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Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors

January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet

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July 06, 2011 - Study Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Citation Text: Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…

1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). | PSNet

psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos

April 12, 2019 - Commentary 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). Citation Text: Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018…

Improving medication reconciliation in the outpatient setting. | PSNet

psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting

August 31, 2011 - Study Improving medication reconciliation in the outpatient setting. Citation Text: Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. Copy Citation Format: Google Scholar PubMed B…

Patient safety in surgery. | PSNet

psnet.ahrq.gov/issue/patient-safety-surgery

June 16, 2011 - Study Patient safety in surgery. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Patient safety in surgery. Ann Surg. 2006;243(5):628-32; discussion 632-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Hospital patient safety grades may misrepresent hospital performance. | PSNet

psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance

September 21, 2022 - Study Hospital patient safety grades may misrepresent hospital performance. Citation Text: Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139. Copy Citation Format: DOI…

Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. | PSNet

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August 18, 2010 - Study Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. Citation Text: Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. J Patient Saf. 2010;6(4):206-9. Copy Citation For…

Structuring feedback and debriefing to achieve mastery learning goals. | PSNet

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September 02, 2020 - Study Structuring feedback and debriefing to achieve mastery learning goals. Citation Text: Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. Copy Citation …

The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability

May 11, 2016 - Study The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. Citation Text: Huang LC, Conley D, Lipsitz S, et al. The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. BMJ Qual Saf. 2014;23(8):639-50. doi:10…

Reducing medical error in the Military Health System: how can team training help? | PSNet

psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help

March 29, 2007 - Commentary Reducing medical error in the Military Health System: how can team training help? Citation Text: Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.101…

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. | PSNet

psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural

March 03, 2011 - Study A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Citation Text: Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…

Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. | PSNet

psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study

December 06, 2010 - Study Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Citation Text: Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1…

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. | PSNet

psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds

February 02, 2011 - Study Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Citation Text: Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…

COVID-19: to be or not to be; that is the diagnostic question. | PSNet

psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnostic-question

September 02, 2020 - Commentary COVID-19: to be or not to be; that is the diagnostic question. Citation Text: Coleman JJ, Manavi K, Marson EJ, et al. COVID-19: to be or not to be; that is the diagnostic question. Postgrad Med J. 2020;96(1137):392-398. doi:10.1136/postgradmedj-2020-137979. Copy Citation …

To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. | PSNet

psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare

January 26, 2022 - Commentary To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. Citation Text: Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…

Communicating uncertainty: a narrative review and framework for future research. | PSNet

psnet.ahrq.gov/issue/communicating-uncertainty-narrative-review-and-framework-future-research

February 24, 2021 - Review Communicating uncertainty: a narrative review and framework for future research. Citation Text: Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8. Cop…

The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. | PSNet

psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools

September 23, 2020 - Commentary The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Citation Text: Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…

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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