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Silence, power and communication in the operating room. | PSNet

psnet.ahrq.gov/issue/silence-power-and-communication-operating-room

June 08, 2011 - Study Silence, power and communication in the operating room. Citation Text: Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x. Copy Citation Format: DOI Go…

Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. | PSNet

psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity

December 02, 2020 - Study Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. Citation Text: Guzmán MDT, Banqueri MG, Otero MJ, et al. Development of a Trigger Tool to Identify Adverse Drug Events in Elderly Patients With Multimorbidity. J Patient Saf. 2021…

Controlled trial to improve resident sign-out in a medical intensive care unit. | PSNet

psnet.ahrq.gov/issue/controlled-trial-improve-resident-sign-out-medical-intensive-care-unit

August 04, 2021 - Study Controlled trial to improve resident sign-out in a medical intensive care unit. Citation Text: Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. Co…

Association of state-level opioid-reduction policies with pediatric opioid poisoning. | PSNet

psnet.ahrq.gov/issue/association-state-level-opioid-reduction-policies-pediatric-opioid-poisoning

September 09, 2020 - Study Association of state-level opioid-reduction policies with pediatric opioid poisoning. Citation Text: Toce MS, Michelson K, Hudgins J, et al. Association of state-level opioid-reduction policies with pediatric opioid poisoning. JAMA Pediatr. 2020;74(10):961-968. doi:10.1001/jamapedi…

Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. | PSNet

psnet.ahrq.gov/issue/communicating-certainty-pathology-reports-interpretation-differences-among-staff-pathologists

January 23, 2017 - Study Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. Citation Text: Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation differences amo…

Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. | PSNet

psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1

September 26, 2016 - Study Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. Citation Text: Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for emergency …

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. | PSNet

psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety

February 09, 2011 - Study Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. Citation Text: Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of…

A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. | PSNet

psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name

December 04, 2016 - Review A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. Citation Text: Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. Copy Cita…

Accuracy of practitioner estimates of probability of diagnosis before and after testing. | PSNet

psnet.ahrq.gov/issue/accuracy-practitioner-estimates-probability-diagnosis-and-after-testing

May 05, 2021 - Study Accuracy of practitioner estimates of probability of diagnosis before and after testing. Citation Text: Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.10…

Medication-prescribing errors in a teaching hospital: a 9-year experience. | PSNet

psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience

February 10, 2011 - Study Classic Medication-prescribing errors in a teaching hospital: a 9-year experience. Citation Text: Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. Copy Cit…

When clinicians drop out and start over after adverse events. | PSNet

psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-after-adverse-events

May 18, 2022 - Study When clinicians drop out and start over after adverse events. Citation Text: Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008. Copy Citation Format: DOI …

Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. | PSNet

psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department

February 17, 2017 - Study Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. Citation Text: Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…

Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. | PSNet

psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications

September 25, 2024 - Study Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Citation Text: Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…

Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm

January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). Citation Text: Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…

Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. | PSNet

psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation

August 23, 2023 - Study Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Citation Text: Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…

Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling. | PSNet

psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc-issues-voluntary-nationwide-recall-cisatracurium-besylate

February 03, 2021 - Press Release/Announcement Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling. Citation Text: Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP…

Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis | PSNet

psnet.ahrq.gov/issue/association-between-physician-depressive-symptoms-and-medical-errors-systematic-review-and

January 12, 2022 - Review Emerging Classic Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis Citation Text: Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: …

Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors

August 15, 2013 - Study Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. Citation Text: Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…

Effect of reducing interns' weekly work hours on sleep and attentional failures. | PSNet

psnet.ahrq.gov/issue/effect-reducing-interns-weekly-work-hours-sleep-and-attentional-failures

January 10, 2017 - Study Effect of reducing interns' weekly work hours on sleep and attentional failures. Citation Text: Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns' weekly work hours on sleep and attentional failures. N Engl J Med. 2004;351(18):1829-37. Copy Citation Format:…

Educational levels of hospital nurses and surgical patient mortality. | PSNet

psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-mortality

February 09, 2011 - Study Classic Educational levels of hospital nurses and surgical patient mortality. Citation Text: Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623. Copy Citation For…

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