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  1. Influence of unit-level staffing on medication errors and falls in military hospitals. | PSNet

    psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals
    February 02, 2011 - Study Influence of unit-level staffing on medication errors and falls in military hospitals. Citation Text: Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:1…

  2. Improving responses to safety incidents: we need to talk about justice. | PSNet

    psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice
    February 02, 2022 - Commentary Improving responses to safety incidents: we need to talk about justice. Citation Text: Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333. Copy Citation For…

  3. A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. | PSNet

    psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural
    March 03, 2011 - Study A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Citation Text: Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…

  4. The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. | PSNet

    psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
    April 24, 2018 - Study The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. Citation Text: Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:1…

  5. Operating room traffic as a modifiable risk factor for surgical site infection. | PSNet

    psnet.ahrq.gov/issue/operating-room-traffic-modifiable-risk-factor-surgical-site-infection
    April 24, 2018 - Study Operating room traffic as a modifiable risk factor for surgical site infection. Citation Text: Wanta BT, Glasgow AE, Habermann EB, et al. Operating Room Traffic as a Modifiable Risk Factor for Surgical Site Infection. Surg Infect (Larchmt). 2016;17(6):755-760. Copy Citation F…

  6. A novel process audit for standardized perioperative handoff protocols. | PSNet

    psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
    June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

  7. Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. | PSNet

    psnet.ahrq.gov/issue/residents-perceptions-professionalism-training-and-practice-barriers-promoters-and-duty-hour
    November 16, 2022 - Study Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. Citation Text: Ratanawongsa N, Bolen S, Howell EE, et al. Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour re…

  8. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. | PSNet

    psnet.ahrq.gov/issue/toward-understanding-errors-inpatient-psychiatry-qualitative-inquiry
    December 21, 2018 - Study Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Citation Text: Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z. Copy Citation …

  9. Persistent noncompliance with the work-hour regulation. | PSNet

    psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation
    February 08, 2023 - Study Persistent noncompliance with the work-hour regulation. Citation Text: Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation. Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337. Copy Citation Format: DOI Goo…

  10. Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
    April 06, 2011 - Study Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. Citation Text: Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizati…

  11. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. | PSNet

    psnet.ahrq.gov/issue/evaluation-preoperative-team-briefing-new-communication-routine-results-improved-clinical
    April 06, 2011 - Study Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. Citation Text: Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BM…

  12. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
    April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

  13. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. | PSNet

    psnet.ahrq.gov/issue/sleep-loss-and-performance-residents-and-nonphysicians-meta-analytic-examination
    March 22, 2017 - Review Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. Citation Text: Philibert I. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. Sleep. 2005;28(11):1392-402. Copy Citation Format: Google Sch…

  14. Safe care for pediatric patients: a scoping review across multiple health care settings. | PSNet

    psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings
    August 03, 2022 - Review Safe care for pediatric patients: a scoping review across multiple health care settings. Citation Text: Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.11…

  15. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
    November 26, 2014 - Study Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Citation Text: Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.…

  16. The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. | PSNet

    psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
    September 23, 2020 - Newspaper/Magazine Article The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. Citation Text: The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…

  17. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. | PSNet

    psnet.ahrq.gov/issue/sleep-science-schedules-and-safety-hospitals-challenges-and-solutions-pediatric-providers
    November 16, 2022 - Review Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Citation Text: Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Pediatr Clin North Am. 2012;59(6):13…

  18. Current challenges in health information technology–related patient safety. | PSNet

    psnet.ahrq.gov/issue/current-challenges-health-information-technology-related-patient-safety
    July 16, 2015 - Commentary Current challenges in health information technology–related patient safety. Citation Text: Sittig DF, Wright A, Coiera E, et al. Current challenges in health information technology–related patient safety. Health Inform J. 2020;26(1):181-189. doi:10.1177/1460458218814893. Cop…

  19. Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. | PSNet

    psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
    July 22, 2010 - Study Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. Citation Text: Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752. Copy Citation …

  20. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. | PSNet

    psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and-mortality
    February 04, 2016 - Study Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. Citation Text: McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…
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