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Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. | PSNet

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August 17, 2018 - Study Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. Citation Text: Mull HJ, Gellad ZF, Gupta RT, et al. Factors Associated With Emergency Department Visits and Hospital Admissions Af…

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

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February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. | PSNet

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April 06, 2022 - Study Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. Citation Text: Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department patients…

Intersystem medical error discovery: a document analysis of ethical guidelines. | PSNet

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December 14, 2022 - Review Intersystem medical error discovery: a document analysis of ethical guidelines. Citation Text: Duffy B, Miller J, Vitous CA, et al. Intersystem medical error discovery: a document analysis of ethical guidelines. J Patient Saf. 2021;17(8):e1765-e1773. doi:10.1097/pts.00000000000006…

Impact of including readmissions for qualifying events in the Patient Safety Indicators. | PSNet

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January 26, 2022 - Study Impact of including readmissions for qualifying events in the Patient Safety Indicators. Citation Text: Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…

Developing expert medical teams: toward an evidence-based approach. | PSNet

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September 29, 2017 - Review Developing expert medical teams: toward an evidence-based approach. Citation Text: Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x. Copy …

The scope of drug-related problems in the home care setting. | PSNet

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February 16, 2011 - Review The scope of drug-related problems in the home care setting. Citation Text: Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9. Copy Citation Format: …

Medical students raising concerns. | PSNet

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September 23, 2020 - Study Medical students raising concerns. Citation Text: Druce MR, Hickey A, Warrens AN, et al. Medical Students Raising Concerns. J Patient Saf. 2021;17(5):e367-e372. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

Progress in interoperability: measuring US hospitals' engagement in sharing patient data. | PSNet

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March 27, 2024 - Study Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Citation Text: Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. do…

An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. | PSNet

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June 17, 2015 - Review An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. Citation Text: Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what the literature …

Re-examining high reliability: actively organising for safety. | PSNet

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October 13, 2018 - Commentary Re-examining high reliability: actively organising for safety. Citation Text: Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698. Copy Citation Format: …

Neonatal intensive care unit safety culture varies widely. | PSNet

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April 18, 2012 - Study Neonatal intensive care unit safety culture varies widely. Citation Text: Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635. Copy Citati…

Handover after pediatric heart surgery: a simple tool improves information exchange. | PSNet

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July 03, 2016 - Study Handover after pediatric heart surgery: a simple tool improves information exchange. Citation Text: Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…

Development of patient safety measures to identify inappropriate diagnosis of common infections. | PSNet

psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections

April 10, 2024 - Study Development of patient safety measures to identify inappropriate diagnosis of common infections. Citation Text: White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-14…

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

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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…

Using incident reporting to improve patient safety: a conceptual model. | PSNet

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June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

Failures in communication and information transfer across the surgical care pathway: interview study. | PSNet

psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study

August 09, 2013 - Study Failures in communication and information transfer across the surgical care pathway: interview study. Citation Text: Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):8…

Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study

December 12, 2014 - June 22, 2022 Factors associated with missed nursing care and nurse-assessed quality

The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. | PSNet

psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging

June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet

psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary

January 18, 2013 - January 18, 2013 The effect of hospital electronic health record adoption on nurse-assessed

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