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Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. | PSNet

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January 15, 2025 - Study Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. Citation Text: Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …

High-risk medication errors: insight from the UK National Reporting and Learning System. | PSNet

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January 12, 2022 - Study High-risk medication errors: insight from the UK National Reporting and Learning System. Citation Text: Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. d…

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. | PSNet

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October 12, 2022 - Study Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. Citation Text: Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …

A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. | PSNet

psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk-medication-errors

March 29, 2012 - Study A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Citation Text: Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Sci Rep. 2024;14…

Biased language in simulated handoffs and clinician recall and attitudes. | PSNet

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June 29, 2022 - Study Biased language in simulated handoffs and clinician recall and attitudes. Citation Text: Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. …

Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

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November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Citation Text: Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. C…

Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet

psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada

September 23, 2020 - Study Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Citation Text: Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a …

Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. | PSNet

psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer

September 15, 2021 - Review Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Citation Text: Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi…

Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. | PSNet

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December 20, 2017 - Study Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Citation Text: Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …

Wide variation and overprescription of opioids after elective surgery. | PSNet

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April 24, 2018 - Study Classic Wide variation and overprescription of opioids after elective surgery. Citation Text: Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…

National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. | PSNet

psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event

December 15, 2021 - Organizational Policy/Guidelines National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. Citation Text: Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…

Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. | PSNet

psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer

May 23, 2013 - Study Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. Citation Text: Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…

Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet

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January 17, 2012 - Study Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Citation Text: Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…

Delayed rapid response team activation is associated with increased hospital mortality, morbidity, and length of stay in a tertiary care institution. | PSNet

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March 16, 2022 - Study Delayed rapid response team activation is associated with increased hospital mortality, morbidity, and length of stay in a tertiary care institution. Citation Text: Barwise A, Thongprayoon C, Gajic O, et al. Delayed Rapid Response Team Activation Is Associated With Increased Hospit…

The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. | PSNet

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January 21, 2015 - Study The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. Citation Text: Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emerg…

A medication error prevention survey: five years of results. | PSNet

psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results

March 26, 2015 - Study A medication error prevention survey: five years of results. Citation Text: Cusano FL, Chambers C, Summach L. A medication error prevention survey: five years of results. J Oncol Pharm Pract. 2009;15(2):87-93. doi:10.1177/1078155208099284. Copy Citation Format: DOI …

When the lights go down in the delivery room: lessons from a ransomware attack. | PSNet

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September 02, 2020 - Commentary When the lights go down in the delivery room: lessons from a ransomware attack. Citation Text: Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…

Impact of patient communication problems on the risk of preventable adverse events in acute care settings. | PSNet

psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings

April 22, 2011 - Study Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Citation Text: Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;1…

Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. | PSNet

psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy

June 06, 2008 - Study Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. Citation Text: Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi…

Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey

January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

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