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"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. | PSNet

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October 29, 2014 - Study "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. Citation Text: Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…

Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. | PSNet

psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison-malpractice

March 12, 2014 - Study Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. Citation Text: Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare…

Identifying what is known about improving operating room to intensive care handovers: a scoping review. | PSNet

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September 23, 2020 - Review Identifying what is known about improving operating room to intensive care handovers: a scoping review. Citation Text: Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…

Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

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November 29, 2023 - Study Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, Galvin I. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patie…

Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. | PSNet

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August 15, 2018 - Study Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged. Citation Text: Chen SI, Fox ER, Hall K, et al. Despite Federal Legislation, Shortages Of Drugs Used In Acute Care Settings Remain Persistent And Prolonged. Health Aff (Millw…

Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet

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July 13, 2022 - Book/Report Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. Citation Text: Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Rou…

Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. | PSNet

psnet.ahrq.gov/issue/client-caregiver-and-provider-perspectives-safety-palliative-home-care-mixed-method-design

March 02, 2016 - Study Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Citation Text: Lang A, Toon L, Cohen SR, et al. Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Safety Health. 2015;1(1):3. …

Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet

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July 07, 2021 - Study Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Citation Text: Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. do…

Patient involvement in patient safety: how willing are patients to participate? | PSNet

psnet.ahrq.gov/issue/patient-involvement-patient-safety-how-willing-are-patients-participate

September 05, 2013 - Study Classic Patient involvement in patient safety: how willing are patients to participate? Citation Text: Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:…

Residency training at a crossroads: duty-hour standards 2010. | PSNet

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April 17, 2013 - Commentary Residency training at a crossroads: duty-hour standards 2010. Citation Text: Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010. Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287. Copy Citatio…

The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. | PSNet

psnet.ahrq.gov/issue/impact-2011-accreditation-council-graduate-medical-education-duty-hour-reform-quality-and

April 05, 2013 - Study The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. Citation Text: Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on…

Partners in our care: patient safety from a patient perspective. | PSNet

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December 04, 2016 - Study Partners in our care: patient safety from a patient perspective. Citation Text: Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. Copy Citation Format: …

Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet

psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during

September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. Citation Text: Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…

Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. | PSNet

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September 19, 2016 - Study Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. Citation Text: DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to Improve Pati…

Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? | PSNet

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February 22, 2023 - Study Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? Citation Text: Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-1…

On resident duty hour restrictions and neurosurgical training: review of the literature. | PSNet

psnet.ahrq.gov/issue/resident-duty-hour-restrictions-and-neurosurgical-training-review-literature

September 23, 2020 - Review On resident duty hour restrictions and neurosurgical training: review of the literature. Citation Text: Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS1427…

Why do doctors make mistakes? A study of the role of salient distracting clinical features. | PSNet

psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features

July 03, 2014 - Study Why do doctors make mistakes? A study of the role of salient distracting clinical features. Citation Text: Mamede S, Van Gog T, Van den Berge K, et al. Why do doctors make mistakes? A study of the role of salient distracting clinical features. Acad Med. 2014;89(1):114-20. doi:10.10…

Using snowball sampling method with nurses to understand medication administration errors. | PSNet

psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors

August 02, 2011 - Study Using snowball sampling method with nurses to understand medication administration errors. Citation Text: Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…

Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional-study

December 01, 2019 - Study Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. Citation Text: Waller A, Hobden B, Bryant J, et al. Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study. Collegian. 2020;27(5):506-511. doi:10.1016/j.coleg…

Primary care providers' perspectives on errors of omission. | PSNet

psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission

July 30, 2014 - Study Primary care providers' perspectives on errors of omission. Citation Text: Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161. Copy Citation Format: …

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