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Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. | PSNet

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September 04, 2019 - Commentary Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. Citation Text: Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…

Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. | PSNet

psnet.ahrq.gov/issue/hospitalization-and-death-associated-potentially-inappropriate-medication-prescriptions-among

August 04, 2021 - Study Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. Citation Text: Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among…

Medication report reduces number of medication errors when elderly patients are discharged from hospital. | PSNet

psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged

February 04, 2009 - Study Medication report reduces number of medication errors when elderly patients are discharged from hospital. Citation Text: Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…

Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. | PSNet

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January 27, 2021 - Study Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. Citation Text: Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…

Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. | PSNet

psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse

March 15, 2017 - Study Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. Citation Text: Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk asses…

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…

Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. | PSNet

psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems

May 11, 2022 - Review Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. Citation Text: Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…

Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

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March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. | PSNet

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March 23, 2022 - Study Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. Citation Text: Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…

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

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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

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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

psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study

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…

The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. | PSNet

psnet.ahrq.gov/issue/psychological-experiences-nurses-after-inpatient-suicide-meta-synthesis-qualitative-research

February 23, 2022 - Review The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. Citation Text: Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta‐synthesis of qualitative research studies. J Adv …

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. | PSNet

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October 12, 2022 - Study Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. Citation Text: Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …

How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. | PSNet

psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts

August 18, 2021 - Commentary How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Citation Text: Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…

Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. | PSNet

psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research

June 23, 2021 - Review Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Citation Text: Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…

Emergency physician perceptions of electronic health record usability and safety. | PSNet

psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety

August 24, 2022 - Study Emergency physician perceptions of electronic health record usability and safety. Citation Text: Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…

Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-surgical-safety-checklist-provider-and-patient-outcomes-systematic-review

March 01, 2023 - Review Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. Citation Text: Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. …

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

psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada

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 …

Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia

June 07, 2023 - Study Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. Citation Text: Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…

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