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  1. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. | PSNet

    psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
    September 15, 2021 - Review Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Citation Text: Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi…

  2. TeamGAINS: a tool for structured debriefings for simulation-based team trainings. | PSNet

    psnet.ahrq.gov/issue/teamgains-tool-structured-debriefings-simulation-based-team-trainings
    October 08, 2016 - Study TeamGAINS: a tool for structured debriefings for simulation-based team trainings. Citation Text: Kolbe M, Weiss M, Grote G, et al. TeamGAINS: a tool for structured debriefings for simulation-based team trainings. BMJ Qual Saf. 2013;22(7):541-53. doi:10.1136/bmjqs-2012-000917. Co…

  3. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. | PSNet

    psnet.ahrq.gov/issue/preferences-and-perceptions-medical-error-disclosure-among-marginalized-populations-narrative
    June 15, 2022 - Review Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Citation Text: Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Jt Comm J Qual P…

  4. Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. | PSNet

    psnet.ahrq.gov/issue/beyond-burnout-physician-wellness-hierarchy-designed-prioritize-interventions-systems-level
    July 19, 2023 - Review Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. Citation Text: Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 20…

  5. Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-hospital-pediatrics-during-covid-19-national-qualitative-study
    November 17, 2021 - Study Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Citation Text: De Angulo NR, Penwill N, Pathak PR, et al. Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Hosp Pediatr. 2022;12(1):e2021006115. doi:10.1…

  6. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims | PSNet

    psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences
    February 10, 2021 - Study Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims Citation Text: Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of …

  7. The application of the Global Trigger Tool: a systematic review. | PSNet

    psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
    December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

  8. A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet

    psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
    April 06, 2022 - Study A recent two-fold increase in medical adverse event deaths among US inpatients. Citation Text: Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. Copy…

  9. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. | PSNet

    psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
    November 16, 2016 - Review Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. Citation Text: Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of …

  10. Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims
    June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

  11. Patient-mediated interventions to improve professional practice. | PSNet

    psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice
    April 25, 2016 - Review Emerging Classic Patient-mediated interventions to improve professional practice. Citation Text: Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.…

  12. Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). | PSNet

    psnet.ahrq.gov/issue/consumer-mobile-apps-potential-drug-drug-interaction-check-systematic-review-and-content
    March 04, 2020 - Review Emerging Classic Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). Citation Text: Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug…

  13. Time to take hearing loss seriously. | PSNet

    psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
    September 23, 2020 - Commentary Time to take hearing loss seriously. Citation Text: Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003. Copy Citation Format: DOI Google Scholar BibTeX E…

  14. The value of learning from near misses to improve patient safety: a scoping review. | PSNet

    psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
    April 27, 2022 - Review The value of learning from near misses to improve patient safety: a scoping review. Citation Text: Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…

  15. Errors in adult trauma resuscitation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
    December 01, 2021 - Review Errors in adult trauma resuscitation: a systematic review. Citation Text: Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. Copy Citation Format: DOI Google Schola…

  16. Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

    psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care
    February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

  17. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. | PSNet

    psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
    December 09, 2020 - Study Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Citation Text: Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…

  18. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
    October 29, 2017 - Study Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. Citation Text: Edmonds JK, George EK, Iobst SE, et al. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. J Obstet Gynecol Neon…

  19. Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. | PSNet

    psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review
    May 08, 2024 - Review Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. Citation Text: Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-1137. do…

  20. Omissions of care in nursing home settings: a narrative review. | PSNet

    psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review
    November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…
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