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Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. | PSNet

psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency

December 21, 2014 - Study Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Citation Text: Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann S…

Risk factors for adverse events in emergency department procedural sedation for children. | PSNet

psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children

January 19, 2014 - Study Risk factors for adverse events in emergency department procedural sedation for children. Citation Text: Bhatt M, Johnson DW, Chan J, et al. Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. JAMA Pediatr. 2017;171(10):957-964. doi:10.1001/jam…

Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. | PSNet

psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors

September 20, 2011 - Study Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. Citation Text: Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…

Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. | PSNet

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August 14, 2018 - Study Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. Citation Text: Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1…

National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet

psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric

March 07, 2018 - Study National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. Citation Text: Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet

psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers

October 08, 2013 - Study A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Citation Text: Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet

psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural

September 15, 2011 - Study The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. Citation Text: Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…

"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. | PSNet

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October 29, 2014 - Study "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. Citation Text: Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…

The effect of clinical experience on the error rate of emergency physicians. | PSNet

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November 16, 2022 - Study The effect of clinical experience on the error rate of emergency physicians. Citation Text: Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52(5):497-501. doi:10.1016/j.annemergmed.2008.01.329. …

Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. | PSNet

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April 29, 2018 - Commentary Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. Citation Text: Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncras…

Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent

November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

A critical appraisal of AHRQ's "Diagnostic Errors" report. | PSNet

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July 13, 2016 - Commentary A critical appraisal of AHRQ's "Diagnostic Errors" report. Citation Text: Carpenter C, Jotte R, Griffey RT, et al. A critical appraisal of AHRQ's "Diagnostic Errors" report. Mo Med. 2023;120(2):114-120. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. | PSNet

psnet.ahrq.gov/issue/us-and-canadian-physicians-attitudes-and-experiences-regarding-disclosing-errors-patients

January 23, 2008 - Study Classic US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. Citation Text: Gallagher TH, Waterman AD, Garbutt J, et al. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patien…

The medication reconciliation process and classification of discrepancies: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-process-and-classification-discrepancies-systematic-review

May 03, 2023 - Review The medication reconciliation process and classification of discrepancies: a systematic review. Citation Text: Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. d…

Using snowball sampling method with nurses to understand medication administration errors. | PSNet

psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors

August 02, 2011 - Study Using snowball sampling method with nurses to understand medication administration errors. Citation Text: Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…

Hospital inpatient falls across clinical departments. | PSNet

psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments

September 15, 2021 - Study Hospital inpatient falls across clinical departments. Citation Text: Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167. Copy Citation Format: DOI Google…

Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet

psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year

August 18, 2021 - Study Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. Citation Text: Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. | PSNet

psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california

July 13, 2010 - Study Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. Citation Text: Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…

Implementation of an emergency department sign-out checklist improves transfer of information at shift change. | PSNet

psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift

October 30, 2019 - Study Implementation of an emergency department sign-out checklist improves transfer of information at shift change. Citation Text: Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…

Medication errors involving oral chemotherapy. | PSNet

psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy

January 06, 2017 - Study Medication errors involving oral chemotherapy. Citation Text: Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

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