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Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. | PSNet

psnet.ahrq.gov/issue/investigating-teamwork-operating-room-engaging-stakeholders-and-setting-agenda

January 31, 2018 - Study Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. Citation Text: Frasier LL, Quamme SRP, Becker A, et al. Investigating Teamwork in the Operating Room: Engaging Stakeholders and Setting the Agenda. JAMA Surg. 2017;152(1):109-111. doi:10.100…

Automated identification of diagnostic labelling errors in medicine. | PSNet

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September 23, 2020 - Study Automated identification of diagnostic labelling errors in medicine. Citation Text: Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. Copy Citation Format: …

Electronic Test Result Communication in the Era of the 21st Century Cures Act | PSNet

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May 25, 2022 - Book/Report Electronic Test Result Communication in the Era of the 21st Century Cures Act Citation Text: Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 20…

The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet

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November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

SAFER Care: improving caregiver comprehension of discharge instructions. | PSNet

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October 26, 2022 - Study SAFER Care: improving caregiver comprehension of discharge instructions. Citation Text: Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. Copy Citation Fo…

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

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August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

Operating room organization and surgical performance: a systematic review. | PSNet

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March 05, 2025 - Review Operating room organization and surgical performance: a systematic review. Citation Text: Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3. Copy Cit…

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? | PSNet

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May 23, 2018 - Study Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? Citation Text: Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76. Copy Citation Format: Go…

Use of simulation-based education to reduce catheter-related bloodstream infections. | PSNet

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June 27, 2018 - Study Use of simulation-based education to reduce catheter-related bloodstream infections. Citation Text: Barsuk JH, Cohen ER, Feinglass J, et al. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009;169(15):1420-3. doi:10.1001/archin…

Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. | PSNet

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May 31, 2017 - Commentary Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. Citation Text: Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. Copy C…

Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. | PSNet

psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner

December 04, 2015 - Study Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. Citation Text: Leigh J, Flynn J. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. J Healthc Risk Manag. 2013;33(2):2…

Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data. | PSNet

psnet.ahrq.gov/issue/missed-diagnosis-cardiovascular-disease-outpatient-general-medicine-insights-malpractice

December 22, 2018 - Study Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data. Citation Text: Quinn GR, Ranum D, Song E, et al. Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice Claims Data. Jt Co…

Accuracy of a chatbot in answering questions that patients should ask before taking a new medication. | PSNet

psnet.ahrq.gov/issue/accuracy-chatbot-answering-questions-patients-should-ask-taking-new-medication

June 28, 2010 - Study Accuracy of a chatbot in answering questions that patients should ask before taking a new medication. Citation Text: Cornelison BR, Erstad BL, Edwards C. Accuracy of a chatbot in answering questions that patients should ask before taking a new medication. J Am Pharm Assoc (2003). 2…

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. | PSNet

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August 04, 2021 - Study Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Citation Text: Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Phar…

Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. | PSNet

psnet.ahrq.gov/issue/pharmacist-versus-physician-acquired-medication-history-prospective-study-emergency

June 17, 2014 - Study Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Citation Text: De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf…

Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet

psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes

May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. | PSNet

psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients

March 13, 2015 - Review Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. Citation Text: Zed PJ, Haughn C, Black KJL, et al. Medication-related emergency department visits and hospital admissions in pediatric patients: a quali…

Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. | PSNet

psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified

February 01, 2017 - Study Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. Citation Text: Villafranca A, Fast I, Turick M, et al. Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multination…

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. | PSNet

psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii

April 18, 2012 - Study Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. Citation Text: Garrouste-Orgeas M, Timsit JF, Vesin A, et al. Selected Medical Errors in the Intensive Care Unit. Am J Respir Crit Care Med. 2009;181(2):134-142. doi:10.1164/rccm.20…

Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. | PSNet

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August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…

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