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What do patients think about year-end resident continuity clinic handoffs?: a qualitative study. | PSNet

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March 28, 2018 - Study What do patients think about year-end resident continuity clinic handoffs?: a qualitative study. Citation Text: Pincavage A, Lee WW, Beiting KJ, et al. What do patients think about year-end resident continuity clinic handoffs? A qualitative study. J Gen Intern Med. 2013;28(8):999-1…

Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. | PSNet

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April 15, 2020 - Study Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. Citation Text: Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experienc…

Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. | PSNet

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August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

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November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet

psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution

October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …

The next step in learning from sentinel events in healthcare. | PSNet

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June 12, 2024 - Commentary The next step in learning from sentinel events in healthcare. Citation Text: Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739. Copy Citation Format: …

Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. | PSNet

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February 02, 2022 - Review Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. Citation Text: Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-1…

Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. | PSNet

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September 23, 2020 - Study Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Citation Text: Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. d…

When clinicians drop out and start over after adverse events. | PSNet

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May 18, 2022 - Study When clinicians drop out and start over after adverse events. Citation Text: Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008. Copy Citation Format: DOI …

The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. | PSNet

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August 24, 2022 - Study The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. Citation Text: Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining …

Direct reporting of laboratory test results to patients by mail to enhance patient safety. | PSNet

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February 15, 2011 - Study Direct reporting of laboratory test results to patients by mail to enhance patient safety. Citation Text: Sung S, Forman-Hoffman VL, Wilson MC, et al. Direct reporting of laboratory test results to patients by mail to enhance patient safety. J Gen Intern Med. 2006;21(10):1075-8. …

Identification of common themes from never events data published by NHS England. | PSNet

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April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. | PSNet

psnet.ahrq.gov/issue/qualitative-study-systemic-influences-paramedic-decision-making-care-transitions-and-patient

January 08, 2014 - Study A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. Citation Text: O'Hara R, Johnson M, Siriwardena N, et al. A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. J He…

Exploration of prescribing error reporting across primary care: a qualitative study. | PSNet

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June 01, 2022 - Study Exploration of prescribing error reporting across primary care: a qualitative study. Citation Text: Hall N, Bullen K, Sherwood J, et al. Exploration of prescribing error reporting across primary care: a qualitative study. BMJ Open. 2022;12(1):e050283. doi:10.1136/bmjopen-2021-05028…

Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error

June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…

Changes in hospital mortality associated with residency work-hour regulations. | PSNet

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May 27, 2011 - Study Classic Changes in hospital mortality associated with residency work-hour regulations. Citation Text: Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations. Ann Intern Med. 2007;147(2):73-80. Copy Cit…

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet

psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center

March 07, 2012 - Study Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Citation Text: Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…

The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. | PSNet

psnet.ahrq.gov/issue/proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and

June 15, 2012 - Study The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. Citation Text: Mekory TM, Bahat H, Bar-Oz B, et al. The proportion of errors in medical prescriptions and their executions among hospitalized children…

Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. | PSNet

psnet.ahrq.gov/issue/restricted-duty-hours-surgeons-and-impact-residents-quality-life-education-and-patient-care

October 08, 2008 - Review Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Citation Text: Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature…

Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. | PSNet

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March 09, 2022 - Study Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Citation Text: Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):3…

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