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Electronic health records and adverse drug events after patient transfer. | PSNet

psnet.ahrq.gov/issue/electronic-health-records-and-adverse-drug-events-after-patient-transfer

February 25, 2009 - Study Electronic health records and adverse drug events after patient transfer. Citation Text: Boockvar KS, Livote EE, Goldstein N, et al. Electronic health records and adverse drug events after patient transfer. Qual Saf Health Care. 2010;19(5):e16. doi:10.1136/qshc.2009.033050. …

Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. | PSNet

psnet.ahrq.gov/issue/effects-pharmacist-conducted-medication-reconciliation-discharge-30-day-readmission-rates

September 08, 2021 - Study Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. Citation Text: Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge on 30-d…

Clinical predictors for unsafe direct discharge home patients from intensive care units. | PSNet

psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units

January 12, 2011 - Study Clinical predictors for unsafe direct discharge home patients from intensive care units. Citation Text: Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.…

A review of medication errors and the second victim in pediatric pharmacy. | PSNet

psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy

January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. | PSNet

psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing

November 10, 2021 - Study Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Citation Text: Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…

Association between operative autonomy of surgical residents and patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes

September 09, 2020 - Study Association between operative autonomy of surgical residents and patient outcomes. Citation Text: Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.64…

In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel. | PSNet

psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice

June 14, 2023 - Study In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel. Citation Text: Finstad AS, Aase I, Bjørshol CA, et al. In situ simulation-based team training and its signi…

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. | PSNet

psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care

March 17, 2021 - Study Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. Citation Text: Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long-term and acute care settings: a proo…

The effects of harm events on 30-day readmission in surgical patients. | PSNet

psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients

July 31, 2019 - Study The effects of harm events on 30-day readmission in surgical patients. Citation Text: Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261. Copy Citati…

An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. | PSNet

psnet.ahrq.gov/issue/integrative-systematic-review-promoting-patient-safety-within-prehospital-emergency-medical

June 10, 2020 - Review An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. Citation Text: Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient safety within p…

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet

psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using

August 05, 2020 - Study Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. Citation Text: Nilsson L, Lindblad M, Johansson N, et al. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool…

React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. | PSNet

psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations

March 29, 2023 - Study React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. Citation Text: Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):…

Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in healthcare-evidence from seminars on peer support. | PSNet

psnet.ahrq.gov/issue/emotional-responses-and-support-needs-healthcare-professionals-after-adverse-or-traumatic

April 03, 2019 - Study Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in healthcare-evidence from seminars on peer support. Citation Text: Schrøder K, Assing Hvidt E. Emotional responses and support needs of healthcare professionals after adverse …

Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department

December 21, 2022 - Review Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. Citation Text: Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from t…

Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. | PSNet

psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety

June 03, 2020 - Study Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. Citation Text: Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. | PSNet

psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room

August 26, 2020 - Study "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. Citation Text: Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating r…

Rate of undesirable events at beginning of academic year: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/rate-undesirable-events-beginning-academic-year-retrospective-cohort-study

June 08, 2010 - Study Classic Rate of undesirable events at beginning of academic year: retrospective cohort study. Citation Text: Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. do…

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital

November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. | PSNet

psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication

August 11, 2021 - Study Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. Citation Text: Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…

Surgical technology and operating-room safety failures: a systematic review of quantitative studies. | PSNet

psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies

May 06, 2015 - Review Surgical technology and operating-room safety failures: a systematic review of quantitative studies. Citation Text: Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;…

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