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Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. | PSNet

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April 19, 2023 - Study Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. Citation Text: McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…

Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral

June 14, 2023 - Study Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. Citation Text: Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU:…

Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. | PSNet

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August 24, 2015 - Study Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Citation Text: Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…

Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. | PSNet

psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses

March 28, 2012 - Study Classic Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Citation Text: Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet

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March 25, 2020 - Study Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. Citation Text: Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…

Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. | PSNet

psnet.ahrq.gov/issue/who-do-hospital-physicians-and-nurses-go-advice-about-medications-social-network-analysis-and

May 22, 2013 - Study Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. Citation Text: Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A Social Network Analys…

The social cost of adverse medical events, and what we can do about it. | PSNet

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February 10, 2015 - Commentary The social cost of adverse medical events, and what we can do about it. Citation Text: Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. Copy Ci…

The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. | PSNet

psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms

February 28, 2024 - Study The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. Citation Text: Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. | PSNet

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December 08, 2021 - Review Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. Citation Text: Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associate…

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet

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December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …

Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet

psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors

April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…

What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. | PSNet

psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study

June 16, 2021 - Study What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. Citation Text: Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. J Health Serv Res…

Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. | PSNet

psnet.ahrq.gov/issue/non-conveyance-older-adult-patients-and-association-subsequent-clinical-and-adverse-events

October 27, 2021 - Study Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. Citation Text: Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association …

Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. | PSNet

psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative

August 24, 2022 - Study Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. Citation Text: Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualita…

Alcoholism and American healthcare: the case for a patient safety approach. | PSNet

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March 30, 2022 - Review Alcoholism and American healthcare: the case for a patient safety approach. Citation Text: Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952. Copy C…

Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. | PSNet

psnet.ahrq.gov/issue/cohort-study-diagnostic-delay-clinical-pathway-patients-chronic-wounds-primary-care-setting

November 18, 2020 - Study Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. Citation Text: Ahmajärvi K, Isoherranen K, Venermo M. Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care s…

Medication-related emergency department visits in pediatrics: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study

October 16, 2013 - Study Medication-related emergency department visits in pediatrics: a prospective observational study. Citation Text: Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…

Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. | PSNet

psnet.ahrq.gov/issue/translating-concerns-action-detailed-qualitative-evaluation-interdisciplinary-intervention

November 01, 2017 - Study Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. Citation Text: Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary interventio…

Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis. | PSNet

psnet.ahrq.gov/issue/breast-cancer-screening-denmark-cohort-study-tumor-size-and-overdiagnosis

July 10, 2018 - Study Classic Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis. Citation Text: Jørgensen KJ, Gøtzsche PC, Kalager M, et al. Breast Cancer Screening in Denmark: A Cohort Study of Tumor Size and Overdiagnosis. Ann Intern Med. 2017…

TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? | PSNet

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April 03, 2017 - Study TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? Citation Text: Mirarchi FL, Cammarata C, Cooney TE, et al. TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life car…

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