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4641. The frequency of missed test results and associated treatment delays in a highly computerized health system. | PSNet
      psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
      July 22, 2009 - Study The frequency of missed test results and associated treatment delays in a highly computerized health system. Citation Text: Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. …

4642. The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/surgical-safety-checklist-and-patient-outcomes-after-surgery-prospective-observational-cohort
      May 28, 2015 - Study Classic The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. Citation Text: Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes…

4643. Residents' response to duty-hour regulations—a follow-up national survey. | PSNet
      psnet.ahrq.gov/issue/residents-response-duty-hour-regulations-follow-national-survey
      December 02, 2014 - Study Classic Residents' response to duty-hour regulations—a follow-up national survey. Citation Text: Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056…

4644. Developing and evaluating an automated all-cause harm trigger system. | PSNet
      psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
      July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

4645. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. | PSNet
      psnet.ahrq.gov/issue/incidents-resulting-staff-leaving-normal-duties-attend-medical-emergency-team-calls
      July 13, 2010 - Study Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Citation Text: Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. …

4646. Prescribing discrepancies likely to cause adverse drug events after patient transfer. | PSNet
      psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
      December 08, 2010 - Study Prescribing discrepancies likely to cause adverse drug events after patient transfer. Citation Text: Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…

4647. Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. | PSNet
      psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient-safety-indicator
      May 04, 2016 - Study Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. Citation Text: King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.…

4648. Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. | PSNet
      psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
      August 24, 2022 - Study Emerging Classic Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. Citation Text: Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on n…

4649. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet
      psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
      August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…

4650. Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. | PSNet
      psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
      April 03, 2024 - Study Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. Citation Text: Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…

4651. Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers. | PSNet
      psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional-study-us
      February 07, 2018 - Study Emerging Classic Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers. Citation Text: Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated wi…

4652. Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet
      psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
      October 17, 2018 - Study Making patient safety event data actionable: understanding patient safety analyst needs. Citation Text: Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…

4653. Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning education during GP training? | PSNet
      psnet.ahrq.gov/issue/do-malpractice-claim-clinical-case-vignettes-enhance-diagnostic-accuracy-and-acceptance
      October 04, 2023 - Study Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning education during GP training? Citation Text: van Sassen C, Mamede S, Bos M, et al. Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance i…

4654. Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. | PSNet
      psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized
      May 27, 2011 - Commentary Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. Citation Text: Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient comput…

4655. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet
      psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
      June 13, 2011 - Study Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. Citation Text: Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …

4656. Appendix O. CAUTI Event Report Template | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-o.html
      October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix O. CAUTI Event Report Template Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Over…

4657. Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. | PSNet
      psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
      August 10, 2022 - Study Classic Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. Citation Text: Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…

4658. Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. | PSNet
      psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
      November 07, 2018 - Commentary Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. Citation Text: Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more…

4659. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. | PSNet
      psnet.ahrq.gov/issue/safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices
      July 02, 2019 - Study Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Citation Text: Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Jt Comm J Qual Patient Saf…

4660. A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet
      psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
      February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …