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Physician perspectives on addressing anti-Black racism. | PSNet

psnet.ahrq.gov/issue/physician-perspectives-addressing-anti-black-racism

July 26, 2023 - Study Physician perspectives on addressing anti-Black racism. Citation Text: Brown CE, Marshall AR, Cueva KL, et al. Physician perspectives on addressing anti-Black racism. JAMA Netw Open. 2024;7(1):e2352818. doi:10.1001/jamanetworkopen.2023.52818. Copy Citation Format: DOI…

American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. | PSNet

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September 23, 2020 - Study American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. Citation Text: Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvem…

Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. | PSNet

psnet.ahrq.gov/issue/use-strategies-high-reliability-organisations-patient-hand-resident-physicians-practical

July 02, 2014 - Study Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Citation Text: Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qu…

The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. | PSNet

psnet.ahrq.gov/issue/psychological-experiences-nurses-after-inpatient-suicide-meta-synthesis-qualitative-research

February 23, 2022 - Review The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. Citation Text: Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta‐synthesis of qualitative research studies. J Adv …

Effects of learning climate and registered nurse staffing on medication errors. | PSNet

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February 15, 2011 - Study Effects of learning climate and registered nurse staffing on medication errors. Citation Text: Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc. Copy Citation Format: …

Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet

psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and

September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…

Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. | PSNet

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March 25, 2020 - Study Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. Citation Text: Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans H…

A comprehensive departmental care review model: requirements, structure, and flow. | PSNet

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July 06, 2022 - Commentary A comprehensive departmental care review model: requirements, structure, and flow. Citation Text: Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. d…

The effect of contact precautions on frequency of hospital adverse events. | PSNet

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September 30, 2015 - Study The effect of contact precautions on frequency of hospital adverse events. Citation Text: Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192. C…

Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta

September 22, 2021 - Review Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. Citation Text: Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis a…

The impact of clinically undiagnosed injuries on survival estimates. | PSNet

psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates

April 03, 2024 - Study The impact of clinically undiagnosed injuries on survival estimates. Citation Text: Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164. Copy Citation Format…

Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. | PSNet

psnet.ahrq.gov/issue/striving-high-reliability-healthcare-qualitative-study-implementation-hospital-safety

July 10, 2019 - Study Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. Citation Text: Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safet…

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. | PSNet

psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general

July 27, 2022 - Commentary Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. Citation Text: Snow V,…

Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration

June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration. Citation Text: Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…

Inpatient suicide and suicide attempts in Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals

January 02, 2017 - Study Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Citation Text: Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. Copy Citation Format: Go…

The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. | PSNet

psnet.ahrq.gov/issue/teamstepps-improving-diagnosis-team-assessment-tool-scale-development-and-psychometric

January 22, 2025 - Study The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Citation Text: Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J …

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. | PSNet

psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure

January 26, 2022 - Study Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. Citation Text: Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…

Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va

April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

Errors in breast imaging: how to reduce errors and promote a safety environment. | PSNet

psnet.ahrq.gov/issue/errors-breast-imaging-how-reduce-errors-and-promote-safety-environment

July 22, 2020 - Commentary Errors in breast imaging: how to reduce errors and promote a safety environment. Citation Text: Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. Cop…

Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. | PSNet

psnet.ahrq.gov/issue/developing-safer-dx-checklist-ten-safety-recommendations-health-care-organizations-address

June 22, 2022 - Commentary Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. Citation Text: Singh H, Mushtaq U, Marinez A, et al. Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to Add…

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