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Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. | PSNet

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September 22, 2021 - Study Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. Citation Text: Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive c…

Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet

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August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting system. Citation Text: Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…

Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. | PSNet

psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety

August 02, 2015 - Commentary Emerging Classic Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. Citation Text: Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. | PSNet

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September 14, 2022 - Study Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. Citation Text: Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental and personal factors on the nurse's abi…

The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

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November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. | PSNet

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August 02, 2010 - Study Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Citation Text: Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Ad…

The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. | PSNet

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November 17, 2021 - Study The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. Citation Text: Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplasti…

Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. | PSNet

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October 06, 2011 - Study Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. Citation Text: Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication o…

A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. | PSNet

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June 15, 2022 - Study A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. Citation Text: Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in…

Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. | PSNet

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October 13, 2018 - Study Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. Citation Text: Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' expla…

Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. | PSNet

psnet.ahrq.gov/issue/analysis-variations-display-drug-names-computerized-prescriber-order-entry-systems

October 13, 2018 - Study Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. Citation Text: Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. American Journal of Healt…

Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? | PSNet

psnet.ahrq.gov/issue/can-targeted-educational-approach-improve-situational-awareness-paramedicine-during-911

October 05, 2022 - Study Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Citation Text: Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Int Emerg Nu…

Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/pharmacist-participation-physician-rounds-and-adverse-drug-events-intensive-care-unit

February 10, 2011 - Study Classic Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Citation Text: Leape L, Cullen DJ, Clapp M, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. J…

Early death after discharge from emergency departments: analysis of national US insurance claims data. | PSNet

psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data

June 25, 2018 - Study Classic Early death after discharge from emergency departments: analysis of national US insurance claims data. Citation Text: Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance cl…

The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. | PSNet

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December 08, 2021 - Study The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. Citation Text: Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of …

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. | PSNet

psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre

March 23, 2022 - Study Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. Citation Text: Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from intensive care: a multi-cent…

A contemporary analysis of closed claims related to wrong site surgery. | PSNet

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March 03, 2021 - Study A contemporary analysis of closed claims related to wrong site surgery. Citation Text: Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002. Copy Cit…

Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet

psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy

September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. | PSNet

psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety

June 29, 2022 - Study Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. Citation Text: Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Ped…

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. | PSNet

psnet.ahrq.gov/issue/examination-impact-after-hours-admissions-hospital-resource-use-patient-outcomes-and-costs

November 30, 2022 - Study Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Citation Text: Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Crit Care Res Pract. 2022…

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