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A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. | PSNet

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August 28, 2017 - Study A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. Citation Text: Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequenc…

Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. | PSNet

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November 17, 2014 - Study Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. Citation Text: Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing …

"Doctor Jazz": lessons that medical professionals can learn from jazz musicians. | PSNet

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August 10, 2022 - Review "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. Citation Text: van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. Copy Ci…

No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). | PSNet

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January 04, 2010 - Review No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). Citation Text: Tzeng H-M, Yin C-Y. No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). J Nurs Care Qual. 2007;22(4):299-306. Copy Citation Format: …

A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet

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October 19, 2022 - Commentary A lethal hidden curriculum—death of a medical student from opioid use disorder. Citation Text: Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. Copy C…

Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. | PSNet

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September 01, 2016 - Study Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. Citation Text: Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Imp…

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

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June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

Ten years later, alarm fatigue is still a safety concern. | PSNet

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October 25, 2023 - Commentary Ten years later, alarm fatigue is still a safety concern. Citation Text: Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662. Copy Citation Format: …

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

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June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet

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September 24, 2017 - Study Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. Citation Text: Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…

Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. | PSNet

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March 31, 2021 - Study Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Citation Text: Prang IW, Jelsness-Jørgensen L-P. Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Geriatr Nurs.…

Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. | PSNet

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February 27, 2019 - Study Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. Citation Text: Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…

Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet

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September 23, 2020 - Study Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Citation Text: Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a …

Association between parent comfort with English and adverse events among hospitalized children. | PSNet

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June 29, 2022 - Study Association between parent comfort with English and adverse events among hospitalized children. Citation Text: Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.…

Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. | PSNet

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April 02, 2015 - Review Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. Citation Text: Vaismoradi M, Vizcaya-Moreno F, Jordan S, et al. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic r…

Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

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March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. | PSNet

psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety

October 02, 2019 - Commentary Emerging Classic Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. Citation Text: Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…

Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. | PSNet

psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi

March 17, 2021 - Study Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. Citation Text: Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…

Implementation strategies in the context of medication reconciliation: a qualitative study. | PSNet

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August 05, 2020 - Study Implementation strategies in the context of medication reconciliation: a qualitative study. Citation Text: Stolldorf DP, Ridner SH, Vogus TJ, et al. Implementation strategies in the context of medication reconciliation: a qualitative study. Implement Sci Commun. 2021;2(1):63. doi:1…

Automated search methods for identifying wrong patient order entry-a scoping review. | PSNet

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June 14, 2023 - Study Automated search methods for identifying wrong patient order entry-a scoping review. Citation Text: Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057. Copy C…

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