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Hospital-wide code rates and mortality before and after implementation of a rapid response team. | PSNet

psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team

October 17, 2011 - Study Classic Hospital-wide code rates and mortality before and after implementation of a rapid response team. Citation Text: Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…

Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. | PSNet

psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists

September 21, 2022 - Study Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. Citation Text: Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. | PSNet

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September 09, 2020 - Study Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. Citation Text: Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…

Improving safety in the operating room: medication icon labels increase visibility and discrimination. | PSNet

psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination

April 03, 2019 - Study Improving safety in the operating room: medication icon labels increase visibility and discrimination. Citation Text: Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet

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March 04, 2011 - Study Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. Citation Text: Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency departme…

Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. | PSNet

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January 27, 2021 - Study Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. Citation Text: Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…

Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. | PSNet

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April 11, 2011 - Study Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Citation Text: Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm…

A novel approach to increase residents' involvement in reporting adverse events. | PSNet

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September 23, 2020 - Study A novel approach to increase residents' involvement in reporting adverse events. Citation Text: Scott DR, Weimer M, English C, et al. A novel approach to increase residents' involvement in reporting adverse events. Acad Med. 2011;86(6):742-746. doi:10.1097/ACM.0b013e318217e12a. C…

Clinical reasoning in the context of active decision support during medication prescribing. | PSNet

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February 14, 2024 - Study Clinical reasoning in the context of active decision support during medication prescribing. Citation Text: Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.…

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. | PSNet

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January 19, 2022 - Study Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. Citation Text: Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ…

A 38-year-old woman with fetal loss and hysterectomy. | PSNet

psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy

January 12, 2011 - Commentary Classic A 38-year-old woman with fetal loss and hysterectomy. Citation Text: Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. Copy Citation Format: DOI Google Schola…

Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

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March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

Technological distractions—part 1 and part 2. | PSNet

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April 24, 2018 - Review Technological distractions—part 1 and part 2. Citation Text: Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …

Innovation in patient safety: a new task design in reducing patient falls. | PSNet

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January 04, 2010 - Study Innovation in patient safety: a new task design in reducing patient falls. Citation Text: Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5. Copy Citation …

Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. | PSNet

psnet.ahrq.gov/issue/locum-doctor-working-and-quality-and-safety-qualitative-study-english-primary-and-secondary

November 25, 2015 - Study Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. Citation Text: Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. BMJ Qual Saf. 2024…

Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. | PSNet

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August 04, 2015 - Study Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. Citation Text: Ruiz M, Bottle A, Aylin PP. Exploring the impact of consultants’ experience on hospital mortality by day of the week: a …

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…

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. …

Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet

psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists

September 13, 2017 - Study Classic Simulation study of rested versus sleep-deprived anesthesiologists. Citation Text: Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…

Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. | PSNet

psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal

January 26, 2022 - Study Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. Citation Text: Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…

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