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5821. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet
      psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
      January 11, 2017 - Study A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. Citation Text: Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…

5822. A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. | PSNet
      psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
      September 28, 2010 - Study A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. Citation Text: Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …

5823. A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. | PSNet
      psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
      September 01, 2018 - Study A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. Citation Text: Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…

5824. A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. | PSNet
      psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
      December 09, 2020 - Study A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. Citation Text: Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…

5825. Burnout and medical errors among American surgeons. | PSNet
      psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
      December 21, 2014 - Study Burnout and medical errors among American surgeons. Citation Text: Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3. Copy Citation Format: DOI Google Schol…

5826. I-PASS handoff program: use of a campaign to effect transformational change. | PSNet
      psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change
      April 24, 2018 - Study I-PASS handoff program: use of a campaign to effect transformational change. Citation Text: Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. Co…

5827. Schectman JM et al. 2005 "Determinants of physician use of an ambulatory prescription expert system." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/schectman-jm-et-al-2005
      January 01, 2005 - Schectman JM et al. 2005 "Determinants of physician use of an ambulatory prescription expert system." Reference Schectman JM, Schorling JB, Nadkarni MM, et al. Determinants of physician use of an ambulatory prescription expert system. Int J Med Inf 2005;74(9):711-717. Abstract "Purpose: To det…

5828. Missing diagnoses during the COVID-19 pandemic: a year in review. | PSNet
      psnet.ahrq.gov/issue/missing-diagnoses-during-covid-19-pandemic-year-review
      December 23, 2020 - Commentary Missing diagnoses during the COVID-19 pandemic: a year in review. Citation Text: Pifarré i Arolas H, Vidal-Alaball J, Gil J, et al. Missing diagnoses during the COVID-19 pandemic: a year in review. Int J Environ Res Public Health. 2021;18(10):5335. doi:10.3390/ijerph18105335. …

5829. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
      August 02, 2015 - Study Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Citation Text: Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…

5830. Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
      January 01, 2023 - Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Optimizing Patient Safety Using Digital Healthcare Solutions Patient photos displayed in the electronic health record significantly red…

5831. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. | PSNet
      psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following
      November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…

5832. Delayed time to defibrillation after in-hospital cardiac arrest. | PSNet
      psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
      June 08, 2010 - Study Classic Delayed time to defibrillation after in-hospital cardiac arrest. Citation Text: Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467. C…

5833. An Electronic Personal Health Record for Mental Health Consumers | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers
      January 01, 2023 - An Electronic Personal Health Record for Mental Health Consumers Project Final Report ( PDF , 83.87 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the view…

5834. Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. | PSNet
      psnet.ahrq.gov/issue/electronic-prescribing-systems-hospitals-improve-medication-safety-multi-methods-research
      November 09, 2022 - Review Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. Citation Text: Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication safety: a multimethods research programme. Programm…

5835. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. | PSNet
      psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
      January 08, 2025 - Study Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. Citation Text: Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…

5836. Surgical skill and complication rates after bariatric surgery. | PSNet
      psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
      August 02, 2015 - Study Classic Surgical skill and complication rates after bariatric surgery. Citation Text: Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…

5837. Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. | PSNet
      psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality
      February 14, 2017 - Study Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. Citation Text: Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Im…

5838. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. | PSNet
      psnet.ahrq.gov/issue/understanding-second-victim-experience-among-multidisciplinary-providers-obstetrics-and
      December 23, 2020 - Study Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. Citation Text: Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Pat…

5839. Patient safety and legal regulations: a total-scale analysis of the scientific literature. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-legal-regulations-total-scale-analysis-scientific-literature
      November 16, 2022 - Review Patient safety and legal regulations: a total-scale analysis of the scientific literature. Citation Text: Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123…

5840. Exposure to incivility hinders clinical performance in a simulated operative crisis. | PSNet
      psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis
      June 14, 2019 - Study Emerging Classic Exposure to incivility hinders clinical performance in a simulated operative crisis. Citation Text: Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…