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Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. | PSNet

psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality

February 14, 2018 - Review Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. Citation Text: Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…

Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. | PSNet

psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic

March 08, 2023 - Review Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Citation Text: Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A syste…

A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. | PSNet

psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-miss-safety

October 14, 2020 - Study A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. Citation Text: Hartvigson PE, Gensheimer MF, Spady PK, et al. A Radiation Oncology–Specific Automated Trigger Indicator Tool for High-Risk, Near-Miss Safety Events. Pract Radiat On…

Medical team training: applying crew resource management in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration

April 30, 2014 - Study Classic Medical team training: applying crew resource management in the Veterans Health Administration. Citation Text: Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. | PSNet

psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus

September 20, 2011 - Study Classic The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. Citation Text: Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Saf…

Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? | PSNet

psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions

May 28, 2014 - Study Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? Citation Text: Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 20…

Cost–benefit analysis of a support program for nursing staff. | PSNet

psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff

October 26, 2016 - Study Classic Cost–benefit analysis of a support program for nursing staff. Citation Text: Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376. Co…

Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. | PSNet

psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient

September 27, 2023 - Review Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. Citation Text: Guerra-Paiva S, Lobão MJ, Simões DG, et al. Key factors for effective implementation of healthcare workers …

Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. | PSNet

psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study

January 15, 2025 - Study Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. Citation Text: Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …

Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. | PSNet

psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention

March 23, 2022 - Study Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. Citation Text: Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…

Biased language in simulated handoffs and clinician recall and attitudes. | PSNet

psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes

June 29, 2022 - Study Biased language in simulated handoffs and clinician recall and attitudes. Citation Text: Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. …

Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). | PSNet

psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross

February 15, 2023 - Study Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). Citation Text: Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of a patient safety inciden…

A call to action: next steps to advance diagnosis education in the health professions. | PSNet

psnet.ahrq.gov/issue/call-action-next-steps-advance-diagnosis-education-health-professions

November 25, 2020 - Commentary A call to action: next steps to advance diagnosis education in the health professions. Citation Text: Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.151…

Patient participation in patient safety—an exploration of promoting factors. | PSNet

psnet.ahrq.gov/issue/patient-participation-patient-safety-exploration-promoting-factors

October 15, 2016 - Study Emerging Classic Patient participation in patient safety—an exploration of promoting factors. Citation Text: Sahlström M, Partanen P, Azimirad M, et al. Patient participation in patient safety-An exploration of promoting factors. J Nurs Manag. 2019;27(1):8…

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. | PSNet

psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call

October 28, 2020 - Review Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Citation Text: Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…

Interventions targeted at reducing diagnostic error: systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review

March 10, 2021 - Review Interventions targeted at reducing diagnostic error: systematic review. Citation Text: Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704. Copy Citation Forma…

Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. | PSNet

psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations

September 02, 2020 - Study Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Citation Text: Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Int J Healthc Manage. 2020;13(sup1)…

Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet

psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution

June 27, 2011 - Study Classic Perceptions of safety culture vary across the intensive care units of a single institution. Citation Text: Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Car…

Toward a safer health care system: the critical need to improve measurement. | PSNet

psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement

November 03, 2015 - Commentary Classic Toward a safer health care system: the critical need to improve measurement. Citation Text: Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…

Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. | PSNet

psnet.ahrq.gov/issue/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary

February 03, 2011 - Study Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. Citation Text: Tsai TT, Maddox TM, Roe MT, et al. Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. JAMA. 2009;302(22):2458-64. doi:…

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