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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.…

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…

Information transfer at hospital discharge: a systematic review. | PSNet

psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review

February 21, 2015 - Review Classic Information transfer at hospital discharge: a systematic review. Citation Text: Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…

Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. | PSNet

psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi

March 17, 2021 - Study Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. Citation Text: Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…

Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. | PSNet

psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events

July 31, 2024 - Study Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. Citation Text: Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to hi…

Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. | PSNet

psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource

October 29, 2012 - Study Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. Citation Text: Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. …

Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. | PSNet

psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral

January 25, 2023 - Study Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. Citation Text: Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemot…

Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic

February 15, 2023 - Commentary Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Citation Text: Scopetti M, Santurro A, Tartaglia R, et al. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Int J Qual Health Care. 2021;3…

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…

An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet

psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals

April 13, 2017 - Study Emerging Classic An assessment of the impact of just culture on quality and safety in US hospitals. Citation Text: Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…

The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet

psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey

September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey. Citation Text: Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. Copy Citation …

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary

May 11, 2022 - Study The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. Citation Text: Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …

Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. | PSNet

psnet.ahrq.gov/issue/bias-warp-speed-how-ai-may-contribute-disparities-gap-time-covid-19

July 22, 2020 - Commentary Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. Citation Text: Röösli E, Rice B, Hernandez-Boussard T. Bias at Warp Speed: How AI may Contribute to the Disparities Gap in the Time of COVID-19. J Am Med Inform Assoc. 2021;28(1):190-192.…

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers | PSNet

psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19

May 08, 2019 - Commentary Classic Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers Citation Text: Rangachari P, L. Woods J. Preserving organizational re…

Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use. | PSNet

psnet.ahrq.gov/issue/computerized-prescriber-order-entry-outpatient-oncology-setting-evidence-meaningful-use

June 26, 2019 - Review Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use. Citation Text: Kukreti V, Cosby R, Cheung A, et al. Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use. Curr Oncol. 2014;21…

Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates

February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet

psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process

December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic process. Citation Text: Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …

Interventions to increase patient safety in long-term care facilities-umbrella review. | PSNet

psnet.ahrq.gov/issue/interventions-increase-patient-safety-long-term-care-facilities-umbrella-review

September 01, 2021 - Review Interventions to increase patient safety in long-term care facilities-umbrella review. Citation Text: Świtalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities-umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. do…

System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet

psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis

August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis. Citation Text: Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. …

Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era

September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

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