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Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. | PSNet

psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation

February 12, 2020 - Study Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. Citation Text: Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical

March 24, 2021 - Study A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. Citation Text: Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health C…

Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. | PSNet

psnet.ahrq.gov/issue/crossover-patient-satisfaction-surveys-adverse-events-and-patient-complaints-continuous

July 27, 2022 - Study Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. Citation Text: Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events and patient complaints…

Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. | PSNet

psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow

January 27, 2019 - Study Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. Citation Text: Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the…

Enhancing safe medication use in home care: insights from informal caregivers. | PSNet

psnet.ahrq.gov/issue/enhancing-safe-medication-use-home-care-insights-informal-caregivers

December 02, 2020 - Study Enhancing safe medication use in home care: insights from informal caregivers. Citation Text: Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.202…

A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. | PSNet

psnet.ahrq.gov/issue/qualitative-evaluation-healthcare-professionals-perceptions-adverse-events-focusing

April 16, 2008 - Study A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. Citation Text: Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse eve…

Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-harmful-diagnostic-errors-hospitalised-adults-systematic-review-and-meta-analysis

April 01, 2020 - Review Emerging Classic Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis. Citation Text: Gunderson CG, Bilan VP, Holleck JL, et al. Prevalence of harmful diagnostic errors in hospitalised adults: a systematic …

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug

August 23, 2017 - Study Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. Citation Text: Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mo…

Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. | PSNet

psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american-pathologists-study-136

January 08, 2016 - Study Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. Citation Text: Nakhleh RE, Idowu MO, Souers RJ, et al. Mislabeling of cases, specimens, blocks, and slides: a college of american pathologists study of 136 instituti…

Disclosing harmful mammography errors to patients. | PSNet

psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients

November 03, 2015 - Study Disclosing harmful mammography errors to patients. Citation Text: Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. Copy Citation Format: DOI Google Scholar BibTeX EndN…

Adverse events in healthcare: learning from mistakes. | PSNet

psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes

February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. | PSNet

psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians

September 23, 2020 - Study Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. Citation Text: Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of p…

The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. | PSNet

psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles

September 22, 2021 - Study The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. Citation Text: Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…

Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. | PSNet

psnet.ahrq.gov/issue/robotic-dispensing-improves-patient-safety-inventory-management-and-staff-satisfaction

February 26, 2020 - Study Emerging Classic Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. Citation Text: Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves p…

Emergency departments are higher-risk locations for wrong blood in tube errors. | PSNet

psnet.ahrq.gov/issue/emergency-departments-are-higher-risk-locations-wrong-blood-tube-errors

November 17, 2021 - Study Emergency departments are higher-risk locations for wrong blood in tube errors. Citation Text: Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher‐risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. …

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…

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. | PSNet

psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true

February 25, 2009 - Study From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. Citation Text: Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…

How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? | PSNet

psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19

June 14, 2017 - Commentary How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? Citation Text: Chopra V, Toner E, Waldhorn R, et al. How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)? Ann Intern Med. 2020;172(9):621-622. doi:10.7326/m20-0907. Copy Citation…

Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. | PSNet

psnet.ahrq.gov/issue/evaluating-implementation-project-re-engineered-discharge-red-five-veterans-health

June 26, 2024 - Study Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. Citation Text: Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Admini…

Time-series analysis of health care–associated infections in a new hospital with all private rooms. | PSNet

psnet.ahrq.gov/issue/time-series-analysis-health-care-associated-infections-new-hospital-all-private-rooms

July 31, 2019 - Study Time-series analysis of health care–associated infections in a new hospital with all private rooms. Citation Text: McDonald EG, Dendukuri N, Frenette C, et al. Time-Series Analysis of Health Care-Associated Infections in a New Hospital With All Private Rooms. JAMA Intern Med. 2019.…

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