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A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet

psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery

September 09, 2015 - Review A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Citation Text: Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…

"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. | PSNet

psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation

January 03, 2017 - Study "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Citation Text: Shaikh U, Natale JAE, Till DA, et al. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Pediatr Emerg Care. 2…

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. | PSNet

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September 23, 2020 - Study A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. Citation Text: Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…

An integrative review: fatigue among nurses in acute care settings. | PSNet

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June 01, 2022 - Review An integrative review: fatigue among nurses in acute care settings. Citation Text: Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104. Copy Citation …

Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. | PSNet

psnet.ahrq.gov/issue/assessment-fda-risk-evaluation-and-mitigation-strategy-transmucosal-immediate-release

January 22, 2020 - Study Emerging Classic Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. Citation Text: Rollman JE, Heyward J, Olson L, et al. Assessment of the FDA Risk Evaluation and Mitigation Strategy for Tra…

Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. | PSNet

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February 14, 2024 - Study Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. Citation Text: Lammers EJ, McLaughlin CG, Barna M. Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiarie…

Ensuring safe practice by late career physicians: institutional policies and implementation experiences. | PSNet

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May 20, 2019 - Study Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Citation Text: White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med…

Understanding the clinical implications of resident involvement in uncommon operations. | PSNet

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October 26, 2022 - Study Understanding the clinical implications of resident involvement in uncommon operations. Citation Text: Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…

Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. | PSNet

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June 09, 2011 - Study Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. Citation Text: Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validit…

Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. | PSNet

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August 04, 2021 - Study Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Citation Text: Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Diabet Med. 2018…

Association of nurse engagement and nurse staffing on patient safety. | PSNet

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January 22, 2016 - Study Emerging Classic Association of nurse engagement and nurse staffing on patient safety. Citation Text: Carthon MB, Hatfield L, Plover C, et al. Association of nurse engagement and nurse staffing on patient safety. J Nurs Care Qual. 2019;34(1):40-46. doi:10.…

Medication errors related to computerized order entry for children. | PSNet

psnet.ahrq.gov/issue/medication-errors-related-computerized-order-entry-children

May 26, 2011 - Study Medication errors related to computerized order entry for children. Citation Text: Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for children. Pediatrics. 2006;118(5):1872-1879. Copy Citation Format: Google Scholar PubM…

Does full disclosure of medical errors affect malpractice liability? The jury is still out. | PSNet

psnet.ahrq.gov/issue/does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out

November 16, 2011 - Review Classic Does full disclosure of medical errors affect malpractice liability? The jury is still out. Citation Text: Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Com…

How prevalent are hazardous attitudes among orthopaedic surgeons? | PSNet

psnet.ahrq.gov/issue/how-prevalent-are-hazardous-attitudes-among-orthopaedic-surgeons

March 14, 2018 - Study How prevalent are hazardous attitudes among orthopaedic surgeons? Citation Text: Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2. Copy Citation …

Test-retest reliability of an experienced Global Trigger Tool review team. | PSNet

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August 03, 2022 - Study Test-retest reliability of an experienced Global Trigger Tool review team. Citation Text: Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433. Copy …

Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. | PSNet

psnet.ahrq.gov/issue/workplace-training-senior-trainees-systematic-review-and-narrative-synthesis-current

February 07, 2024 - Review Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. Citation Text: Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of curren…

Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study

April 08, 2011 - Study Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. Citation Text: Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…

The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability

April 12, 2023 - Review The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. Citation Text: Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility charact…

Combined SNA and LDA methods to understand adverse medical events | PSNet

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November 15, 2023 - Journal Article Combined SNA and LDA methods to understand adverse medical events Citation Text: Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. Copy Citation Form…

Measuring and managing quality of surgery. Statistical vs incidental approaches. | PSNet

psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches

August 04, 2021 - Commentary Classic Measuring and managing quality of surgery. Statistical vs incidental approaches. Citation Text: McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg. 1992;127(6):7…

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