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A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. | PSNet

psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety

December 04, 2024 - Review A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Citation Text: Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementatio…

Institutional disclosure: promise and problems. | PSNet

psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems

August 12, 2015 - Study Institutional disclosure: promise and problems. Citation Text: Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). | PSNet

psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos

April 12, 2019 - Commentary 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). Citation Text: Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018…

Structural empowerment and patient safety culture among registered nurses working in adult critical care units. | PSNet

psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult

January 23, 2008 - Study Structural empowerment and patient safety culture among registered nurses working in adult critical care units. Citation Text: Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units.…

Improving Weekend Out Of Hours Surgical Handover (WOOSH). | PSNet

psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh

May 27, 2011 - Commentary Improving Weekend Out Of Hours Surgical Handover (WOOSH). Citation Text: Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. Copy Citation Format: DOI G…

Impact of resident workload and handoff training on patient outcomes. | PSNet

psnet.ahrq.gov/issue/impact-resident-workload-and-handoff-training-patient-outcomes

April 12, 2023 - Study Impact of resident workload and handoff training on patient outcomes. Citation Text: Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005. Copy Citation F…

Improving incident reporting among physician trainees. | PSNet

psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees

October 08, 2016 - Study Improving incident reporting among physician trainees. Citation Text: Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. Copy Citation Format: DOI Google Sc…

Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective

June 27, 2018 - Study Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. Citation Text: Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…

Rapid response systems: a prospective study of response times. | PSNet

psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times

November 16, 2022 - Study Rapid response systems: a prospective study of response times. Citation Text: Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013. Copy Citation Format: …

The spectrum of harm associated with modern medicine. | PSNet

psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine

July 26, 2023 - Commentary The spectrum of harm associated with modern medicine. Citation Text: Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet

psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants

August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. Citation Text: Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…

General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. | PSNet

psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey

September 13, 2023 - Study General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Citation Text: Mikkelsen TH, Sokolowski I, Olesen F. General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Scand J Prim …

Language discordance and patient care-Babel. | PSNet

psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel

October 30, 2024 - Commentary Language discordance and patient care-Babel. Citation Text: Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

Rapid response teams and failure to rescue: one community's experience. | PSNet

psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience

March 14, 2022 - Study Rapid response teams and failure to rescue: one community's experience. Citation Text: Hammer JA, Jones TL, Brown SA. Rapid response teams and failure to rescue: one community's experience. J Nurs Care Qual. 2012;27(4):352-8. doi:10.1097/NCQ.0b013e31825a8e2f. Copy Citation Fo…

Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. | PSNet

psnet.ahrq.gov/issue/detection-classification-and-correction-defective-chemotherapy-orders-through-nursing-and

May 27, 2011 - Study Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. Citation Text: Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems

May 18, 2022 - Study Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Citation Text: Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…

What 'just culture' doesn't understand about just punishment. | PSNet

psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment

December 30, 2014 - Commentary What 'just culture' doesn't understand about just punishment. Citation Text: Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. Copy Citation Format: DOI Google Schola…

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. | PSNet

psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour

March 17, 2010 - Commentary Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Citation Text: Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …

Implementing human factors in clinical practice. | PSNet

psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice

June 28, 2023 - Study Implementing human factors in clinical practice. Citation Text: Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203. Copy Citation Format: DOI Google Scholar PubMed …

In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities

June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

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