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  1. Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. | PSNet

    psnet.ahrq.gov/issue/multicenter-development-implementation-and-patient-safety-impacts-simulation-based-module
    June 03, 2013 - Study Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Citation Text: Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…

  2. Patient safety goals for the proposed Federal Health Information Technology Safety Center. | PSNet

    psnet.ahrq.gov/issue/patient-safety-goals-proposed-federal-health-information-technology-safety-center
    November 30, 2011 - Commentary Classic Patient safety goals for the proposed Federal Health Information Technology Safety Center. Citation Text: Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform…

  3. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. | PSNet

    psnet.ahrq.gov/issue/handoffs-safety-culture-and-practices-evidence-hospital-survey-patient-safety-culture
    June 21, 2015 - Study Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. Citation Text: Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Serv Res. 2016;16…

  4. Accuracy of infection reporting in US nursing home ratings. | PSNet

    psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
    August 24, 2022 - Study Accuracy of infection reporting in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195. Copy Citation Format: DOI…

  5. Medication errors in paediatric outpatients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients
    December 15, 2011 - Study Medication errors in paediatric outpatients. Citation Text: Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  6. Patients use an internet technology to report when things go wrong. | PSNet

    psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
    July 21, 2009 - Study Patients use an internet technology to report when things go wrong. Citation Text: Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. Copy Citation Format: Google Scholar PubMe…

  7. What happens when healthcare innovations collide? | PSNet

    psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
    December 06, 2017 - Commentary What happens when healthcare innovations collide? Citation Text: Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. Copy Citation Format: DOI Google S…

  8. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. | PSNet

    psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation
    January 09, 2018 - Commentary The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. Citation Text: Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities f…

  9. Efficiency and safety of speech recognition for documentation in the electronic health record. | PSNet

    psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record
    February 14, 2024 - Study Efficiency and safety of speech recognition for documentation in the electronic health record. Citation Text: Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. …

  10. How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. | PSNet

    psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture
    July 07, 2021 - Commentary How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. Citation Text: Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…

  11. Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. | PSNet

    psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
    May 27, 2020 - Study Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. Citation Text: Gray BM, Vandergrift JL, McCoy R…

  12. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. | PSNet

    psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory
    May 27, 2011 - Study Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. Citation Text: Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…

  13. Electronic tools to support medication reconciliation—a systematic review. | PSNet

    psnet.ahrq.gov/issue/electronic-tools-support-medication-reconciliation-systematic-review
    August 18, 2021 - Review Electronic tools to support medication reconciliation—a systematic review. Citation Text: Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068. Copy Citation…

  14. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. | PSNet

    psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
    September 14, 2022 - Study Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…

  15. The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-system-and-not-resuscitation-orders-results-merit-study
    June 02, 2010 - Study The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. Citation Text: Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008;79(3):391-…

  16. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. | PSNet

    psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system
    January 15, 2009 - Study Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Citation Text: Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):…

  17. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. | PSNet

    psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency
    April 24, 2018 - Review Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Citation Text: Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. A…

  18. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. | PSNet

    psnet.ahrq.gov/issue/thresholds-rules-and-defensive-strategies-how-physicians-learn-their-prior-diagnosis-related
    April 15, 2020 - Study Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. Citation Text: Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experienc…

  19. Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. | PSNet

    psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems-1977-2021
    October 19, 2022 - Review Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. Citation Text: Ünal A, Seren Intepeler Ş. Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 20…

  20. Effects of a night-team system on resident sleep and work hours. | PSNet

    psnet.ahrq.gov/issue/effects-night-team-system-resident-sleep-and-work-hours
    November 16, 2022 - Study Effects of a night-team system on resident sleep and work hours. Citation Text: Chua K-P, Gordon M, Sectish TC, et al. Effects of a night-team system on resident sleep and work hours. Pediatrics. 2011;128(6):1142-7. doi:10.1542/peds.2011-1049. Copy Citation Format: DO…
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