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Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills-randomized-clinical

May 18, 2022 - Study Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. Citation Text: White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. JAMA Netw Open.…

The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet

psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units

March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…

Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet

psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety

May 02, 2012 - Study Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Citation Text: Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08…

Introductions during time-outs: do surgical team members know one another's names? | PSNet

psnet.ahrq.gov/issue/introductions-during-time-outs-do-surgical-team-members-know-one-anothers-names

November 09, 2015 - Study Introductions during time-outs: do surgical team members know one another's names? Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1…

When no news is bad news: improving diagnostic testing communication through patient engagement. | PSNet

psnet.ahrq.gov/issue/when-no-news-bad-news-improving-diagnostic-testing-communication-through-patient-engagement

August 20, 2018 - Study When no news is bad news: improving diagnostic testing communication through patient engagement. Citation Text: Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26…

Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va

April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. | PSNet

psnet.ahrq.gov/issue/communication-and-transparency-means-strengthening-workplace-culture-during-covid-19

January 16, 2019 - Book/Report Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. Citation Text: Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicin…

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet

psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider

June 29, 2022 - Review Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. Citation Text: Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on …

Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care. | PSNet

psnet.ahrq.gov/issue/blame-patient-blame-doctor-or-blame-system-meta-synthesis-qualitative-studies-patient-safety

March 04, 2020 - Review Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care. Citation Text: Daker-White G, Hays R, McSharry J, et al. Blame the Patient, Blame the Doctor or Blame the System? A Meta-Synthesis of Qualitative Stu…

Frequency and clinical importance of pages sent to the wrong physician. | PSNet

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October 31, 2011 - Study Frequency and clinical importance of pages sent to the wrong physician. Citation Text: Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117. Copy Citation…

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew

April 26, 2023 - Commentary Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Citation Text: Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …

Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions. | PSNet

psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-environment-fda-safety-communication

February 07, 2018 - Press Release/Announcement Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions. Citation Text: Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precaut…

Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. | PSNet

psnet.ahrq.gov/issue/defining-minimum-necessary-anticoagulation-related-communication-discharge-consensus-care

March 04, 2020 - Study Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. Citation Text: Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Commu…

Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study

September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-survey

June 09, 2021 - Study Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. Citation Text: Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. do…

Association of clinical nursing work environment with quality and safety in maternity care in the United States. | PSNet

psnet.ahrq.gov/issue/association-clinical-nursing-work-environment-quality-and-safety-maternity-care-united-states

January 11, 2023 - Study Association of clinical nursing work environment with quality and safety in maternity care in the United States. Citation Text: Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN: Am J Maternal Ch…

Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. | PSNet

psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu

February 06, 2019 - Study Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Citation Text: Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Sa…

Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. | PSNet

psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex

November 20, 2024 - Study Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. Citation Text: Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient r…

The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities

March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

Health literacy and systemic racism—using clear communication to reduce health care inequities. | PSNet

psnet.ahrq.gov/issue/health-literacy-and-systemic-racism-using-clear-communication-reduce-health-care-inequities

July 19, 2023 - Commentary Health literacy and systemic racism—using clear communication to reduce health care inequities. Citation Text: Coleman C, Birk S, DeVoe J. Health literacy and systemic racism—using clear communication to reduce health care inequities. JAMA Intern Med. 2023;183(8):753-754. doi:…

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