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Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. | PSNet

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January 07, 2015 - Review Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. Citation Text: Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…

Rapid response teams as a patient safety practice for failure to rescue. | PSNet

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January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue. Citation Text: Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. Copy Citation For…

Another medical malpractice crisis?: Try something different. | PSNet

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November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…

Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. | PSNet

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September 29, 2017 - Study Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. Citation Text: Fink DA, Kilday D, Cao Z, et al. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalization…

Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center

February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. | PSNet

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December 12, 2014 - Study Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Citation Text: Manias E, Rixon S, Williams A, et al. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Health …

Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet

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September 28, 2017 - Study Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. Citation Text: Motamedi M, Degeling C, M. Carter S. Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry int…

Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance. | PSNet

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December 15, 2010 - Study Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance. Citation Text: Rennie W, Phetsouvanh R, Lupisan S, et al. Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker perform…

Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet

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February 20, 2019 - Study Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. Citation Text: Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…

Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. | PSNet

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January 23, 2019 - Study Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. Citation Text: Brewster L, Tarrant C, Willars J, et al. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 2018;27(8):625-6…

Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. | PSNet

psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical

May 09, 2018 - Study Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. Citation Text: Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…

Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. | PSNet

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January 04, 2012 - Study Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Citation Text: Jones D, George C, Hart GK, et al. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Crit Care. 2008;12(2):R46. doi:10.1186/cc6857.…

Information transfer at hospital discharge: a systematic review. | PSNet

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February 21, 2015 - Review Classic Information transfer at hospital discharge: a systematic review. Citation Text: Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. | PSNet

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May 31, 2011 - Review Classic Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Citation Text: Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…

Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. | PSNet

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June 02, 2019 - Review Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. Citation Text: Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Contro…

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. | PSNet

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March 24, 2019 - Study Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. Citation Text: Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…

Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. | PSNet

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March 11, 2020 - Study Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. Citation Text: Wrigstad J, Bergström J, Gusta…

"Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. | PSNet

psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk

January 07, 2022 - Study "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. Citation Text: McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…

To care is human—collectively confronting the clinician-burnout crisis. | PSNet

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June 10, 2020 - Commentary Classic To care is human—collectively confronting the clinician-burnout crisis. Citation Text: Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejm…

Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. | PSNet

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November 18, 2016 - Review Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. Citation Text: Li LZ, Yang P, Singer SJ, et al. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open. 2…

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