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  1. Use of "Doctor" badges for physician role identification during clinical training. | PSNet

    psnet.ahrq.gov/issue/use-doctor-badges-physician-role-identification-during-clinical-training
    December 18, 2017 - Study Use of "Doctor" badges for physician role identification during clinical training. Citation Text: Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. …

  2. Toward more proactive approaches to safety in the electronic health record era. | PSNet

    psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era
    December 06, 2023 - Commentary Toward more proactive approaches to safety in the electronic health record era. Citation Text: Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. …

  3. Sleep deprivation and clinical performance. | PSNet

    psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance
    February 16, 2011 - Study Classic Sleep deprivation and clinical performance. Citation Text: Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  4. Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

    psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
    September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…

  5. Risk managers' descriptions of programs to support second victims after adverse events. | PSNet

    psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events
    May 11, 2016 - Study Risk managers' descriptions of programs to support second victims after adverse events. Citation Text: White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002…

  6. The experiences of risk managers in providing emotional support for health care workers after adverse events. | PSNet

    psnet.ahrq.gov/issue/experiences-risk-managers-providing-emotional-support-health-care-workers-after-adverse
    September 19, 2016 - Study The experiences of risk managers in providing emotional support for health care workers after adverse events. Citation Text: Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for health care workers after adverse events. J Healthc Ri…

  7. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet

    psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
    September 01, 2021 - Study Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Citation Text: Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Anal…

  8. Determination of health-care teamwork training competencies: a Delphi study. | PSNet

    psnet.ahrq.gov/issue/determination-health-care-teamwork-training-competencies-delphi-study
    May 15, 2024 - Study Determination of health-care teamwork training competencies: a Delphi study. Citation Text: Clay-Williams R, Braithwaite J. Determination of health-care teamwork training competencies: a Delphi study. Int J Qual Health Care. 2009;21(6):433-40. doi:10.1093/intqhc/mzp042. Copy Ci…

  9. Decision support for sensible dosing in electronic prescribing systems. | PSNet

    psnet.ahrq.gov/issue/decision-support-sensible-dosing-electronic-prescribing-systems
    February 23, 2011 - Study Decision support for sensible dosing in electronic prescribing systems. Citation Text: Coleman JJ, Nwulu U, Ferner RE. Decision support for sensible dosing in electronic prescribing systems. J Clin Pharm Ther. 2012;37(4):415-9. doi:10.1111/j.1365-2710.2011.01310.x. Copy Citatio…

  10. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. | PSNet

    psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-and-postoperative-outcomes-prospective-randomized
    October 10, 2018 - Study Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. Citation Text: Chaudhary N, Varma V, Kapoor S, et al. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled s…

  11. A systemwide strategy to embed equity into patient safety event analysis. | PSNet

    psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
    November 16, 2022 - Study A systemwide strategy to embed equity into patient safety event analysis. Citation Text: Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004. …

  12. Improving communication and resolution following adverse events using a patient-created simulation exercise. | PSNet

    psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created
    September 01, 2018 - Study Improving communication and resolution following adverse events using a patient-created simulation exercise. Citation Text: Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…

  13. Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

    psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
    November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

  14. How teams work—or don’t—in primary care: a field study on internal medicine practices. | PSNet

    psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices
    November 28, 2012 - Study How teams work—or don’t—in primary care: a field study on internal medicine practices. Citation Text: Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…

  15. Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. | PSNet

    psnet.ahrq.gov/issue/development-and-evaluation-3-day-patient-safety-curriculum-advance-knowledge-self-efficacy
    July 01, 2016 - Study Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. Citation Text: Aboumatar HJ, Thompson DA, Wu AW, et al. Development and evaluation of a 3-day patient safety curriculum to advance knowl…

  16. Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

    psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
    January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

  17. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet

    psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
    July 06, 2011 - Study Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Citation Text: Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…

  18. Improving medication reconciliation in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
    August 31, 2011 - Study Improving medication reconciliation in the outpatient setting. Citation Text: Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. Copy Citation Format: Google Scholar PubMed B…

  19. Patient safety in surgery. | PSNet

    psnet.ahrq.gov/issue/patient-safety-surgery
    June 16, 2011 - Study Patient safety in surgery. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Patient safety in surgery. Ann Surg. 2006;243(5):628-32; discussion 632-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  20. Hospital patient safety grades may misrepresent hospital performance. | PSNet

    psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance
    September 21, 2022 - Study Hospital patient safety grades may misrepresent hospital performance. Citation Text: Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139. Copy Citation Format: DOI…
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