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Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women

August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? | PSNet

psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals

May 23, 2018 - Study Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? Citation Text: Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76. Copy Citation Format: Go…

Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. | PSNet

psnet.ahrq.gov/issue/pharmacist-versus-physician-acquired-medication-history-prospective-study-emergency

June 17, 2014 - Study Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Citation Text: De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf…

Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet

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May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. | PSNet

psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients

March 13, 2015 - Review Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. Citation Text: Zed PJ, Haughn C, Black KJL, et al. Medication-related emergency department visits and hospital admissions in pediatric patients: a quali…

Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. | PSNet

psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified

February 01, 2017 - Study Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. Citation Text: Villafranca A, Fast I, Turick M, et al. Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multination…

Attention among health care professionals : a scoping review. | PSNet

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September 08, 2010 - Review Attention among health care professionals : a scoping review. Citation Text: Kissler MJ, Porter S, Knees M, et al. Attention among health care professionals : a scoping review. Ann Intern Med. 2024;177(7):941-952. doi:10.7326/m23-3229. Copy Citation Format: DOI Googl…

Racial and ethnic harm in patient care is a patient safety issue. | PSNet

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October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. | PSNet

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March 02, 2022 - Commentary Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. Citation Text: Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.…

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. | PSNet

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July 19, 2023 - Study A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Citation Text: Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…

An iconic language for the graphical representation of medical concepts. | PSNet

psnet.ahrq.gov/issue/iconic-language-graphical-representation-medical-concepts

March 05, 2025 - Study An iconic language for the graphical representation of medical concepts. Citation Text: Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16. Copy Citation …

Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. | PSNet

psnet.ahrq.gov/issue/causes-errors-electrocardiographic-diagnosis-atrial-fibrillation-physicians

April 16, 2018 - Study Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. Citation Text: Davidenko JM, Snyder LS. Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. J Electrocardiol. 2007;40(5):450-6. Copy Citation …

Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet

psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum

August 03, 2017 - Commentary Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Citation Text: Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…

Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/medical-costs-alzheimers-disease-misdiagnosis-among-us-medicare-beneficiaries

August 20, 2018 - Study Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Citation Text: Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…

A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. | PSNet

psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay

December 23, 2011 - Study A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Citation Text: Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Med C…

Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. | PSNet

psnet.ahrq.gov/issue/transferring-responsibility-and-accountability-maternity-care-clinicians-defining-their

August 19, 2009 - Study Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. Citation Text: Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care: clinicians d…

Effect of a rapid response team on the incidence of in-hospital mortality. | PSNet

psnet.ahrq.gov/issue/effect-rapid-response-team-incidence-hospital-mortality

March 15, 2023 - Study Effect of a rapid response team on the incidence of in-hospital mortality. Citation Text: Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005. Copy…

Nursing home patient safety culture perceptions among US and immigrant nurses. | PSNet

psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-us-and-immigrant-nurses

January 14, 2011 - Study Nursing home patient safety culture perceptions among US and immigrant nurses. Citation Text: Wagner LM, Brush BL, Castle NG, et al. Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses. J Patient Saf. 2020;16(3):238-244. doi:10.1097/pts.0000000000000271. …

Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. | PSNet

psnet.ahrq.gov/issue/sustaining-teamwork-behaviors-through-reinforcement-teamstepps-principles

September 02, 2015 - Study Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. Citation Text: Lee S-H, Khanuja HS, Blanding RJ, et al. Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles. J Patient Saf. 2021;17(7):e582-e586. doi:10.1097/pts.0000000000000414.…

Supporting structures for team situation awareness and decision making: insights from four delivery suites. | PSNet

psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery

October 13, 2010 - Study Supporting structures for team situation awareness and decision making: insights from four delivery suites. Citation Text: Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Cl…

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