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5181. Evaluation of a physician informatics tool to improve patient handoffs. | PSNet
      psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs
      January 07, 2015 - Study Evaluation of a physician informatics tool to improve patient handoffs. Citation Text: Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. Copy C…

5182. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. | PSNet
      psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
      August 26, 2011 - Study Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Citation Text: Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…

5183. The frequency and significance of discrepancies in the surgical count. | PSNet
      psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
      March 02, 2011 - Study The frequency and significance of discrepancies in the surgical count. Citation Text: Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. Copy Citation …

5184. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. | PSNet
      psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
      October 19, 2022 - Study Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. Citation Text: Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…

5185. Pharmacy e-prescription dispensing before and after CancelRx implementation. | PSNet
      psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation
      October 05, 2022 - Study Pharmacy e-prescription dispensing before and after CancelRx implementation. Citation Text: Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.…

5186. The patient's "story": an examination of patient-reported safety incidents in general practice. | PSNet
      psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice
      November 03, 2021 - Study The patient's "story": an examination of patient-reported safety incidents in general practice. Citation Text: Madden C, Lydon S, Murphy AW, et al. The patient’s “story”: an examination of patient-reported safety incidents in general practice. Fam Pract. 2022;39(6):1095-1102. doi:1…

5187. Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet
      psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement
      August 26, 2011 - Study Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. Citation Text: Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement…

5188. Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/implementation-josie-king-care-journal-pediatric-intensive-care-unit-quality-improvement
      November 21, 2016 - Study Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. Citation Text: Turner K, Frush K, Hueckel RM, et al. Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. J…

5189. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet
      psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
      March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. Citation Text: Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…

5190. Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
      February 02, 2022 - Review Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. Citation Text: Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-1…

5191. Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance | PSNet
      psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient
      July 29, 2020 - Review Emerging Classic Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance Citation Text: Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team trainin…

5192. Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet
      psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis
      September 01, 2018 - Study Structuring patient and family involvement in medical error event disclosure and analysis. Citation Text: Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…

5193. A novel approach for assessing bias during team-based clinical decision-making. | PSNet
      psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
      April 10, 2024 - Study A novel approach for assessing bias during team-based clinical decision-making. Citation Text: Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.101477…

5194. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. | PSNet
      psnet.ahrq.gov/issue/us-and-canadian-physicians-attitudes-and-experiences-regarding-disclosing-errors-patients
      January 23, 2008 - Study Classic US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. Citation Text: Gallagher TH, Waterman AD, Garbutt J, et al. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patien…

5195. Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. | PSNet
      psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human
      November 02, 2018 - Study Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. Citation Text: Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…

5196. Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet
      psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event
      August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

5197. Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. | PSNet
      psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-cluster
      July 13, 2010 - Study Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. Citation Text: Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-…

5198. Workarounds and test results follow-up in electronic health record–based primary care. | PSNet
      psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary-care
      August 20, 2014 - Study Workarounds and test results follow-up in electronic health record–based primary care. Citation Text: Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015…

5199. Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. | PSNet
      psnet.ahrq.gov/issue/parent-experiences-process-sharing-inpatient-safety-concerns-children-medical-complexity
      July 06, 2022 - Study Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. Citation Text: Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety concerns for children with me…

5200. Confidential clinician-reported surveillance of adverse events among medical inpatients. | PSNet
      psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients
      June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…