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Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. | PSNet

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October 16, 2019 - Commentary Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Citation Text: Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.00000000000011…

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. | PSNet

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November 16, 2022 - Commentary National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. Citation Text: D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. | PSNet

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March 01, 2011 - Commentary A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Citation Text: Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…

Emotional harm from disrespect: the neglected preventable harm. | PSNet

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August 09, 2018 - Commentary Emotional harm from disrespect: the neglected preventable harm. Citation Text: Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034. Copy Citation Format: …

Debriefing in the emergency department after clinical events: a practical guide. | PSNet

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November 16, 2022 - Commentary Debriefing in the emergency department after clinical events: a practical guide. Citation Text: Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…

Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. | PSNet

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August 04, 2021 - Study Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. Citation Text: Berg TA, Hebert SH, Chyka D, et al. Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medi…

Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. | PSNet

psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators

January 13, 2010 - Commentary Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. Citation Text: Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Q…

Opportunities to mine EHRs for malpractice risk management and patient safety. | PSNet

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October 28, 2020 - Commentary Opportunities to mine EHRs for malpractice risk management and patient safety. Citation Text: Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/251604…

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training

January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. | PSNet

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April 28, 2021 - Study Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Citation Text: Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qua…

Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. | PSNet

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March 02, 2022 - Commentary Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. Citation Text: Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.…

The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. | PSNet

psnet.ahrq.gov/issue/impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors

January 18, 2011 - Study The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Citation Text: Vogus TJ, Sutcliffe K. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital n…

Drug-related problems in older people after hospital discharge and interventions to reduce them. | PSNet

psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them

September 13, 2023 - Review Drug-related problems in older people after hospital discharge and interventions to reduce them. Citation Text: Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing.…

Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet

psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study

November 21, 2012 - Study Cognitive errors detected in anaesthesiology: a literature review and pilot study. Citation Text: Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…

Exploring the impact of employee engagement and patient safety. | PSNet

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July 27, 2022 - Review Exploring the impact of employee engagement and patient safety. Citation Text: Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059. Copy Citation Format: …

Impact of organizational leadership on physician burnout and satisfaction. | PSNet

psnet.ahrq.gov/issue/impact-organizational-leadership-physician-burnout-and-satisfaction

June 28, 2010 - Study Impact of organizational leadership on physician burnout and satisfaction. Citation Text: Shanafelt TD, Gorringe G, Menaker R, et al. Impact of organizational leadership on physician burnout and satisfaction. Mayo Clin Proc. 2015;90(4):432-40. doi:10.1016/j.mayocp.2015.01.012. Co…

Resident shift handoff strategies in US internal medicine residency programs. | PSNet

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July 02, 2014 - Study Resident shift handoff strategies in US internal medicine residency programs. Citation Text: Wray CM, Chaudhry S, Pincavage A, et al. Resident Shift Handoff Strategies in US Internal Medicine Residency Programs. JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786. Copy Cita…

Interventions to improve hand hygiene compliance in the ICU: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-icu-systematic-review

January 23, 2019 - Review Interventions to improve hand hygiene compliance in the ICU: a systematic review. Citation Text: Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691. Copy Citation Form…

Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/factors-associated-emergency-department-visits-and-hospital-admissions-after-invasive

August 17, 2018 - Study Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. Citation Text: Mull HJ, Gellad ZF, Gupta RT, et al. Factors Associated With Emergency Department Visits and Hospital Admissions Af…

The consequences of whistle-blowing: an integrative review. | PSNet

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November 16, 2022 - Review The consequences of whistle-blowing: an integrative review. Citation Text: Lim CR, Zhang MWB, Hussain SF, et al. The Consequences of Whistle-blowing: An Integrative Review. J Patient Saf. 2021;17(6):e497-e502. doi:10.1097/PTS.0000000000000396. Copy Citation Format: D…

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