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psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis
June 14, 2019 - Study
Emerging Classic
Exposure to incivility hinders clinical performance in a simulated operative crisis.
Citation Text:
Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…
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psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
December 17, 2014 - Study
Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients.
Citation Text:
Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…
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psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular
March 02, 2022 - Study
Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.
Citation Text:
Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team member…
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psnet.ahrq.gov/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams
May 22, 2019 - Commentary
Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams.
Citation Text:
Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Jt Comm J Q…
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psnet.ahrq.gov/issue/connecting-patients-and-clinicians-anticipated-effects-open-notes-patient-safety-and-quality
March 20, 2017 - Commentary
Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care.
Citation Text:
Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of…
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psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
October 20, 2021 - Review
The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review.
Citation Text:
Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and satis…
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psnet.ahrq.gov/issue/support-healthcare-workers-and-patients-after-medical-error-through-mutual-healing-another
June 16, 2021 - Study
Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety.
Citation Text:
Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another…
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psnet.ahrq.gov/issue/associations-between-organizational-communication-and-patients-experience-prolonged-emotional
October 27, 2021 - Study
Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors.
Citation Text:
Sokol-Hessner L, Dechen T, Folcarelli P, et al. Associations between organizational communication and patients' experience of prolonged …
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psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
October 28, 2020 - Study
A report of information technology and health deficiencies in U.S. nursing homes.
Citation Text:
Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390.
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psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results
November 23, 2016 - Study
Classic
The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study.
Citation Text:
Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life comm…
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psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
February 14, 2024 - Study
Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.
Citation Text:
de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…
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psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
October 12, 2009 - Commentary
A novel ICU hand-over tool: the glass door of the patient room.
Citation Text:
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
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psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers
April 18, 2011 - Study
Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room.
Citation Text:
Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery r…
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psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
April 14, 2021 - Review
Disclosing adverse events in clinical practice: the delicate act of being open.
Citation Text:
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Study
Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.
Citation Text:
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…
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psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
March 09, 2022 - Study
Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center.
Citation Text:
Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…
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psnet.ahrq.gov/issue/association-web-based-handoff-tool-rates-medical-errors
April 12, 2023 - Study
Association of a web-based handoff tool with rates of medical errors.
Citation Text:
Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258.
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psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care
November 20, 2015 - Study
The influence of organizational factors on patient safety: examining successful handoffs in health care.
Citation Text:
Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage …
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psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality
May 27, 2010 - Study
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…
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psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication
August 11, 2021 - Study
Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners.
Citation Text:
Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…