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Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. | PSNet

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March 13, 2013 - Commentary Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. Citation Text: Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…

Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

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January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet

psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice

February 21, 2015 - Study Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Citation Text: Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …

Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

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December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. | PSNet

psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise

March 08, 2017 - Commentary Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. Citation Text: Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. | PSNet

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September 29, 2021 - Study Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. Citation Text: Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record syste…

Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training. | PSNet

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October 19, 2022 - Study Emerging Classic Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training. Citation Text: Williford ML, Scarlet S, Meyers MO, et al. Multiple-Institution Comparison of Resident and Faculty Perce…

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

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January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. | PSNet

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October 24, 2018 - Study Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. Citation Text: West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team…

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

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November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events. | PSNet

psnet.ahrq.gov/issue/patients-views-adverse-events-primary-and-ambulatory-care-systematic-review-assess-methods

December 18, 2017 - Review Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events. Citation Text: Lang S, Garrido MV, Heintze C. Patients' views of adverse events in primary and ambulatory care: a…

Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance

July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. | PSNet

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December 14, 2022 - Study Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Citation Text: Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. | PSNet

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March 09, 2022 - Review Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. Citation Text: Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults:…

Mind the sentinel - applying patient-safety paradigms to clinician well-being. | PSNet

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October 19, 2022 - Commentary Mind the sentinel - applying patient-safety paradigms to clinician well-being. Citation Text: Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074. Copy Citation Forma…

Improving standardization of paging communication using quality improvement methodology. | PSNet

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September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…

Anesthetic mishaps: breaking the chain of accident evolution. | PSNet

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April 08, 2011 - Commentary Classic Anesthetic mishaps: breaking the chain of accident evolution. Citation Text: Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. Copy Citation Format: Goo…

Implementing SBAR across a large multihospital health system. | PSNet

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November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. | PSNet

psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and-responses-toward

June 22, 2022 - Review Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. Citation Text: Burnett E, Kearney N, Johnston B, et al. Understanding fact…

Failure-to-rescue: comparing definitions to measure quality of care. | PSNet

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April 17, 2013 - Study Failure-to-rescue: comparing definitions to measure quality of care. Citation Text: Silber JH, Romano PS, Rosen AK, et al. Failure-to-rescue: comparing definitions to measure quality of care. Med Care. 2007;45(10):918-25. Copy Citation Format: Google Scholar PubMed Bi…

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