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Improving standardization of paging communication using quality improvement methodology. | PSNet

psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology

September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…

Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet

psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital

June 11, 2010 - Study Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. Citation Text: O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…

Race and the clinical diagnosis of depression in new primary care patients. | PSNet

psnet.ahrq.gov/issue/race-and-clinical-diagnosis-depression-new-primary-care-patients

October 21, 2020 - Study Race and the clinical diagnosis of depression in new primary care patients. Citation Text: Lukachko A, Olfson M. Race and the clinical diagnosis of depression in new primary care patients. Gen Hosp Psychiatry. 2011;34(1):98-100. doi:10.1016/j.genhosppsych.2011.09.008. Copy Citati…

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. | PSNet

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January 27, 2016 - Commentary Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. Citation Text: Young JQ, Wachter R. Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. JAMA.…

Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. | PSNet

psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking

October 19, 2022 - Study Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. Citation Text: Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…

Dispensing error rates in pharmacy: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis

June 10, 2020 - Review Dispensing error rates in pharmacy: a systematic review and meta-analysis. Citation Text: Um IS, Clough A, Tan ECK. Dispensing error rates in pharmacy: a systematic review and meta-analysis. Res Social Adm Pharm. 2024;20(1):1-9. doi:10.1016/j.sapharm.2023.10.003. Copy Citation …

A survey of the impact of disruptive behaviors and communication defects on patient safety. | PSNet

psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety

February 03, 2010 - Study Classic A survey of the impact of disruptive behaviors and communication defects on patient safety. Citation Text: Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patie…

Patient Safety in Ambulatory Settings. | PSNet

psnet.ahrq.gov/issue/patient-safety-ambulatory-settings

June 08, 2011 - Book/Report Classic Patient Safety in Ambulatory Settings. Citation Text: Patient Safety in Ambulatory Settings. Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publi…

Debiasing health-related judgments and decision making: a systematic review. | PSNet

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January 04, 2010 - Review Debiasing health-related judgments and decision making: a systematic review. Citation Text: Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. Copy Citation Forma…

Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards

March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet

psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture

November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture. Citation Text: Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224. Co…

Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/association-between-electronic-health-record-implementations-and-hospital-acquired-conditions

September 01, 2016 - Study Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. Citation Text: Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations and hospital-acquired conditions in pediatric …

An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. | PSNet

psnet.ahrq.gov/issue/integrative-systematic-review-employee-silence-and-voice-healthcare-what-are-we-really

August 03, 2022 - Review An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. Citation Text: Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring? Front …

Drone delivery of medications: review of the landscape and legal considerations. | PSNet

psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations

May 18, 2022 - Commentary Emerging Classic Drone delivery of medications: review of the landscape and legal considerations. Citation Text: Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Phar…

What COVID-19 teaches us about implicit bias in pediatric health care. | PSNet

psnet.ahrq.gov/issue/what-covid-19-teaches-us-about-implicit-bias-pediatric-health-care

March 25, 2020 - Commentary What COVID-19 teaches us about implicit bias in pediatric health care. Citation Text: Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131. Copy Citation F…

Organizational culture: an important context for addressing and improving hospital to community patient discharge. | PSNet

psnet.ahrq.gov/issue/organizational-culture-important-context-addressing-and-improving-hospital-community-patient

December 30, 2014 - Study Organizational culture: an important context for addressing and improving hospital to community patient discharge. Citation Text: Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community pa…

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet

psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons

July 25, 2018 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

The flaw of medicine: addressing racial and gender disparities in critical care. | PSNet

psnet.ahrq.gov/issue/flaw-medicine-addressing-racial-and-gender-disparities-critical-care

June 16, 2010 - Commentary The flaw of medicine: addressing racial and gender disparities in critical care. Citation Text: Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.…

Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet

psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident

November 15, 2023 - Study Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. Citation Text: Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…

Eight human factors and ergonomics principles for healthcare artificial intelligence. | PSNet

psnet.ahrq.gov/issue/eight-human-factors-and-ergonomics-principles-healthcare-artificial-intelligence

May 13, 2020 - Commentary Eight human factors and ergonomics principles for healthcare artificial intelligence. Citation Text: Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-…

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