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Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. | PSNet

psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety

December 29, 2014 - Study Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. Citation Text: Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts …

Optimizing situation awareness to reduce emergency transfers in hospitalized children. | PSNet

psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children

January 19, 2022 - Study Optimizing situation awareness to reduce emergency transfers in hospitalized children. Citation Text: Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…

A case of the birth and death of a high reliability healthcare organisation. | PSNet

psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation

June 18, 2013 - Commentary A case of the birth and death of a high reliability healthcare organisation. Citation Text: Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. Copy Citation Format:…

Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet

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March 16, 2022 - Commentary Qualitative content analysis: a framework for the substantive review of hospital incident reports. Citation Text: Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…

Fentanyl transdermal system (marketed as Duragesic) information. | PSNet

psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches

August 12, 2015 - Government Resource Fentanyl transdermal system (marketed as Duragesic) information. Citation Text: Fentanyl transdermal system (marketed as Duragesic) information. US Food and Drug Administration. MedWatch. July 10, 2015. Copy Citation Save Save to your library…

Relationship between quality of care and negligence litigation in nursing homes. | PSNet

psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes

September 07, 2011 - Study Relationship between quality of care and negligence litigation in nursing homes. Citation Text: Studdert DM, Spittal MJ, Mello MM, et al. Relationship between quality of care and negligence litigation in nursing homes. N Engl J Med. 2011;364(13):1243-1250. doi:10.1056/nejmsa100933…

Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? | PSNet

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August 04, 2021 - Review Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? Citation Text: Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patient…

Anti-black racism as a chronic condition. | PSNet

psnet.ahrq.gov/issue/anti-black-racism-chronic-condition

December 17, 2020 - Commentary Anti-black racism as a chronic condition. Citation Text: Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24-s29. doi:10.1002/hast.1364. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

Clinical handover of the critically ill postoperative patient: an integrative review. | PSNet

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March 23, 2016 - Review Clinical handover of the critically ill postoperative patient: an integrative review. Citation Text: Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.…

Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature

November 29, 2023 - Review Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Citation Text: Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet

psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis

March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. | PSNet

psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study

December 30, 2014 - Study An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. Citation Text: Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. …

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women

August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet

psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department

November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

What's in a name? Provider perception of injured John Doe patients. | PSNet

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September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …

Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet

psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety

July 20, 2022 - Study Closing the gap and raising the bar: assessing board competency in quality and safety. Citation Text: McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…

The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. | PSNet

psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations

September 14, 2022 - Commentary The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. Citation Text: Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and…

Residency training in handoffs: a survey of program directors in psychiatry. | PSNet

psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry

January 01, 2019 - Study Residency training in handoffs: a survey of program directors in psychiatry. Citation Text: Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. Copy Citat…

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet

psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic

January 27, 2016 - Study Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. Citation Text: Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end tran…

Analysis of errors enacted by surgical trainees during skills training courses. | PSNet

psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses

August 20, 2018 - Study Analysis of errors enacted by surgical trainees during skills training courses. Citation Text: Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20. Copy Citation Format: Google Sch…

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