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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…

The wisdom and justice of not paying for "preventable complications." | PSNet

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January 22, 2014 - Commentary Classic The wisdom and justice of not paying for "preventable complications." Citation Text: Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…

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

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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.…

A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. | PSNet

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March 09, 2016 - Study A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. Citation Text: Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;1…

Effect of nonpayment for preventable infections in U.S. hospitals. | PSNet

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July 03, 2016 - Study Classic Effect of nonpayment for preventable infections in U.S. hospitals. Citation Text: Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa120…

Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. | PSNet

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April 25, 2018 - Review Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. Citation Text: Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …

Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). | PSNet

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December 21, 2017 - Study Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). Citation Text: Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiati…

Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. | PSNet

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December 21, 2017 - Study Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. Citation Text: Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.11…

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

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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…

Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet

psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health

September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

Relationship between medication errors and adverse drug events. | PSNet

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May 27, 2011 - Study Classic Relationship between medication errors and adverse drug events. Citation Text: Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. Copy Citation Format:…

What can safety cases offer for patient safety? A multisite case study. | PSNet

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February 07, 2024 - Study What can safety cases offer for patient safety? A multisite case study. Citation Text: Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. Copy Citation …

Radiologic safety events within a pediatric emergency medicine network. | PSNet

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August 01, 2018 - Study Radiologic safety events within a pediatric emergency medicine network. Citation Text: Blumberg SM, Mahajan P, OʼConnell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. Copy…

Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response

March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …

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

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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…

Reported medication events in a paediatric emergency research network: sharing to improve patient safety. | PSNet

psnet.ahrq.gov/issue/reported-medication-events-paediatric-emergency-research-network-sharing-improve-patient

April 03, 2013 - Study Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Citation Text: Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Emerg Med J. 20…

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department

October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

Nurse managers' leadership, patient safety, and quality of care: a systematic review. | PSNet

psnet.ahrq.gov/issue/nurse-managers-leadership-patient-safety-and-quality-care-systematic-review

September 09, 2020 - Review Nurse managers' leadership, patient safety, and quality of care: a systematic review. Citation Text: Lee SE, Hyunjie L, Sang S. Nurse managers' leadership, patient safety, and quality of care: a systematic review. West J Nurs Res. 2023;45(2):176-185. doi:10.1177/01939459221114079.…

Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. | PSNet

psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency

December 16, 2020 - Study Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. Citation Text: Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…

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