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Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. | PSNet

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January 21, 2019 - Commentary Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. Citation Text: Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet

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April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. | PSNet

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March 10, 2021 - Study Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. Citation Text: Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves c…

Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. | PSNet

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January 27, 2016 - Study Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. Citation Text: Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…

Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. | PSNet

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July 25, 2011 - Study Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. Citation Text: Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room t…

The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet

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September 15, 2021 - Study The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. Citation Text: Damery S, Flanagan S, Jones J, et al. The effect of providing staff tr…

Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. | PSNet

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November 01, 2017 - Study Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. Citation Text: Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary interventio…

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. | PSNet

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April 24, 2018 - Study Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. Citation Text: van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. …

Health care safety during the pandemic and beyond--building a system that ensures resilience. | PSNet

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July 20, 2022 - Commentary Health care safety during the pandemic and beyond--building a system that ensures resilience. Citation Text: Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…

Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. | PSNet

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November 10, 2021 - Study Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. Citation Text: Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medicatio…

Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. | PSNet

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July 29, 2020 - Study Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. Citation Text: Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decisio…

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. | PSNet

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September 01, 2021 - Review Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. Citation Text: Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. BMJ …

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. | PSNet

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August 25, 2021 - Review Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. Citation Text: Drey N, Gould D, Purssell E, et al. Applying thematic synthesis to interpretati…

The management of test results in primary care: does an electronic medical record make a difference? | PSNet

psnet.ahrq.gov/issue/management-test-results-primary-care-does-electronic-medical-record-make-difference

April 12, 2011 - Study The management of test results in primary care: does an electronic medical record make a difference? Citation Text: Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic medical record make a difference? Fam Med. 2010;42(5):327-33…

Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. | PSNet

psnet.ahrq.gov/issue/acceptability-and-feasibility-leapfrog-computerized-physician-order-entry-evaluation-tool

May 20, 2020 - Study Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. Citation Text: Cho IS, Lee J-H, Choi S-K, et al. Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation too…

Risk factors associated with medication ordering errors. | PSNet

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December 02, 2020 - Study Risk factors associated with medication ordering errors. Citation Text: Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264. Copy Citation Format: DOI …

Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. | PSNet

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January 19, 2022 - Study Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Citation Text: Odes R, Chapman SM, Ackerman SL, et al. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Policy Polit Nurs Pract. 2022;2…

Making safety training stickier: a richer model of safety training engagement and transfer. | PSNet

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October 06, 2021 - Review Making safety training stickier: a richer model of safety training engagement and transfer. Citation Text: Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2…

An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. | PSNet

psnet.ahrq.gov/issue/ethical-framework-allocating-scarce-life-saving-chemotherapy-and-supportive-care-drugs

September 07, 2016 - Commentary An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. Citation Text: Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving Chemotherapy and Supportive Care Drugs for Child…

Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. | PSNet

psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong

July 01, 2020 - Study Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. Citation Text: Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. A…

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