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Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet

psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre

March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. | PSNet

psnet.ahrq.gov/issue/safety-implications-remote-assessments-suspected-covid-19-qualitative-study-uk-primary-care

July 08, 2020 - Study Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. Citation Text: Wieringa S, Neves AL, Rushforth A, et al. Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. BMJ Qual Saf. 202…

Malpractice claims related to diagnostic errors in the hospital. | PSNet

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September 16, 2020 - Study Classic Malpractice claims related to diagnostic errors in the hospital. Citation Text: Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774. …

Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. | PSNet

psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety

August 12, 2020 - Study Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. Citation Text: Gilmartin HM, Hess E, Mueller C, et al. Learning environments, reliability enhancing work practices, employee engagement, …

Comparison of methods to reduce bias from clinical prediction models of postpartum depression. | PSNet

psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression

April 15, 2020 - Study Comparison of methods to reduce bias from clinical prediction models of postpartum depression. Citation Text: Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/…

Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. | PSNet

psnet.ahrq.gov/issue/characterization-interventions-reduce-frequency-critical-medication-doses-missed-or-delayed

November 16, 2016 - Study Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. Citation Text: Cole E, Duncan R, Grucz T, et al. Characterization of interventions to reduce the frequency of critical m…

Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. | PSNet

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January 23, 2019 - Review Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. Citation Text: Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provid…

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services | PSNet

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January 27, 2021 - Study Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services Citation Text: Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…

Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/attending-emotional-well-being-health-care-workforce-new-york-city-health-system-during-covid

December 23, 2020 - Commentary Emerging Classic Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. Citation Text: Ripp JA, Peccoralo L, Charney D. Attending to the emotional well-being of the health care…

Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study. | PSNet

psnet.ahrq.gov/issue/psychosocial-working-conditions-determinants-concerns-have-made-important-medical-errors-and

July 13, 2022 - Study Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study. Citation Text: Mambrey V, Angerer P, Loerbroks A. Psychosocial working conditions as de…

The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. | PSNet

psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm

September 23, 2020 - Study The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Citation Text: Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…

Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. | PSNet

psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes

June 21, 2016 - Study Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Citation Text: Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. | PSNet

psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning

December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…

Inadequate hand-off communication. | PSNet

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April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. | PSNet

psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach

June 27, 2012 - Study Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. Citation Text: Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9)…

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. | PSNet

psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events

October 07, 2020 - Study Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Citation Text: Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…

Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. | PSNet

psnet.ahrq.gov/issue/opinions-nurses-and-physicians-patient-family-and-visitor-activated-rapid-response-system-use

February 14, 2024 - Study Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. Citation Text: King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…

Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety. | PSNet

psnet.ahrq.gov/issue/nurses-shift-length-and-overtime-working-12-european-countries-association-perceived-quality

August 20, 2018 - Study Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety. Citation Text: Griffiths P, Dall'Ora C, Simon M, et al. Nurses' shift length and overtime working in 12 European countries: the association with pe…

Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services. | PSNet

psnet.ahrq.gov/issue/exploring-safety-culture-within-inpatient-mental-health-units-results-participant-observation

September 23, 2020 - Study Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services. Citation Text: Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from partic…

Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. | PSNet

psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric

January 31, 2024 - Study Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. Citation Text: Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and…

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