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Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes. | PSNet

psnet.ahrq.gov/issue/impact-crm-based-team-training-obstetric-outcomes-and-clinicians-patient-safety-attitudes

January 12, 2011 - Study Classic Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes. Citation Text: Pratt SD, Mann S, Salisbury M, et al. John M. Eisenberg Patient Safety and Quality Awards. Impact of CRM-based training on obstetric ou…

Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. | PSNet

psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing

March 10, 2021 - Study Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. Citation Text: Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and frequency o…

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. | PSNet

psnet.ahrq.gov/issue/computerized-provider-order-entry-implementation-no-association-increased-mortality-rates

November 16, 2022 - Study Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Citation Text: Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality ra…

Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/primary-care-medication-safety-surveillance-integrated-primary-and-secondary-care-electronic

November 25, 2015 - Study Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. Citation Text: Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated Primary and Secondary …

Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. | PSNet

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June 08, 2022 - Study Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. Citation Text: Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qual…

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. | PSNet

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January 14, 2009 - Commentary Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. Citation Text: Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation pati…

Determinants of adverse events in vascular surgery. | PSNet

psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery

March 21, 2012 - Study Determinants of adverse events in vascular surgery. Citation Text: Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045. Copy Citation Format: …

The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet

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November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…

A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. | PSNet

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October 16, 2013 - Study A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. Citation Text: de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-r…

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. | PSNet

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May 05, 2021 - Commentary 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. Citation Text: Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…

Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings

August 29, 2018 - Study Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. Citation Text: Jeffery MM, Hooten M, Hess EP, et al. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments …

Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. | PSNet

psnet.ahrq.gov/issue/factors-influencing-witnesses-perception-patient-safety-during-pre-hospital-health-care

March 09, 2022 - Study Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. Citation Text: Péculo-Carrasco J-A, Rodríguez-Ruiz H-J, Puerta-Córdoba A, et al. Factors influencing witnesses’ percept…

Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital

November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

Potentially inappropriate medications and their effect on falls during hospital admission. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission

January 12, 2022 - Study Potentially inappropriate medications and their effect on falls during hospital admission. Citation Text: Damoiseaux-Volman BA, Raven K, Sent D, et al. Potentially inappropriate medications and their effect on falls during hospital admission. Age Ageing. 2022;51(1):afab205. doi:10.…

Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. | PSNet

psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties

November 20, 2013 - Study Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. Citation Text: Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-20…

Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet

psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide

June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. | PSNet

psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review

August 10, 2022 - Commentary Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. Citation Text: Abel G, Lyratzopoulos G. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodologic…

Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. | PSNet

psnet.ahrq.gov/issue/association-between-exposure-nonactionable-physiologic-monitor-alarms-and-response-time

August 20, 2014 - Study Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. Citation Text: Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospit…

Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department

September 22, 2017 - Study Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. Citation Text: Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…

Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. | PSNet

psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after

August 18, 2021 - Study Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. Citation Text: Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…

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