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Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. | PSNet

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September 04, 2019 - Commentary Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. Citation Text: Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…

Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. | PSNet

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June 10, 2020 - Study Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. Citation Text: Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf…

Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. | PSNet

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June 01, 2016 - Study Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. Citation Text: Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualit…

Assessing adverse events among home care clients in three Canadian provinces using chart review. | PSNet

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June 28, 2017 - Study Assessing adverse events among home care clients in three Canadian provinces using chart review. Citation Text: Blais R, Sears NA, Doran D, et al. Assessing adverse events among home care clients in three Canadian provinces using chart review. BMJ Qual Saf. 2013;22(12):989-997. do…

A descriptive study of nurse-reported missed care in neonatal intensive care units. | PSNet

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January 27, 2019 - Study A descriptive study of nurse-reported missed care in neonatal intensive care units. Citation Text: Tubbs-Cooley HL, Pickler RH, Younger JB, et al. A descriptive study of nurse-reported missed care in neonatal intensive care units. J Adv Nurs. 2015;71(4):813-24. doi:10.1111/jan.1257…

Association of measured quality and future financial performance among hospitals performing cardiac surgery. | PSNet

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May 04, 2022 - Study Association of measured quality and future financial performance among hospitals performing cardiac surgery. Citation Text: Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance among hospitals performing cardiac surgery. J Healthc Manag. 2…

Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet

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March 14, 2018 - Study Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. Citation Text: Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely …

Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. | PSNet

psnet.ahrq.gov/issue/drug-manufacturers-delayed-disclosure-serious-and-unexpected-adverse-events-us-food-and-drug

July 10, 2017 - Study Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. Citation Text: Ma P, Marinovic I, Karaca-Mandic P. Drug Manufacturers' Delayed Disclosure of Serious and Unexpected Adverse Events to the US Food and Drug Adminis…

The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. | PSNet

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January 19, 2011 - Review The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Citation Text: Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med.…

Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. | PSNet

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July 10, 2024 - Study Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. Citation Text: DiDiodato G. Has improved hand hygiene compliance reduced the risk of h…

Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. | PSNet

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May 17, 2018 - Study Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. Citation Text: Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2…

Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? | PSNet

psnet.ahrq.gov/issue/resident-supervision-and-patient-safety-do-different-levels-resident-supervision-affect-rate

November 16, 2022 - Study Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? Citation Text: Van Leer PE, Lavine EK, Rabrich JS, et al. Resident Supervision and Patient Safety: Do Different Levels of Resident Supervision Affe…

Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. | PSNet

psnet.ahrq.gov/issue/are-opioid-infusions-used-inappropriately-end-life-results-qualitysafety-project

November 16, 2022 - Study Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. Citation Text: Yeh JC, Chae SG, Kennedy PJ, et al. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. J Pain Symptom Manage. 2022;64(3):e13…

The patient perspective on errors in cancer care: results of a cross-sectional survey. | PSNet

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August 18, 2021 - Study The patient perspective on errors in cancer care: results of a cross-sectional survey. Citation Text: Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross-sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.000000…

Medication report reduces number of medication errors when elderly patients are discharged from hospital. | PSNet

psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged

February 04, 2009 - Study Medication report reduces number of medication errors when elderly patients are discharged from hospital. Citation Text: Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…

Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. | PSNet

psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical

October 30, 2024 - Study Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. Citation Text: François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical …

How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. | PSNet

psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic

September 23, 2020 - Study Classic How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Citation Text: Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…

Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. | PSNet

psnet.ahrq.gov/issue/residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams-teaching-hospitals

February 07, 2024 - Study Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. Citation Text: Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teachi…

Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. | PSNet

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May 19, 2021 - Study Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. Citation Text: Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…

Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues

January 31, 2024 - Book/Report Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. Citation Text: Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the …

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