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How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. | PSNet

psnet.ahrq.gov/issue/how-does-environment-influence-consumers-perceptions-safety-acute-mental-health-units

December 16, 2020 - Study How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. Citation Text: Cutler NA, Halcomb E, Sim J, et al. How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative …

An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. | PSNet

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May 04, 2011 - Study An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. Citation Text: Palchuk MB, Fang EA, Cygielnik JM, et al. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. J Am Med Inform…

Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. | PSNet

psnet.ahrq.gov/issue/teamwork-climate-safety-climate-and-physician-burnout-national-cross-sectional-study

October 26, 2022 - Study Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Citation Text: Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-46…

The application of the Global Trigger Tool: a systematic review. | PSNet

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December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. | PSNet

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December 21, 2014 - Review Emerging Classic Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. Citation Text: Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…

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…

Defining and studying errors in surgical care: a systematic review. | PSNet

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July 20, 2022 - Review Defining and studying errors in surgical care: a systematic review. Citation Text: Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. Copy Citation F…

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…

Impact of medical education on patient safety: finding the signal through the noise. | PSNet

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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…

Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. | PSNet

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November 29, 2023 - Study Emerging Classic Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. Citation Text: Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind…

Examining medication ordering errors using AHRQ Network of Patient Safety Databases. | PSNet

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November 30, 2022 - Study Examining medication ordering errors using AHRQ Network of Patient Safety Databases. Citation Text: Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/ja…

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…

Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet

psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses

March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. Citation Text: Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…

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

psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals

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…

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care

August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

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

psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care

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.…

Seniors managing multiple medications: using mixed methods to view the home care safety lens. | PSNet

psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens

June 23, 2021 - Study Seniors managing multiple medications: using mixed methods to view the home care safety lens. Citation Text: Lang A, Macdonald M, Marck P, et al. Seniors managing multiple medications: using mixed methods to view the home care safety lens. BMC Health Serv Res. 2015;15:548. doi:10.1…

Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. | PSNet

psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions

September 27, 2023 - Study Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. Citation Text: Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…

Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/attending-physician-remote-access-electronic-health-record-and-implications-resident

September 22, 2010 - Study Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. Citation Text: Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident …

Incidence, patterns, and prevention of wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery

September 30, 2010 - Study Classic Incidence, patterns, and prevention of wrong-site surgery. Citation Text: Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. Copy Citation Format: Goog…

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