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  1. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. | PSNet

    psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
    November 21, 2018 - Study Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. Citation Text: Goldszmidt M, Aziz N, Lingard LA. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discuss…

  2. Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. | PSNet

    psnet.ahrq.gov/issue/comparison-clinical-diagnoses-and-autopsy-findings-six-year-retrospective-study
    March 27, 2024 - Study Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Citation Text: Marshall HS, Milikowski C. Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Arch Pathol Lab Med. 2017;141(9):1262-1266. doi:10.5858/arpa.2016-0488…

  3. Implementation of a colour-coded universal protocol safety initiative in Guatemala. | PSNet

    psnet.ahrq.gov/issue/implementation-colour-coded-universal-protocol-safety-initiative-guatemala
    October 31, 2017 - Study Implementation of a colour-coded universal protocol safety initiative in Guatemala. Citation Text: Taicher BM, Tew S, Figueroa L, et al. Implementation of a colour-coded universal protocol safety initiative in Guatemala. BMJ Qual Saf. 2018;27(8). doi:10.1136/bmjqs-2017-007217. Co…

  4. Participation in a system-thinking simulation experience changes adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
    July 30, 2014 - Study Participation in a system-thinking simulation experience changes adverse event reporting. Citation Text: Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…

  5. New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. | PSNet

    psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lecture
    November 02, 2014 - Commentary New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. Citation Text: Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg. 2009;144(5):394-8. doi:10.1001/archsurg.2009.78. Copy Citation Format: DOI Google Schola…

  6. Time out—charting a path for improving performance measurement. | PSNet

    psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
    March 06, 2005 - Commentary Classic Time out—charting a path for improving performance measurement. Citation Text: MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. C…

  7. Identifying discrepancies in electronic medical records through pharmacist medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/identifying-discrepancies-electronic-medical-records-through-pharmacist-medication
    August 03, 2022 - Study Identifying discrepancies in electronic medical records through pharmacist medication reconciliation. Citation Text: Stewart AL, Lynch KJ. Identifying discrepancies in electronic medical records through pharmacist medication reconciliation. J Am Pharm Assoc (2003). 2012;52(1):59-…

  8. Errors as allies: error management training in health professions education. | PSNet

    psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
    January 22, 2016 - Commentary Errors as allies: error management training in health professions education. Citation Text: King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. Copy Citatio…

  9. Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
    September 13, 2023 - Study Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. Citation Text: Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their cont…

  10. Educational interventions to improve handover in health care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educational-interventions-improve-handover-health-care-systematic-review
    August 04, 2021 - Review Educational interventions to improve handover in health care: a systematic review. Citation Text: Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x. Copy Ci…

  11. Adverse event reporting: harnessing residents to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
    July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…

  12. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. | PSNet

    psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
    November 16, 2022 - Study Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Citation Text: Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…

  13. Do trainees feel that they belong to a team? | PSNet

    psnet.ahrq.gov/issue/do-trainees-feel-they-belong-team
    August 16, 2017 - Study Do trainees feel that they belong to a team? Citation Text: Price S, Lusznat R. Do trainees feel that they belong to a team? The Clin Teach. 2018;15(3):240-244. doi:10.1111/tct.12664. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  14. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet

    psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
    November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident report analysis. Citation Text: Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…

  15. Health care worker perspectives of their motivation to reduce health care–associated infections. | PSNet

    psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
    June 02, 2019 - Study Health care worker perspectives of their motivation to reduce health care–associated infections. Citation Text: McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce health care-associated infections. Am J Infect Control. 2017;45(10):…

  16. Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure. | PSNet

    psnet.ahrq.gov/issue/attitudes-patient-safety-amongst-medical-students-and-tutors-developing-reliable-and-valid
    August 02, 2012 - Study Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure. Citation Text: Carruthers S, Lawton R, Sandars J, et al. Attitudes to patient safety amongst medical students and tutors: Developing a reliable and valid measure. Med Teach. …

  17. Spoons systematically bias dosing of liquid medicine. | PSNet

    psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine
    November 03, 2015 - Study Spoons systematically bias dosing of liquid medicine. Citation Text: Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024. Copy Citation Format: DOI Google Scho…

  18. From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

    psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
    April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

  19. Communication in healthcare: a narrative review of the literature and practical recommendations. | PSNet

    psnet.ahrq.gov/issue/communication-healthcare-narrative-review-literature-and-practical-recommendations
    August 04, 2021 - Review Communication in healthcare: a narrative review of the literature and practical recommendations. Citation Text: Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature and practical recommendations. Int J Clin Pract. 2015;69(11):…

  20. Leader communication approaches and patient safety: an integrated model. | PSNet

    psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
    July 01, 2019 - Study Leader communication approaches and patient safety: an integrated model. Citation Text: Mattson M, Hellgren J, Göransson S. Leader communication approaches and patient safety: An integrated model. J Safety Res. 2015;53:53-62. doi:10.1016/j.jsr.2015.03.008. Copy Citation Forma…
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