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An observational study of how patients are identified before medication administrations in medical and surgical wards. | PSNet

psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and

June 24, 2020 - Study An observational study of how patients are identified before medication administrations in medical and surgical wards. Citation Text: Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surg…

Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative

August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

Patient participation in patient safety still missing: patient safety experts' views. | PSNet

psnet.ahrq.gov/issue/patient-participation-patient-safety-still-missing-patient-safety-experts-views

February 13, 2019 - Study Patient participation in patient safety still missing: patient safety experts' views. Citation Text: Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ij…

Do healthcare professionals work around safety standards, and should we be worried? A scoping review. | PSNet

psnet.ahrq.gov/issue/do-healthcare-professionals-work-around-safety-standards-and-should-we-be-worried-scoping

December 21, 2016 - Review Do healthcare professionals work around safety standards, and should we be worried? A scoping review. Citation Text: Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Se…

When policy meets physiology: the challenge of reducing resident work hours. | PSNet

psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours

January 10, 2017 - Study When policy meets physiology: the challenge of reducing resident work hours. Citation Text: Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127. Copy Citation Format…

Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. | PSNet

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January 12, 2022 - Study Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. Citation Text: Galletta M, Portoghese I, D'Aloja E, et al. Relationship between job burnout, psychosocial factors and health care-associated infections in critical c…

Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet

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January 31, 2018 - Study Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. Citation Text: Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…

Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. | PSNet

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October 18, 2023 - Study Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. Citation Text: Derkx HP, Rethans J-JE, Muijtjens AM, et al. Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. BMJ.…

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter

June 29, 2009 - Study Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. Citation Text: Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…

Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. | PSNet

psnet.ahrq.gov/issue/increased-catheter-related-bloodstream-infection-rates-after-introduction-new-mechanical

February 07, 2022 - Study Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. Citation Text: Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanic…

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…

Healthcare climate: a framework for measuring and improving patient safety. | PSNet

psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-improving-patient-safety

November 02, 2010 - Study Healthcare climate: a framework for measuring and improving patient safety. Citation Text: Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med. 2007;35(5):1312-7. Copy Citation Format: Goo…

Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial

January 18, 2011 - Study Classic Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Citation Text: Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. L…

Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

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May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. | PSNet

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October 16, 2012 - Study Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. Citation Text: Stall NM, Fischer HD, Wu F, et al. Unintentional Discontinuation of …

Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance | PSNet

psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient

July 29, 2020 - Review Emerging Classic Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance Citation Text: Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team trainin…

Drug dosing error with drops – severe clinical course of codeine intoxication in twins. | PSNet

psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins

September 29, 2021 - Study Drug dosing error with drops – severe clinical course of codeine intoxication in twins. Citation Text: Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…

Safety participation at the direct care level: results of a patient questionnaire. | PSNet

psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire

August 26, 2020 - Study Safety participation at the direct care level: results of a patient questionnaire. Citation Text: Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506. Copy Cita…

Characteristics of critical incident reporting systems in primary care: an international survey. | PSNet

psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey

September 07, 2022 - Study Characteristics of critical incident reporting systems in primary care: an international survey. Citation Text: Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91.…

Systematic review of the impact of physician implicit racial bias on clinical decision making. | PSNet

psnet.ahrq.gov/issue/systematic-review-impact-physician-implicit-racial-bias-clinical-decision-making

May 18, 2022 - Review Systematic review of the impact of physician implicit racial bias on clinical decision making. Citation Text: Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10…

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