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Not just "getting by": factors influencing providers' choice of interpreters. | PSNet

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August 23, 2023 - Study Not just "getting by": factors influencing providers' choice of interpreters. Citation Text: Hsieh E. Not just "getting by": factors influencing providers' choice of interpreters. J Gen Intern Med. 2015;30(1):75-82. doi:10.1007/s11606-014-3066-8. Copy Citation Format: …

An investigation of diagnostic accuracy and confidence associated with diagnostic checklists as well as gender biases in relation to mental disorders. | PSNet

psnet.ahrq.gov/issue/investigation-diagnostic-accuracy-and-confidence-associated-diagnostic-checklists-well-gender

February 21, 2024 - Study An investigation of diagnostic accuracy and confidence associated with diagnostic checklists as well as gender biases in relation to mental disorders. Citation Text: Cwik JC, Papen F, Lemke J-E, et al. An Investigation of Diagnostic Accuracy and Confidence Associated with Diagnosti…

Preventable deaths: who, how often, and why? | PSNet

psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why

February 22, 2011 - Study Classic Preventable deaths: who, how often, and why? Citation Text: Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. | PSNet

psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter

December 16, 2020 - Study The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. Citation Text: Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…

The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. | PSNet

psnet.ahrq.gov/issue/commercialised-experience-operating-embodied-preferences-ambiguous-variations-and-explaining

August 24, 2022 - Study The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. Citation Text: Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining …

More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? | PSNet

psnet.ahrq.gov/issue/more-holes-cheese-what-prevents-delivery-effective-high-quality-and-safe-healthcare-england

December 18, 2017 - Study More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? Citation Text: Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomic…

Human error and the problem of causality in analysis of accidents. | PSNet

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August 25, 2021 - Commentary Classic Human error and the problem of causality in analysis of accidents. Citation Text: Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462. Copy Citation …

Promoting patient safety using an early warning scoring system. | PSNet

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October 16, 2012 - Study Promoting patient safety using an early warning scoring system. Citation Text: Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. Copy Citation Format: Google Scholar PubMed B…

Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses. | PSNet

psnet.ahrq.gov/issue/cognitive-biases-regarding-utilization-emergency-severity-index-among-emergency-nurses

December 21, 2016 - Study Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses. Citation Text: Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.…

Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. | PSNet

psnet.ahrq.gov/issue/learning-non-routine-events-and-teamwork-intensive-care-units-challenges-and-opportunities

September 11, 2019 - Commentary Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Citation Text: Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2024;310:324-328…

Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. | PSNet

psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information

December 18, 2014 - Study Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. Citation Text: Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, an…

Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. | PSNet

psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national

July 16, 2008 - Study Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. Citation Text: Thomas AN, Panchagnula U, Taylor RJ. Review of patient safety incidents submitted from Critical Care Units in England & Wales to the U…

Test result communication in primary care: clinical and office staff perspectives. | PSNet

psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives

November 20, 2015 - Study Test result communication in primary care: clinical and office staff perspectives. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. …

Debunking the myth that the majority of medical errors are attributed to communication. | PSNet

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February 14, 2024 - Journal Article Debunking the myth that the majority of medical errors are attributed to communication. Citation Text: Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. Copy C…

Relationship of staff information sharing and advice networks to patient safety outcomes. | PSNet

psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes

June 22, 2011 - Study Relationship of staff information sharing and advice networks to patient safety outcomes. Citation Text: Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…

Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. | PSNet

psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity

December 02, 2020 - Study Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. Citation Text: Guzmán MDT, Banqueri MG, Otero MJ, et al. Development of a Trigger Tool to Identify Adverse Drug Events in Elderly Patients With Multimorbidity. J Patient Saf. 2021…

Organizational learning in the morbidity and mortality conference. | PSNet

psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference

June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. | PSNet

psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking

August 03, 2022 - Review Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. Citation Text: Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…

Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-error-rates-adult-medical

July 23, 2010 - Study Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. Citation Text: DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on medication error rates in an adult medical inte…

Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/patients-willingness-and-ability-participate-actively-reduction-clinical-errors-systematic

February 24, 2021 - Review Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. Citation Text: DOHERTY CAROLE, STAVROPOULOU CHARITINI. Patients' willingness and ability to participate actively in the reduction of clinical errors: a …

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