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Trainees' perceptions of patient safety practices: recounting failures of supervision. | PSNet

psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision

September 20, 2011 - Study Trainees' perceptions of patient safety practices: recounting failures of supervision. Citation Text: Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95. Copy…

A novel approach to increase residents' involvement in reporting adverse events. | PSNet

psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events

September 23, 2020 - Study A novel approach to increase residents' involvement in reporting adverse events. Citation Text: Scott DR, Weimer M, English C, et al. A novel approach to increase residents' involvement in reporting adverse events. Acad Med. 2011;86(6):742-746. doi:10.1097/ACM.0b013e318217e12a. C…

Implementation of a standardized tool for root cause analysis selection. | PSNet

psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection

November 06, 2024 - Study Implementation of a standardized tool for root cause analysis selection. Citation Text: Wahlstedt E, Levy BE, Scott E, et al. Implementation of a standardized tool for root cause analysis selection. J Patient Saf. 2025;21(2):101-105. doi:10.1097/pts.0000000000001291. Copy Citatio…

How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. | PSNet

psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient

October 19, 2022 - Study How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Citation Text: Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient…

Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. | PSNet

psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality

April 06, 2022 - Commentary Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Citation Text: Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…

How physicians think: a case-based diagnostic simulation exercise. | PSNet

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August 14, 2019 - Study How physicians think: a case-based diagnostic simulation exercise. Citation Text: Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010. Copy Citation …

When no news is bad news: improving diagnostic testing communication through patient engagement. | PSNet

psnet.ahrq.gov/issue/when-no-news-bad-news-improving-diagnostic-testing-communication-through-patient-engagement

August 20, 2018 - Study When no news is bad news: improving diagnostic testing communication through patient engagement. Citation Text: Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26…

Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. | PSNet

psnet.ahrq.gov/issue/provider-provider-communication-during-transitions-care-outpatient-acute-care-systematic

October 29, 2017 - Review Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. Citation Text: Luu N-P, Pitts S, Petty BG, et al. Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic Review. J G…

A scoping review of distributed cognition in acute care clinical decision-making. | PSNet

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April 08, 2020 - Review A scoping review of distributed cognition in acute care clinical decision-making. Citation Text: Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision-making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. Copy…

Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. | PSNet

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February 23, 2022 - Review Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. Citation Text: Richmond JG, Burgess N. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety inciden…

Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. | PSNet

psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans

June 14, 2011 - Study Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. Citation Text: Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patie…

Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. | PSNet

psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning

February 02, 2022 - Commentary Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Citation Text: Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…

Racial bias in cesarean decision-making. | PSNet

psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making

June 02, 2019 - Study Racial bias in cesarean decision-making. Citation Text: Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Assessing resident and attending error and adverse events in the emergency department. | PSNet

psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency-department

November 25, 2020 - Study Assessing resident and attending error and adverse events in the emergency department. Citation Text: Adler JL, Gurley K, Rosen CL, et al. Assessing resident and attending error and adverse events in the emergency department. Am J Emerg Med. 2022;54:228-231. doi:10.1016/j.ajem.2022…

Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. | PSNet

psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability

April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. Citation Text: Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …

Fighting a common enemy: a catalyst to close intractable safety gaps. | PSNet

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June 30, 2021 - Commentary Fighting a common enemy: a catalyst to close intractable safety gaps. Citation Text: Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390. Copy Citation Format…

Interventions to increase patient safety in long-term care facilities-umbrella review. | PSNet

psnet.ahrq.gov/issue/interventions-increase-patient-safety-long-term-care-facilities-umbrella-review

September 01, 2021 - Review Interventions to increase patient safety in long-term care facilities-umbrella review. Citation Text: Świtalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities-umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. do…

Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | PSNet

psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons

August 21, 2019 - Study Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. Citation Text: Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned. Anesth Anal…

Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Study Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest eve…

Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. | PSNet

psnet.ahrq.gov/issue/barriers-accessing-nighttime-supervisors-national-survey-internal-medicine-residents

October 12, 2022 - Study Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. Citation Text: Catalanotti JS, O’Connor AB, Kisielewski M, et al. Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. J Gen Intern Med. 2021;36…

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