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Beyond error: a qualitative study of human factors in serious adverse events. | PSNet

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December 18, 2024 - Study Beyond error: a qualitative study of human factors in serious adverse events. Citation Text: Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583. Copy Citation Format: …

Optimizing patient safety through system strategies and patient engagement. | PSNet

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June 22, 2016 - Newspaper/Magazine Article Optimizing patient safety through system strategies and patient engagement. Citation Text: Optimizing patient safety through system strategies and patient engagement. Rooprai P, Mistry N. Patient Saf Qual Healthc. June 23, 2020. Copy Citation …

Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential? | PSNet

psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic

September 20, 2011 - Study Classic Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential? Citation Text: Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging tes…

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. | PSNet

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October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. | PSNet

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March 10, 2021 - Study Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. Citation Text: Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves c…

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. | PSNet

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November 10, 2021 - Study In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. Citation Text: Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. 2022…

Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. | PSNet

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February 28, 2024 - Study Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Citation Text: Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…

How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet

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December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. | PSNet

psnet.ahrq.gov/issue/electronic-health-records-communication-and-data-sharing-challenges-and-opportunities

October 13, 2018 - Study Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Citation Text: Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving t…

Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. | PSNet

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November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…

Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. | PSNet

psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected

November 16, 2022 - Organizational Policy/Guidelines Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. Cit…

Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet

psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first

December 21, 2014 - Study Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. Citation Text: Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and im…

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized

January 10, 2017 - Study Classic Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Citation Text: Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care …

Reducing risks in complex care transitions in rural areas: a grounded theory. | PSNet

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June 23, 2021 - Study Reducing risks in complex care transitions in rural areas: a grounded theory. Citation Text: Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964. doi:10.1080/17482…

What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis. | PSNet

psnet.ahrq.gov/issue/what-do-parents-think-about-quality-and-safety-care-provided-hospitals-children-and-young

September 06, 2023 - Study What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis. Citation Text: Ong N, Lucien A, Long JC, et al. What do parents think about the quality and sa…

Data omission by physician trainees on ICU rounds. | PSNet

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January 23, 2017 - Study Data omission by physician trainees on ICU rounds. Citation Text: Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med. 2019;47(3):403-409. doi:10.1097/CCM.0000000000003557. Copy Citation Format: DOI Google Scholar PubM…

The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. | PSNet

psnet.ahrq.gov/issue/aspects-healthcare-quality-are-important-health-professionals-and-patients-qualitative-study

September 08, 2021 - Study The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Citation Text: Hannawa AF, Wu AW, Kolyada A, et al. The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Patien…

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. | PSNet

psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial

September 15, 2011 - Study Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. Citation Text: Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. Copy…

Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. | PSNet

psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation

April 05, 2023 - Commentary Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. Citation Text: Black GB, Nicholson BD, Moreland J-A, et al. Doing …

Patients' perspectives of diagnostic error: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study

February 10, 2012 - Study Patients' perspectives of diagnostic error: a qualitative study. Citation Text: Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. Copy Citation Forma…

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