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Development of a medication safety and quality survey for small rural hospitals. | PSNet

psnet.ahrq.gov/issue/development-medication-safety-and-quality-survey-small-rural-hospitals

July 15, 2010 - Study Development of a medication safety and quality survey for small rural hospitals. Citation Text: Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.00000000…

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. | PSNet

psnet.ahrq.gov/issue/evaluation-preoperative-team-briefing-new-communication-routine-results-improved-clinical

April 06, 2011 - Study Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. Citation Text: Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BM…

E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet

psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d-population-diabetes

September 30, 2015 - Study E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. Citation Text: Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With Diabetes. Med …

Resident hesitation in the operating room: does uncertainty equal incompetence? | PSNet

psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence

September 24, 2016 - Study Resident hesitation in the operating room: does uncertainty equal incompetence? Citation Text: Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. Copy Citati…

Safety through redundancy: a case study of in-hospital patient transfers. | PSNet

psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers

November 03, 2015 - Study Safety through redundancy: a case study of in-hospital patient transfers. Citation Text: Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. Copy Citation Format: …

The "July phenomenon": is trauma the exception? | PSNet

psnet.ahrq.gov/issue/july-phenomenon-trauma-exception

January 15, 2014 - Study The "July phenomenon": is trauma the exception? Citation Text: Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026. Copy Citation Format: DOI Google …

Hospital credentialing and privileging of surgeons: a potential safety blind spot. | PSNet

psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot

September 24, 2017 - Commentary Hospital credentialing and privileging of surgeons: a potential safety blind spot. Citation Text: Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943. Co…

Use of the WHO surgical safety checklist in trauma and orthopaedic patients. | PSNet

psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients

August 30, 2017 - Study Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Citation Text: Sewell M, Adebibe M, Jayakumar P, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897-901. doi:10.1007/s00264-010-1112-7. Copy …

Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. | PSNet

psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse

January 12, 2011 - Study Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. Citation Text: Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesth…

Team communication during patient handover from the operating room: more than facts and figures. | PSNet

psnet.ahrq.gov/issue/team-communication-during-patient-handover-operating-room-more-facts-and-figures

December 16, 2009 - Study Team communication during patient handover from the operating room: more than facts and figures. Citation Text: Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56. Cop…

Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records

September 29, 2017 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…

Medical students benefit from learning about patient safety in an interprofessional team. | PSNet

psnet.ahrq.gov/issue/medical-students-benefit-learning-about-patient-safety-interprofessional-team

November 03, 2015 - Image/Poster Medical students benefit from learning about patient safety in an interprofessional team. Citation Text: Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111…

Can a structured checklist prevent problems with laparoscopic equipment? | PSNet

psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment

August 10, 2016 - Study Can a structured checklist prevent problems with laparoscopic equipment? Citation Text: Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3. Co…

Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. | PSNet

psnet.ahrq.gov/issue/effect-implementation-barcode-technology-and-electronic-medication-administration-record

February 24, 2011 - Study Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. Citation Text: Truitt E, Thompson R, Blazey-Martin D, et al. Effect of the Implementation of Barcode Technology and an Electronic Medication Administration …

Association between elements of electronic health record systems and the weekend effect in urgent general surgery. | PSNet

psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent

November 04, 2015 - Study Association between elements of electronic health record systems and the weekend effect in urgent general surgery. Citation Text: Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…

Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. | PSNet

psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation

January 02, 2017 - Study Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Citation Text: Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. Copy Citation Format: …

Survival from in-hospital cardiac arrest during nights and weekends. | PSNet

psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends

February 18, 2011 - Study Survival from in-hospital cardiac arrest during nights and weekends. Citation Text: Peberdy MA, Ornato JP, Larkin L, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-92. doi:10.1001/jama.299.7.785. Copy Citation Format: …

Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/strategies-enhance-adoption-ventilator-associated-pneumonia-prevention-interventions

July 10, 2017 - Review Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review. Citation Text: Goutier JM, Holzmueller CG, Edwards KC, et al. Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a s…

Injury and liability associated with monitored anesthesia care: a closed claims analysis. | PSNet

psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis

June 23, 2009 - Study Injury and liability associated with monitored anesthesia care: a closed claims analysis. Citation Text: Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234. Cop…

In Conversation with…Jennifer Daley, MD | PSNet

psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md

January 01, 2008 - In Conversation with…Jennifer Daley, MD January 1, 2008 Also Read an Essay Citation Text: In Conversation with…Jennifer Daley, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Co…

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