016 Aviation and healthcare: a comparative review with implications for patient

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England. | PSNet

psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital

September 23, 2020 - September 23, 2020 Medication-related problems in critical care survivors: a systematic review … Determination of unnecessary blood transfusion by comprehensive 15-hospital record review … 3, 2023 The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review … Medication safety incidents associated with the remote delivery of primary care: a rapid … review.

A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. | PSNet

psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract-infection-nursing

April 05, 2017 - March 8, 2017 Achieving rapid door-to-balloon times: how top hospitals improve complex … December 16, 2020 Retrospective review for medication dose errors in pediatric emergency … department medication orders that bypassed pharmacist review. … March 26, 2014 Effects of work hour reduction on residents' lives: a systematic review … September 28, 2005 Systematic review: effects of resident work hours on patient safety

Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/anticoagulant-medication-errors-hospitals-and-primary-care-cross-sectional-study

August 18, 2010 - Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review … The effect of prescriber education on medication-related patient harm in the hospital: a systematic review … April 27, 2022 Outcomes associated with the nationwide introduction of rapid response … interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review … September 2, 2015 The effect of structured medication review followed by face-to-face

Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. | PSNet

psnet.ahrq.gov/issue/mixed-methods-evaluation-real-time-safety-reporting-hospitalized-patients-and-their-care

August 03, 2022 - A systematic review. … nature and causes of avoidable significant harm in primary care in England: retrospective case note review … contributing to medication errors made when using computerized order entry in pediatrics: a systematic review … March 7, 2012 A literature review of the training offered to qualified prescribers to … guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid

The compliance with a patient safety bundle for management of placenta accreta spectrum. | PSNet

psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum

October 19, 2022 - March 24, 2021 Surgical adverse events: a systematic review. … A systematic review. … December 16, 2020 E-prescribing and medication safety in community settings: a rapid … scoping review. … January 11, 2023 HSIB Maternity Investigation Programme Year in Review 2021/22.

Simulation-based trial of surgical-crisis checklists. | PSNet

psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists

January 30, 2005 - August 3, 2022 Simulation in graduate medical education 2008: a review for emergency … March 1, 2023 Human factors in anaesthesia: a narrative review. … January 30, 2013 Clinical reasoning assessment methods: a scoping review and practical … Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid … scoping review.

COVID-19: the dark side and the sunny side for patient safety. | PSNet

psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety

August 05, 2020 - December 15, 2021 Diagnostic errors in the intensive care unit: a systematic review of … December 1, 2019 Diagnostic errors in the pediatric and neonatal ICU: a systematic review … training interventions on safety culture and patient safety in emergency departments: a systematic review … March 25, 2020 Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ … 5, 2023 The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review

Accuracy in patient understanding of common medical phrases. | PSNet

psnet.ahrq.gov/issue/accuracy-patient-understanding-common-medical-phrases

November 30, 2022 - clinician diagnostic performance with machine learning–based decision support systems: a systematic review … Interventions to improve communication at hospital discharge and rates of readmission: a systematic review … November 21, 2018 Accuracy of pediatric trauma field triage: a systematic review. … May 25, 2022 Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient … Experiences and perspectives of transgender youths in accessing health care: a systematic review

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. | PSNet

psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety

February 09, 2011 - March 1, 2023 Human factors in anaesthesia: a narrative review. … checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review … Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review … reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid … Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review

Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. | PSNet

psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause

June 22, 2022 - October 25, 2017 Achieving rapid door-to-balloon times: how top hospitals improve complex … November 7, 2018 Promoting a culture of patient safety: a review of the Florida moratoria … Determination of unnecessary blood transfusion by comprehensive 15-hospital record review … Results from a retrospective records review using the Global Trigger Tool. … October 19, 2022 The effect of structured medication review followed by face-to-face

Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions. | PSNet

psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis

November 10, 2010 - March 6, 2019 Reducing cardiopulmonary arrest rates in a three-year regional rapid response … February 14, 2024 The effect of structured medication review followed by face-to-face … March 1, 2023 Human factors in anaesthesia: a narrative review. … 20, 2023 Perioperative team-based morbidity and mortality conferences: a systematic review … September 14, 2022 Defining and studying errors in surgical care: a systematic review

Failure mode and effects analysis to reduce risk of heparin use. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use

July 19, 2023 - August 30, 2017 2018 update on pediatric medical overuse: a review. … February 27, 2019 2017 update on pediatric medical overuse: a review. … A systematic review of the literature. … March 9, 2016 Impact of nighttime rapid response team activation on outcomes of hospitalized … March 1, 2023 Human factors in anaesthesia: a narrative review.

Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. | PSNet

psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized

February 03, 2010 - A report card system using error profile analysis and concurrent morbidity and mortality review … April 9, 2014 Preventable medication harm across health care settings: a systematic review … January 11, 2023 Artificial intelligence versus clinicians: systematic review of design … September 23, 2020 Impact of nighttime rapid response team activation on outcomes of … June 6, 2018 The effect of structured medication review followed by face-to-face feedback

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet

psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm

January 15, 2020 - Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review … training interventions on safety culture and patient safety in emergency departments: a systematic review … January 31, 2006 A controlled trial of a rapid response system in an academic medical … March 15, 2023 Electronic health record use issues and diagnostic error: a scoping review … July 21, 2021 Advanced medication reconciliation: a systematic review of the impact on

From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. | PSNet

psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional

July 22, 2020 - January 18, 2012 Diagnostic error in the pediatric hospital: a narrative review. … 2019 The anatomy of health care team training and the state of practice: a critical review … Medication safety incidents associated with the remote delivery of primary care: a rapid … review. … January 11, 2023 Concerns regarding tablet splitting: a systematic review.

Bias and racism teaching rounds at an academic medical center. | PSNet

psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center

August 12, 2020 - September 9, 2020 Institution of just culture physician peer review in an academic medical … September 16, 2020 Interventions targeted at reducing diagnostic error: systematic review … clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review … February 22, 2023 Rapid-cycle improvement during the COVID-19 pandemic: using safety … February 1, 2023 Structural racism and adverse maternal health outcomes: a systematic review

Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. | PSNet

psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals

February 17, 2021 - Predictors of response rates of safety culture questionnaires in healthcare: a systematic review … Medication safety incidents associated with the remote delivery of primary care: a rapid … review. … June 17, 2020 Review of medication errors that are new or likely to occur more frequently … October 16, 2013 Detection of medication-related problems in hospital practice: a review

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