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Intimidation: practitioners speak up about this unresolved problem. | PSNet

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September 26, 2017 - Study Intimidation: practitioners speak up about this unresolved problem. Citation Text: Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4. Copy Citation Forma…

Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/improving-cancer-patient-care-combined-medication-error-reviews-and-morbidity-and-mortality

February 01, 2012 - Study Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. Citation Text: Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy…

Emergency department volume and delayed diagnosis of serious pediatric conditions. | PSNet

psnet.ahrq.gov/issue/emergency-department-volume-and-delayed-diagnosis-serious-pediatric-conditions

September 13, 2023 - Study Emergency department volume and delayed diagnosis of serious pediatric conditions. Citation Text: Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatric…

Risk managers' descriptions of programs to support second victims after adverse events. | PSNet

psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events

May 11, 2016 - Study Risk managers' descriptions of programs to support second victims after adverse events. Citation Text: White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002…

Untenable expectations: nurses' work in the context of medication administration, error, and the organization. | PSNet

psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization

September 21, 2022 - Study Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Citation Text: Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 202…

Factors associated with medication errors in the pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/factors-associated-medication-errors-pediatric-emergency-department

March 09, 2022 - Study Factors associated with medication errors in the pediatric emergency department. Citation Text: Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294. doi:…

Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. | PSNet

psnet.ahrq.gov/issue/disparities-diagnostic-timeliness-and-outcomes-pediatric-appendicitis

September 13, 2023 - Study Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. Citation Text: Michelson KA, Bachur RG, Rangel SJ, et al. Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. JAMA Netw Open. 2024;7(1):e2353667. doi:10.1001/jamanetworkopen.2023.5…

Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/outcomes-missed-diagnosis-pediatric-appendicitis-new-onset-diabetic-ketoacidosis-and-sepsis

September 29, 2021 - Study Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. Citation Text: Michelson KA, Bachur RG, Grubenhoff JA, et al. Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, an…

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. | PSNet

psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study

May 19, 2018 - Study Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. Citation Text: Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…

Variation in the rates of adverse events between hospitals and hospital departments. | PSNet

psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments

July 26, 2011 - Study Variation in the rates of adverse events between hospitals and hospital departments. Citation Text: Zegers M, de Bruijne M, Spreeuwenberg P, et al. Variation in the rates of adverse events between hospitals and hospital departments. Int J Qual Health Care. 2011;23(2):126-33. doi:10…

Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-centers-medicare-and-medicaid-services-hospital-star-rating-and-patient

December 18, 2018 - Study Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. Citation Text: Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA In…

Association between elements of electronic health record systems and the weekend effect in urgent general surgery. | PSNet

psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent

November 04, 2015 - Study Association between elements of electronic health record systems and the weekend effect in urgent general surgery. Citation Text: Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…

A literature review of the individual and systems factors that contribute to medication errors in nursing practice. | PSNet

psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing

April 22, 2011 - Review A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Citation Text: Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…

The "physician-led chart audit": engaging providers in fortifying a culture of safety. | PSNet

psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety

November 20, 2013 - Study The "physician-led chart audit": engaging providers in fortifying a culture of safety. Citation Text: Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…

Preventable anesthesia mishaps: a study of human factors. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

June 23, 2015 - Study Classic Preventable anesthesia mishaps: a study of human factors. Citation Text: Cooper JB, Newbower RS, Long CD, et al. Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. Copy Citation Format: Goo…

Antibiotic shortages in pediatrics. | PSNet

psnet.ahrq.gov/issue/antibiotic-shortages-pediatrics

September 13, 2017 - Commentary Antibiotic shortages in pediatrics. Citation Text: Banerjee R, Thurm CW, Fox ER, et al. Antibiotic Shortages in Pediatrics. Pediatrics. 2018;142(5). doi:10.1542/peds.2018-0858. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Race differences in a malpractice event database in a large healthcare system. | PSNet

psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system

December 15, 2021 - Study Race differences in a malpractice event database in a large healthcare system. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090. Copy Cita…

Dynamics of dignity and safety: a discussion. | PSNet

psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion

September 07, 2022 - Commentary Dynamics of dignity and safety: a discussion. Citation Text: Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. Copy Citation Format: DOI Google Scholar PubMed BibT…

Positive deviance: a different approach to achieving patient safety. | PSNet

psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety

May 15, 2024 - Commentary Positive deviance: a different approach to achieving patient safety. Citation Text: Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115. Copy Citation …

Team-training in healthcare: a narrative synthesis of the literature. | PSNet

psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature

July 02, 2014 - Review Team-training in healthcare: a narrative synthesis of the literature. Citation Text: Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848. Copy Citation Format: …

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