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Patient handovers within the hospital: translating knowledge from motor racing to healthcare. | PSNet

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April 01, 2015 - Study Classic Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Citation Text: Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…

Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. | PSNet

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December 05, 2018 - Study Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. Citation Text: Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.113…

Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture. | PSNet

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August 25, 2021 - Study Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture. Citation Text: van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety …

Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. | PSNet

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July 28, 2023 - Study Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. Citation Text: Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis…

Decreasing malpractice claims by reducing preventable perinatal harm. | PSNet

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September 01, 2018 - Study Decreasing malpractice claims by reducing preventable perinatal harm. Citation Text: Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551. Copy Citation…

Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". | PSNet

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March 15, 2016 - Study Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". Citation Text: Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementati…

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches. | PSNet

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December 21, 2017 - Study Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches. Citation Text: Classen DC, Phansalkar S, Bates DW. Critical Drug-Drug Interactions for Use in Electronic Health Records Systems With…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

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March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

Lost information during the handover of critically injured trauma patients: a mixed-methods study. | PSNet

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October 04, 2023 - Study Lost information during the handover of critically injured trauma patients: a mixed-methods study. Citation Text: Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…

Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet

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June 18, 2008 - Study Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Sur…

The effect of universal glove and gown use on adverse events in intensive care unit patients. | PSNet

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December 09, 2015 - Study The effect of universal glove and gown use on adverse events in intensive care unit patients. Citation Text: Croft LD, Harris AD, Pineles L, et al. The Effect of Universal Glove and Gown Use on Adverse Events in Intensive Care Unit Patients. Clin Infect Dis. 2015;61(4):545-53. doi:…

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. | PSNet

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May 31, 2017 - Study Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. Citation Text: Yin S, Wolf MS, Dreyer BP, et al. Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medicati…

Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. | PSNet

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July 19, 2023 - Review Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. Citation Text: Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitorin…

Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. | PSNet

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February 28, 2024 - Review Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Citation Text: Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency departme…

Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. | PSNet

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May 18, 2022 - Study Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. Citation Text: Graudins LV, Ingram C, Smith BT, et al. Multicentre study to develop a medication safety package for decreasing inpatient harm from omis…

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet

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June 13, 2011 - Study Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. Citation Text: Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …

Multifaceted intervention to improve patient safety incident reporting in intensive care units. | PSNet

psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units

January 18, 2023 - Study Multifaceted intervention to improve patient safety incident reporting in intensive care units. Citation Text: Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428.…

How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? | PSNet

psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists

April 24, 2018 - Study How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Citation Text: Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54.…

ICU attending handoff practices: results from a national survey of academic intensivists. | PSNet

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February 06, 2019 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization … 2013 The Accreditation Council for Graduate Medical Education resident duty hour new standards

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit

September 24, 2017 - May 19, 2021 Standardization of pediatric noncardiac operating room to intensive care … to enhance compliance of pro re nata medication orders with Joint Commission medication management standards

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