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Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac

June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. | PSNet

psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment

May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Citation Text: Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…

Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. | PSNet

psnet.ahrq.gov/issue/detecting-medication-order-discrepancies-nursing-homes-how-rns-and-lpns-differ

August 15, 2013 - Study Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. Citation Text: Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30…

The impact of rationing nursing care on patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-rationing-nursing-care-patient-safety-systematic-review

December 06, 2023 - Review The impact of rationing nursing care on patient safety: a systematic review. Citation Text: Uchmanowicz I, Lisiak M, Wleklik M, et al. The impact of rationing nursing care on patient safety: a systematic review. Med Sci Monit. 2024;30:e942031. doi:10.12659/msm.942031. Copy Citat…

Weight estimation for drug dose calculations in the prehospital setting - a systematic review. | PSNet

psnet.ahrq.gov/issue/weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review

November 16, 2022 - Review Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Citation Text: Wells M, Henry B, Goldstein L. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Prehosp Disaster Med. 2023;38(4):471-484. doi…

Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps

February 12, 2020 - Study Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. Citation Text: Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. …

Does time pressure have a negative effect on diagnostic accuracy? | PSNet

psnet.ahrq.gov/issue/does-time-pressure-have-negative-effect-diagnostic-accuracy

January 16, 2019 - Study Does time pressure have a negative effect on diagnostic accuracy? Citation Text: ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098. Copy Citation Format: …

Should health care providers be forced to apologise after things go wrong? | PSNet

psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong

March 14, 2016 - Commentary Should health care providers be forced to apologise after things go wrong? Citation Text: McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y. Copy Citation …

Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. | PSNet

psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted

March 15, 2023 - Study Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. Citation Text: Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit. | PSNet

psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational

July 19, 2023 - Study Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit. Citation Text: Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a …

Relationship between nursing home safety culture and Joint Commission accreditation. | PSNet

psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation

June 02, 2010 - Study Relationship between nursing home safety culture and Joint Commission accreditation. Citation Text: Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15. Copy Citation…

Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. | PSNet

psnet.ahrq.gov/issue/patterns-opioid-administration-among-opioid-naive-inpatients-and-associations-postdischarge

November 05, 2008 - Study Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. Citation Text: Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischa…

Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication

March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines. | PSNet

psnet.ahrq.gov/issue/application-theoretical-framework-behavior-change-hospital-workers-real-time-explanations

October 12, 2022 - Study Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines. Citation Text: Fuller C, Besser S, Savage J, et al. Application of a theoretical framework for behavior change to hospital worker…

Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital

August 07, 2024 - Study Emerging Classic Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. Citation Text: Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outco…

Why studying human behavior is a critical component of patient safety. | PSNet

psnet.ahrq.gov/issue/why-studying-human-behavior-critical-component-patient-safety

January 15, 2020 - Commentary Why studying human behavior is a critical component of patient safety. Citation Text: Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. Copy Citation F…

Do professionalism lapses in medical school predict problems in residency and clinical practice? | PSNet

psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice

February 15, 2017 - Study Do professionalism lapses in medical school predict problems in residency and clinical practice? Citation Text: Krupat E, Dienstag JL, Padrino SL, et al. Do professionalism lapses in medical school predict problems in residency and clinical practice? Acad Med. 2020;95(6):888-895. d…

Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. | PSNet

psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside

December 14, 2011 - Study Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. Citation Text: Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisc…

Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet

psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients

August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…

Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate

May 19, 2021 - Study Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. Citation Text: Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat…

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