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Implementing peer evaluation of handoffs: associations with experience and workload. | PSNet

psnet.ahrq.gov/issue/implementing-peer-evaluation-handoffs-associations-experience-and-workload

February 19, 2013 - Study Implementing peer evaluation of handoffs: associations with experience and workload. Citation Text: Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002. …

The role of failure mode and effects analysis in health care. | PSNet

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December 22, 2021 - Newspaper/Magazine Article The role of failure mode and effects analysis in health care. Citation Text: Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. | PSNet

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February 08, 2012 - Commentary Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. Citation Text: Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally ret…

Recommendations from a national panel on quality improvement in obstetrics. | PSNet

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July 12, 2023 - Commentary Recommendations from a national panel on quality improvement in obstetrics. Citation Text: Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet

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February 24, 2011 - Study Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? Citation Text: Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. Copy Citation Fo…

Feeling unsafe in the healthcare setting: patients' perspectives. | PSNet

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June 11, 2014 - Review Feeling unsafe in the healthcare setting: patients' perspectives. Citation Text: Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. Copy Citation Format: DO…

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. | PSNet

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February 02, 2022 - Review Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. Citation Text: Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…

Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

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June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet

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April 12, 2019 - Commentary The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Citation Text: Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…

Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. | PSNet

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December 07, 2022 - Study Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. Citation Text: Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…

Learning from latent safety threats identified during simulation to improve patient safety. | PSNet

psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety

June 10, 2020 - Study Learning from latent safety threats identified during simulation to improve patient safety. Citation Text: Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):…

Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. | PSNet

psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital

January 27, 2012 - Study Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Citation Text: Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Pharm World S…

Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet

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November 02, 2016 - Commentary Learning from the design, development and implementation of the Medication Safety Thermometer. Citation Text: Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…

What’s past is prologue: organizational learning from a serious patient injury. | PSNet

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October 26, 2011 - Study What’s past is prologue: organizational learning from a serious patient injury. Citation Text: Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. Copy Citation …

Semi-supervised classification of patient safety event reports. | PSNet

psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports

October 31, 2011 - Study Semi-supervised classification of patient safety event reports. Citation Text: McKnight SD. Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4. doi:10.1097/PTS.0b013e31824ab987. Copy Citation Format: DOI Google Scholar PubM…

Prevalence and characteristics of interruptions and distractions during surgical counts. | PSNet

psnet.ahrq.gov/issue/prevalence-and-characteristics-interruptions-and-distractions-during-surgical-counts

March 09, 2016 - Study Prevalence and characteristics of interruptions and distractions during surgical counts. Citation Text: Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-56…

Diagnostic reasoning: an endangered competency in internal medicine training. | PSNet

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September 04, 2019 - Commentary Diagnostic reasoning: an endangered competency in internal medicine training. Citation Text: Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. Copy Citat…

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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