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Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications. | PSNet

psnet.ahrq.gov/issue/using-patient-safety-indicators-detect-potential-safety-events-among-us-veterans-psychotic

November 16, 2022 - Study Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications. Citation Text: Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among US veterans w…

Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. | PSNet

psnet.ahrq.gov/issue/introduction-medical-emergency-teams-australia-and-new-zealand-multi-centre-study

January 04, 2012 - Study Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Citation Text: Jones D, George C, Hart GK, et al. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Crit Care. 2008;12(2):R46. doi:10.1186/cc6857.…

Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. | PSNet

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December 12, 2018 - Commentary Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. Citation Text: Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechan…

A new category of "never events"-ending harmful hospital policies. | PSNet

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September 07, 2022 - Commentary A new category of "never events"-ending harmful hospital policies. Citation Text: Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703. Copy Citation Format…

Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet

psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national

October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. Citation Text: Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…

Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. | PSNet

psnet.ahrq.gov/issue/medication-errors-antituberculosis-therapy-inpatient-academic-setting-forgotten-not-gone

April 27, 2016 - Study Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. Citation Text: Jen SP, Zucker J, Buczynski P, et al. Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. J Clin Pharm Th…

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…

Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study. | PSNet

psnet.ahrq.gov/issue/microbiological-evaluation-two-hand-hygiene-procedures-achieved-healthcare-workers-during

June 13, 2011 - Study Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study. Citation Text: Kac G, Podglajen I, Gueneret M, et al. Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers…

The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. | PSNet

psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state

September 12, 2016 - Study The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. Citation Text: Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…

Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. | PSNet

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February 01, 2011 - Study Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Citation Text: Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 20…

National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. | PSNet

psnet.ahrq.gov/issue/national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents-1997-2012

January 16, 2019 - Study National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. Citation Text: Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;1…

Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety

November 20, 2015 - Study Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. Citation Text: Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…

Effectiveness and efficiency of root cause analysis in medicine. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine

July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …

The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. | PSNet

psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii

February 18, 2011 - Study Classic The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. Citation Text: Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. | PSNet

psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance

May 31, 2011 - Review Classic Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Citation Text: Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…

Protocol-based computer reminders, the quality of care and the non-perfectability of man. | PSNet

psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man

April 24, 2018 - Study Classic Protocol-based computer reminders, the quality of care and the non-perfectability of man. Citation Text: McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. C…

Hospital Survey on Patient Safety Culture: 2018 User Database Report. | PSNet

psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-report

May 02, 2018 - Book/Report Hospital Survey on Patient Safety Culture: 2018 User Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publicat…

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. | PSNet

psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication

May 21, 2009 - Study Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-cod…

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet

psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry

May 29, 2019 - Study Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. Citation Text: Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…

Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. | PSNet

psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through

February 01, 2013 - Study Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. Citation Text: Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…

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