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Resident fatigue: is there a patient safety issue? | PSNet

psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue

February 03, 2010 - Study Resident fatigue: is there a patient safety issue? Citation Text: Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg. 2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028. Copy Citation Format: DOI Google Scholar PubM…

TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. | PSNet

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September 15, 2021 - Study TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. Citation Text: Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi…

Relationship between nursing home safety culture and Joint Commission accreditation. | PSNet

psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation

June 02, 2010 - Study Relationship between nursing home safety culture and Joint Commission accreditation. Citation Text: Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15. Copy Citation…

Hospital safety climate and safety behavior: a social exchange perspective. | PSNet

psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective

February 15, 2023 - Study Hospital safety climate and safety behavior: a social exchange perspective. Citation Text: Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.…

Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. | PSNet

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May 11, 2016 - Study Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. Citation Text: Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. do…

Determining current insulin pen use practices and errors in the inpatient setting. | PSNet

psnet.ahrq.gov/issue/determining-current-insulin-pen-use-practices-and-errors-inpatient-setting

June 29, 2016 - Study Determining current insulin pen use practices and errors in the inpatient setting. Citation Text: Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…

Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet

psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site

March 14, 2022 - Study Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? Citation Text: Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…

Does the perception of severity of medical error differ between varying levels of clinical seniority? | PSNet

psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority

August 31, 2022 - Study Does the perception of severity of medical error differ between varying levels of clinical seniority? Citation Text: Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10…

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. | PSNet

psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach

March 29, 2023 - Study Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Citation Text: Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …

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

psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services

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…

The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation. | PSNet

psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-occupational-safety-climate-healthcare-multi

January 21, 2015 - Study The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation. Citation Text: Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational safety climate in healthcare – A multi-l…

Improving employee voice about transgressive or disruptive behavior: a case study. | PSNet

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June 16, 2021 - Study Improving employee voice about transgressive or disruptive behavior: a case study. Citation Text: Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.00000000000…

Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. | PSNet

psnet.ahrq.gov/issue/surgeons-narcissism-hostility-stress-bullying-meaning-life-and-work-environment-two-centered

November 07, 2018 - Study Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. Citation Text: El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. Langenb…

A usability and safety analysis of electronic health records: a multi-center study. | PSNet

psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study

October 13, 2018 - Study Emerging Classic A usability and safety analysis of electronic health records: a multi-center study. Citation Text: Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-center study. J Am Med Inform Ass…

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication

July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

How payers can help hospitals become safer through value-based programs. | PSNet

psnet.ahrq.gov/issue/how-payers-can-help-hospitals-become-safer-through-value-based-programs

December 21, 2022 - Commentary How payers can help hospitals become safer through value-based programs. Citation Text: Hsu E, Ma S, Winn B, et al. How payers can help hospitals become safer through value-based programs. NEJM Catalyst. 2024;5(7):CAT.24.0049. doi:10.1056/cat.24.0049. Copy Citation Forma…

Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. | PSNet

psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative

September 25, 2024 - Study Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. Citation Text: Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…

The influence of organizational culture, climate and commitment on speaking up about medical errors. | PSNet

psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors

December 31, 2018 - Study Emerging Classic The influence of organizational culture, climate and commitment on speaking up about medical errors. Citation Text: Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…

A factorial survey on safety behavior providing opportunities to improve safety. | PSNet

psnet.ahrq.gov/issue/factorial-survey-safety-behavior-providing-opportunities-improve-safety

November 16, 2015 - Study A factorial survey on safety behavior providing opportunities to improve safety. Citation Text: Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.00000000000001…

Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. | PSNet

psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral

January 12, 2022 - Study Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. Citation Text: Rowily AA, Jalal Z, Paudyal V. Contributory factors…

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