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Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. | PSNet

psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using

August 18, 2010 - Study Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Citation Text: Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…

Do HSMRs really measure patient safety? | PSNet

psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety

June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety? Citation Text: Do HSMRs really measure patient safety? Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. | PSNet

psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major

August 11, 2010 - Study An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Citation Text: Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…

Variation in hospital mortality associated with inpatient surgery. | PSNet

psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery

August 02, 2015 - Study Classic Variation in hospital mortality associated with inpatient surgery. Citation Text: Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…

Structured patient handoff on an internal medicine ward: a cluster randomized control trial. | PSNet

psnet.ahrq.gov/issue/structured-patient-handoff-internal-medicine-ward-cluster-randomized-control-trial

September 23, 2020 - Study Structured patient handoff on an internal medicine ward: a cluster randomized control trial. Citation Text: Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journa…

Improving pediatric electronic health record usability and safety through certification: seize the day. | PSNet

psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize

November 28, 2018 - Commentary Improving pediatric electronic health record usability and safety through certification: seize the day. Citation Text: Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 201…

French national survey of inpatient adverse events prospectively assessed with ward staff. | PSNet

psnet.ahrq.gov/issue/french-national-survey-inpatient-adverse-events-prospectively-assessed-ward-staff

March 06, 2005 - Study French national survey of inpatient adverse events prospectively assessed with ward staff. Citation Text: Michel P, Quenon JL, Djihoud A, et al. French national survey of inpatient adverse events prospectively assessed with ward staff. Qual Saf Health Care. 2007;16(5):369-77. C…

Defining and classifying terminology for medication harm: a call for consensus. | PSNet

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June 22, 2022 - Review Defining and classifying terminology for medication harm: a call for consensus. Citation Text: Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…

The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. | PSNet

psnet.ahrq.gov/issue/impact-digital-hospitals-patient-and-clinician-experience-systematic-review-and-qualitative

August 16, 2023 - Review The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. Citation Text: Canfell OJ, Woods L, Meshkat Y, et al. The impact of digital hospitals on patient and clinician experience: systematic review and qualitative e…

Transforming the morbidity and mortality conference to promote safety and quality in a PICU. | PSNet

psnet.ahrq.gov/issue/transforming-morbidity-and-mortality-conference-promote-safety-and-quality-picu

April 28, 2021 - Study Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Citation Text: Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1…

Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors

August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

High reliability pediatric heart centers: always working toward getting better. | PSNet

psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better

September 18, 2024 - Commentary High reliability pediatric heart centers: always working toward getting better. Citation Text: Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. Copy C…

Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet

psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases

June 19, 2019 - Study Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. Citation Text: Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…

Medication errors in critical care: risk factors, prevention and disclosure. | PSNet

psnet.ahrq.gov/issue/medication-errors-critical-care-risk-factors-prevention-and-disclosure

November 30, 2016 - Review Medication errors in critical care: risk factors, prevention and disclosure. Citation Text: Camiré E, Moyen E, Stelfox HT. Medication errors in critical care: risk factors, prevention and disclosure. CMAJ. 2009;180(9):936-43. doi:10.1503/cmaj.080869. Copy Citation Format: …

Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/pharmaceutical-interventions-improve-safety-chemotherapy-treated-cancer-patients-cross

March 10, 2011 - Study Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. Citation Text: Daupin J, Perrin G, Lhermitte-Pastor C, et al. Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: A cross-sectional s…

Interruptions in emergency department work: an observational and interview study. | PSNet

psnet.ahrq.gov/issue/interruptions-emergency-department-work-observational-and-interview-study

September 29, 2021 - Study Interruptions in emergency department work: an observational and interview study. Citation Text: Berg LM, Källberg A-S, Göransson KE, et al. Interruptions in emergency department work: an observational and interview study. BMJ Qual Saf. 2013;22(8):656-63. doi:10.1136/bmjqs-2013-001…

OpenNotes and patient safety: a perilous voyage into uncharted waters. | PSNet

psnet.ahrq.gov/issue/opennotes-and-patient-safety-perilous-voyage-uncharted-waters

March 10, 2021 - Commentary OpenNotes and patient safety: a perilous voyage into uncharted waters. Citation Text: Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2. Copy Citation …

RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. | PSNet

psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure

May 25, 2022 - Commentary RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. Citation Text: Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Ph…

Trial and error: learning from malpractice claims in childhood surgery. | PSNet

psnet.ahrq.gov/issue/trial-and-error-learning-malpractice-claims-childhood-surgery

March 09, 2022 - Study Trial and error: learning from malpractice claims in childhood surgery. Citation Text: Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033. Copy Citation Fo…

Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. | PSNet

psnet.ahrq.gov/issue/context-sensitive-decision-support-infobuttons-electronic-health-records-systematic-review

August 23, 2023 - Review Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. Citation Text: Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017…

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