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  1. A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical
    January 28, 2009 - Study A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A morbidity and mortality conference-based classification system for adverse events: surgical outcome ana…

  2. Confidential clinician-reported surveillance of adverse events among medical inpatients. | PSNet

    psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients
    June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…

  3. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. | PSNet

    psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic
    June 11, 2008 - Study Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. Citation Text: Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in old…

  4. Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet

    psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
    December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

  5. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. | PSNet

    psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
    July 21, 2021 - Study A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. Citation Text: Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…

  6. A controlled trial of a rapid response system in an academic medical center. | PSNet

    psnet.ahrq.gov/issue/controlled-trial-rapid-response-system-academic-medical-center
    June 23, 2010 - Study A controlled trial of a rapid response system in an academic medical center. Citation Text: Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365. Copy Citation F…

  7. Medication errors reported by US family physicians and their office staff. | PSNet

    psnet.ahrq.gov/issue/medication-errors-reported-us-family-physicians-and-their-office-staff
    June 11, 2008 - Study Medication errors reported by US family physicians and their office staff. Citation Text: Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. …

  8. Determinants of patient–oncologist prognostic discordance in advanced cancer. | PSNet

    psnet.ahrq.gov/issue/determinants-patient-oncologist-prognostic-discordance-advanced-cancer
    July 13, 2022 - Study Determinants of patient–oncologist prognostic discordance in advanced cancer. Citation Text: Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861. Cop…

  9. Hospital COVID-19 burden and adverse event rates. | PSNet

    psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
    June 22, 2022 - Study Hospital COVID-19 burden and adverse event rates. Citation Text: Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936. Copy Citation Format: DOI Google Scho…

  10. Direct reporting of laboratory test results to patients by mail to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety
    February 15, 2011 - Study Direct reporting of laboratory test results to patients by mail to enhance patient safety. Citation Text: Sung S, Forman-Hoffman VL, Wilson MC, et al. Direct reporting of laboratory test results to patients by mail to enhance patient safety. J Gen Intern Med. 2006;21(10):1075-8. …

  11. Nurses' perceptions of error communication and reporting in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit
    February 20, 2008 - Study Nurses' perceptions of error communication and reporting in the intensive care unit. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.…

  12. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet

    psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
    October 11, 2023 - Study Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Citation Text: Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…

  13. Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. | PSNet

    psnet.ahrq.gov/issue/effect-us-drug-enforcement-administrations-rescheduling-hydrocodone-combination-analgesic
    August 04, 2021 - Study Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. Citation Text: Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of Hydrocodone Combination Anal…

  14. Alterations in Spanish language interpretation during pediatric critical care family meetings. | PSNet

    psnet.ahrq.gov/issue/alterations-spanish-language-interpretation-during-pediatric-critical-care-family-meetings
    April 24, 2018 - Study Alterations in Spanish language interpretation during pediatric critical care family meetings. Citation Text: Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. do…

  15. Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

    psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations
    March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

  16. Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet

    psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study
    August 18, 2021 - Study Developing a hospital-wide quality and safety dashboard: a qualitative research study. Citation Text: Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. do…

  17. Patient handoffs: standardized and reliable measurement tools remain elusive. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-measurement-tools-remain-elusive
    July 13, 2010 - Review Patient handoffs: standardized and reliable measurement tools remain elusive. Citation Text: Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61. Copy Citation Format: Goog…

  18. Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. | PSNet

    psnet.ahrq.gov/issue/development-and-reliability-explicit-professional-oral-communication-observation-tool
    April 23, 2014 - Study Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. Citation Text: Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communi…

  19. Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review. | PSNet

    psnet.ahrq.gov/issue/consumer-participation-early-detection-deteriorating-patient-and-call-activation-rapid
    February 28, 2024 - Review Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review. Citation Text: Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation to rapid response…

  20. Correlates of diagnostic accuracy in patients with nonspecific complaints. | PSNet

    psnet.ahrq.gov/issue/correlates-diagnostic-accuracy-patients-nonspecific-complaints
    August 18, 2021 - Study Correlates of diagnostic accuracy in patients with nonspecific complaints. Citation Text: Hertwig R, Meier N, Nickel C, et al. Correlates of diagnostic accuracy in patients with nonspecific complaints. Med Decis Making. 2013;33(4):533-43. doi:10.1177/0272989X12470975. Copy Cita…
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