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How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. | PSNet

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June 16, 2021 - Review Emerging Classic How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Citation Text: Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…

Association between measured teamwork and medical errors: an observational study of prehospital care in the USA | PSNet

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May 18, 2022 - Study Association between measured teamwork and medical errors: an observational study of prehospital care in the USA Citation Text: Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA.…

An ethnographic study of health information technology use in three intensive care units. | PSNet

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January 14, 2014 - Study An ethnographic study of health information technology use in three intensive care units. Citation Text: Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1…

The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. | PSNet

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June 09, 2021 - Commentary The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. Citation Text: Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. | PSNet

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April 01, 2020 - Study Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. Citation Text: Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard …

Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. | PSNet

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May 25, 2011 - Study Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. Citation Text: Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…

Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. | PSNet

psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity

December 16, 2020 - Study Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. Citation Text: Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…

Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. | PSNet

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September 16, 2020 - Commentary Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Citation Text: Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Leadersh He…

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews. | PSNet

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February 17, 2021 - Review Classic Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews. Citation Text: Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers an…

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. | PSNet

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November 25, 2020 - Study Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. Citation Text: Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-…

Lost information during the handover of critically injured trauma patients: a mixed-methods study. | PSNet

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October 04, 2023 - Study Lost information during the handover of critically injured trauma patients: a mixed-methods study. Citation Text: Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…

Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies. | PSNet

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June 15, 2016 - Study Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies. Citation Text: Mileder LP, Schwaberger B, Baik-Schneditz N, et al. Sustained decrease in latent safety threats through regular interprofessional in sit…

A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. | PSNet

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September 25, 2013 - Study A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. Citation Text: Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting Among …

The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. | PSNet

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September 01, 2018 - Study The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. Citation Text: Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes. He…

Relationship between operating room teamwork, contextual factors, and safety checklist performance. | PSNet

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September 24, 2017 - Study Relationship between operating room teamwork, contextual factors, and safety checklist performance. Citation Text: Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-5…

Rates of medication errors among depressed and burnt out residents: prospective cohort study. | PSNet

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April 11, 2011 - Study Rates of medication errors among depressed and burnt out residents: prospective cohort study. Citation Text: Fahrenkopf AM, Sectish TC, Barger LK, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008;336(7642):488-91. doi:…

Patients as partners in learning from unexpected events. | PSNet

psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events

December 15, 2021 - Study Patients as partners in learning from unexpected events. Citation Text: Etchegaray J, Ottosen M, Aigbe A, et al. Patients as Partners in Learning from Unexpected Events. Health Serv Res. 2016;51 Suppl 3:2600-2614. doi:10.1111/1475-6773.12593. Copy Citation Format: DOI…

Evaluation and mitigation of the limitations of large language models in clinical decision-making. | PSNet

psnet.ahrq.gov/issue/evaluation-and-mitigation-limitations-large-language-models-clinical-decision-making

March 09, 2022 - Commentary Evaluation and mitigation of the limitations of large language models in clinical decision-making. Citation Text: Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language models in clinical decision-making. Nat Med. 2024;30(9):2613-…

Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. | PSNet

psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-requested-corrections-medical-record-through-use

October 02, 2024 - Study Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. Citation Text: Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested correc…

Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. | PSNet

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July 31, 2019 - Study Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Citation Text: Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…

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