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Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet

psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses

March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. Citation Text: Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…

Debrief it all: a tool for inclusion of Safety-II. | PSNet

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June 08, 2022 - Study Debrief it all: a tool for inclusion of Safety-II. Citation Text: Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. Copy Citation Format: DOI Google Schola…

Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. | PSNet

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April 03, 2005 - Review Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Citation Text: Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. H…

Impact of medical education on patient safety: finding the signal through the noise. | PSNet

psnet.ahrq.gov/issue/impact-medical-education-patient-safety-finding-signal-through-noise

December 31, 2018 - Commentary Impact of medical education on patient safety: finding the signal through the noise. Citation Text: Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. Copy Cita…

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. | PSNet

psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare

June 22, 2022 - Review Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. Citation Text: Lo L, Rotteau L, Shojania KG. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A sys…

Quality of handoffs in community pharmacies. | PSNet

psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies

May 11, 2016 - Study Quality of handoffs in community pharmacies. Citation Text: Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care

February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? | PSNet

psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and

May 25, 2022 - Study Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? Citation Text: Waldron J, Denisiuk M, Sharma R, et al. Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? Injury. 2022;53(6…

“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. | PSNet

psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors

December 02, 2020 - Study “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. Citation Text: Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-23…

Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. | PSNet

psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass

September 23, 2020 - Study Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Citation Text: Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…

Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. | PSNet

psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency

May 15, 2024 - Study Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. Citation Text: Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…

Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. | PSNet

psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients

December 16, 2020 - Study Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Citation Text: Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Appl Clin Inform. 2015;06(0…

In search of an international multidimensional action plan for second victim support: a narrative review. | PSNet

psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support-narrative-review

February 15, 2023 - Review In search of an international multidimensional action plan for second victim support: a narrative review. Citation Text: Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second victim support: a narrative review. BMC Health Serv …

A trigger tool to detect harm in pediatric inpatient settings. | PSNet

psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings

December 07, 2016 - Study Classic A trigger tool to detect harm in pediatric inpatient settings. Citation Text: Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. C…

Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims | PSNet

psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences

February 10, 2021 - Study Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims Citation Text: Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of …

Sources of medication omissions among hospitalized older adults with polypharmacy. | PSNet

psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy

January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…

Feeling safe in the context of digitalization in healthcare: a scoping review. | PSNet

psnet.ahrq.gov/issue/feeling-safe-context-digitalization-healthcare-scoping-review

May 04, 2022 - Review Feeling safe in the context of digitalization in healthcare: a scoping review. Citation Text: Minartz P, Aumann CM, Vondeberg C, et al. Feeling safe in the context of digitalization in healthcare: a scoping review. Syst Rev. 2024;13(1):62. doi:10.1186/s13643-024-02465-9. Copy Ci…

Implementing universal suicide risk screening in a pediatric hospital. | PSNet

psnet.ahrq.gov/issue/implementing-universal-suicide-risk-screening-pediatric-hospital

May 12, 2021 - Study Implementing universal suicide risk screening in a pediatric hospital. Citation Text: Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001.…

Do words matter? Stigmatizing language and the transmission of bias in the medical record. | PSNet

psnet.ahrq.gov/issue/do-words-matter-stigmatizing-language-and-transmission-bias-medical-record

June 06, 2021 - Study Do words matter? Stigmatizing language and the transmission of bias in the medical record. Citation Text: P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:…

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet

psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two

February 16, 2022 - Study Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…

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