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The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. | PSNet

psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units

February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. | PSNet

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August 14, 2018 - Study Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. Citation Text: Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and ent…

Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety

April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

Making Healthcare Safer III. | PSNet

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March 27, 2019 - Book/Report Making Healthcare Safer III. Citation Text: Making Healthcare Safer III. Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. Copy Citation Save Save to your library…

Cognitive debiasing; part 1 and part 2. | PSNet

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September 18, 2024 - Commentary Cognitive debiasing; part 1 and part 2. Citation Text: Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712. Copy Citation Format: DOI Google S…

Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. | PSNet

psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained

February 08, 2012 - Commentary Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. Citation Text: Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally ret…

Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet

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April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality

October 26, 2010 - Review The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. Citation Text: Dewa CS, Loong D, Bonato S, et al. The relationship between resident burnout and safety-related and acceptability-related qu…

Burnout in the nursing home health care aide: a systematic review. | PSNet

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May 18, 2022 - Review Burnout in the nursing home health care aide: a systematic review. Citation Text: Cooper SL, Carleton HL, Chamberlain SA, et al. Burnout in the nursing home health care aide: A systematic review. Burn Res. 2016;3(3):76-87. doi:10.1016/j.burn.2016.06.003. Copy Citation Format…

Impact of patient safety culture on missed nursing care and adverse patient events. | PSNet

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March 16, 2022 - Study Emerging Classic Impact of patient safety culture on missed nursing care and adverse patient events. Citation Text: Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…

Improving team members' attention during the OR briefing or time out. | PSNet

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November 10, 2021 - Study Improving team members' attention during the OR briefing or time out. Citation Text: Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. Copy Citation Format: DOI Google Scholar …

Association between surgeon technical skills and patient outcomes. | PSNet

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September 02, 2020 - Commentary Emerging Classic Association between surgeon technical skills and patient outcomes. Citation Text: Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/…

Safety through redundancy: a case study of in-hospital patient transfers. | PSNet

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November 03, 2015 - Study Safety through redundancy: a case study of in-hospital patient transfers. Citation Text: Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. Copy Citation Format: …

Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities. | PSNet

psnet.ahrq.gov/issue/affective-influences-clinical-reasoning-and-diagnosis-insights-social-psychology-and-new

January 25, 2023 - Commentary Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities. Citation Text: Liu G, Chimowitz H, Isbell LM. Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research op…

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims

September 27, 2017 - Study Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. Citation Text: Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;1…

Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. | PSNet

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February 23, 2022 - Newspaper/Magazine Article Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. Citation Text: Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…

The weekend effect in hospitalized patients: a meta-analysis. | PSNet

psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis

September 23, 2020 - Review The weekend effect in hospitalized patients: a meta-analysis. Citation Text: Pauls LA, Johnson-Paben R, McGready J, et al. The Weekend Effect in Hospitalized Patients: A Meta-Analysis. J Hosp Med. 2017;12(9):760-766. doi:10.12788/jhm.2815. Copy Citation Format: DOI G…

Evaluating the accuracy of electronic pediatric drug dosing rules. | PSNet

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May 08, 2017 - Study Evaluating the accuracy of electronic pediatric drug dosing rules. Citation Text: Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793. Copy Citation For…

Association between surgeon stress and major surgical complications. | PSNet

psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications

November 29, 2023 - Study Association between surgeon stress and major surgical complications. Citation Text: Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072. Copy Citation Format:…

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. | PSNet

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July 02, 2014 - Review Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. Citation Text: Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …

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