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  1. In search of common ground in handoff documentation in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit
    March 23, 2011 - Study In search of common ground in handoff documentation in an intensive care unit. Citation Text: Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …

  2. Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/reasons-repeat-rapid-response-team-calls-and-associations-hospital-mortality
    March 03, 2020 - Study Reasons for repeat rapid response team calls, and associations with in-hospital mortality. Citation Text: Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. …

  3. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

    psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
    September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

  4. Risks of complications by attending physicians after performing nighttime procedures. | PSNet

    psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
    February 14, 2018 - Study Classic Risks of complications by attending physicians after performing nighttime procedures. Citation Text: Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/ja…

  5. Unit-based care teams and the frequency and quality of physician–nurse communications. | PSNet

    psnet.ahrq.gov/issue/unit-based-care-teams-and-frequency-and-quality-physician-nurse-communications
    November 16, 2022 - Study Unit-based care teams and the frequency and quality of physician–nurse communications. Citation Text: Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.100…

  6. Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. | PSNet

    psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence
    May 18, 2022 - Study Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. Citation Text: Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From Engli…

  7. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet

    psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
    April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…

  8. Second victims need emotional support after adverse events: even in a just safety culture. | PSNet

    psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture
    April 12, 2023 - Commentary Second victims need emotional support after adverse events: even in a just safety culture. Citation Text: Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events: even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.11…

  9. Older adults' awareness of deprescribing: a population-based survey. | PSNet

    psnet.ahrq.gov/issue/older-adults-awareness-deprescribing-population-based-survey
    June 22, 2009 - Study Older adults' awareness of deprescribing: a population-based survey. Citation Text: Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079. Copy Citation Format: DOI …

  10. Five topics health care simulation can address to improve patient safety: results from a consensus process. | PSNet

    psnet.ahrq.gov/issue/five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus
    June 28, 2023 - Study Five topics health care simulation can address to improve patient safety: results from a consensus process. Citation Text: Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Sa…

  11. Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet

    psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during
    September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. Citation Text: Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…

  12. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. | PSNet

    psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
    July 21, 2021 - Study A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. Citation Text: Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…

  13. A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. | PSNet

    psnet.ahrq.gov/issue/novel-method-reproducibly-measuring-effects-interventions-improve-emotional-climate-indices
    March 16, 2011 - Study A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. Citation Text: Nurok M, Lipsitz S, Satwicz P, et al. A novel me…

  14. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. | PSNet

    psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists
    July 28, 2010 - Commentary A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Citation Text: Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…

  15. Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/medication-errors-caregivers-home-neonates-discharged-neonatal-intensive-care-unit
    June 07, 2023 - Study Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Citation Text: Solanki R, Mondal N, Mahalakshmy T, et al. Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Arch Dis Child. 2017…

  16. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet

    psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
    March 07, 2012 - Study Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Citation Text: Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…

  17. Hospital COVID-19 burden and adverse event rates. | PSNet

    psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
    June 22, 2022 - Study Hospital COVID-19 burden and adverse event rates. Citation Text: Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936. Copy Citation Format: DOI Google Scho…

  18. Missed, rationed or unfinished nursing care: a scoping review of patient outcomes. | PSNet

    psnet.ahrq.gov/issue/missed-rationed-or-unfinished-nursing-care-scoping-review-patient-outcomes
    May 29, 2024 - Review Missed, rationed or unfinished nursing care: a scoping review of patient outcomes. Citation Text: Kalánková D, Kirwan M, Bartoníčková D, et al. Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.1…

  19. Direct reporting of laboratory test results to patients by mail to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety
    February 15, 2011 - Study Direct reporting of laboratory test results to patients by mail to enhance patient safety. Citation Text: Sung S, Forman-Hoffman VL, Wilson MC, et al. Direct reporting of laboratory test results to patients by mail to enhance patient safety. J Gen Intern Med. 2006;21(10):1075-8. …

  20. Electronic health record alert–related workload as a predictor of burnout in primary care providers. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-alert-related-workload-predictor-burnout-primary-care-providers
    November 11, 2020 - Study Electronic health record alert–related workload as a predictor of burnout in primary care providers. Citation Text: Gregory ME, Russo E, Singh H. Electronic Health Record Alert-Related Workload as a Predictor of Burnout in Primary Care Providers. Appl Clin Inform. 2017;8(3):686-697…
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