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The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet

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March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

Patient involvement in medication safety in hospital: an exploratory study. | PSNet

psnet.ahrq.gov/issue/patient-involvement-medication-safety-hospital-exploratory-study

February 21, 2024 - Study Patient involvement in medication safety in hospital: an exploratory study. Citation Text: Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. Cop…

Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic

October 13, 2021 - Review Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. Citation Text: Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic …

Study of a multisite prospective adverse event surveillance system. | PSNet

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October 16, 2019 - Study Study of a multisite prospective adverse event surveillance system. Citation Text: Forster AJ, Huang A, Lee TC, et al. Study of a multisite prospective adverse event surveillance system. BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2018-008664. Copy Citation Format: DO…

The association of the nurse work environment and patient safety in pediatric acute care. | PSNet

psnet.ahrq.gov/issue/association-nurse-work-environment-and-patient-safety-pediatric-acute-care

July 12, 2017 - Study The association of the nurse work environment and patient safety in pediatric acute care. Citation Text: Lake ET, Roberts KE, Agosto PD, et al. The Association of the Nurse Work Environment and Patient Safety in Pediatric Acute Care. J Patient Saf. 2021;17(8):e1546-e1552. doi:10.10…

Nursing turbulence in critical care: relationships with nursing workload and patient safety. | PSNet

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October 19, 2022 - Study Nursing turbulence in critical care: relationships with nursing workload and patient safety. Citation Text: Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180.…

Walking the plank: an experimental paradigm to investigate safety voice. | PSNet

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January 18, 2023 - Study Walking the plank: an experimental paradigm to investigate safety voice. Citation Text: Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668. Copy Citation Format: …

Interventions and measurements of highly reliable/resilient organization implementations: a literature review. | PSNet

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July 21, 2021 - Review Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Citation Text: Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…

Does crew resource management training work? An update, an extension, and some critical needs. | PSNet

psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs

January 02, 2017 - Review Does crew resource management training work? An update, an extension, and some critical needs. Citation Text: Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:…

Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. | PSNet

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May 13, 2020 - Government Resource Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Citation Text: Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35…

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. | PSNet

psnet.ahrq.gov/issue/effects-duty-hour-restrictions-core-competencies-education-quality-life-and-burnout-among

December 21, 2014 - Study Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. Citation Text: Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout a…

'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. | PSNet

psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report

September 09, 2020 - Commentary 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. Citation Text: Sax H, Allegranzi B, Uçkay I, et al. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and …

The cost of opioid–related adverse drug events. | PSNet

psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events

August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens? | PSNet

psnet.ahrq.gov/issue/evaluation-hand-hygiene-intensive-care-unit-are-visitors-potential-vector-pathogens

April 22, 2015 - Study An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens? Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. An evaluation of hand hygiene in an intensive care unit: Are visitors a potential vector for pathogens? J Infect Publi…

Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. | PSNet

psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000

February 22, 2019 - Review Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Citation Text: Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 8…

Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. | PSNet

psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action

September 15, 2021 - Study Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Citation Text: Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. | PSNet

psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis

March 23, 2012 - Study Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. Citation Text: Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge su…

Impact of attending physician workload on patient care: a survey of hospitalists. | PSNet

psnet.ahrq.gov/issue/impact-attending-physician-workload-patient-care-survey-hospitalists

November 26, 2014 - Study Impact of attending physician workload on patient care: a survey of hospitalists. Citation Text: Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternme…

Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet

psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and

August 28, 2013 - Study Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Citation Text: Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…

Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms

September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

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