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  1. 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;…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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 …
  9. 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. Copy …
  10. 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…
  11. 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…
  12. 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. Copy Citation Format: …
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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. Copy Citation …
  18. 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 …
  19. 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…
  20. 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…

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