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Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. | PSNet

psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety

March 10, 2021 - Study Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. Citation Text: Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Sa…

Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy

November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet

psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial

August 09, 2023 - Study Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. Citation Text: Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home rati…

Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. | PSNet

psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-systems-cancer

April 24, 2019 - Review Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. Citation Text: Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Deci…

I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness. | PSNet

psnet.ahrq.gov/issue/i-what-you-are-saying-only-if-i-feel-safe-psychological-safety-moderates-relationship-between

November 18, 2020 - Study I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness. Citation Text: Weiss M, Morrison EW, Szyld D. I like what you are saying, but only if I feel safe: psychol…

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet

psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care

February 18, 2009 - Study Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. Citation Text: Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …

Challenging authority and speaking up in the operating room environment: a narrative synthesis. | PSNet

psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative-synthesis

December 13, 2017 - Review Emerging Classic Challenging authority and speaking up in the operating room environment: a narrative synthesis. Citation Text: Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative syn…

Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study

September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

New persistent opioid use after postoperative intensive care in US veterans. | PSNet

psnet.ahrq.gov/issue/new-persistent-opioid-use-after-postoperative-intensive-care-us-veterans

July 10, 2024 - Study New persistent opioid use after postoperative intensive care in US veterans. Citation Text: Karamchandani K, Pyati S, Bryan W, et al. New Persistent Opioid Use After Postoperative Intensive Care in US Veterans. JAMA Surg. 2019;154(8):778-780. doi:10.1001/jamasurg.2019.0899. Copy …

Readmissions, observation, and the Hospital Readmissions Reduction Program. | PSNet

psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program

October 25, 2017 - Study Classic Readmissions, observation, and the Hospital Readmissions Reduction Program. Citation Text: Zuckerman RB, Sheingold SH, Orav J, et al. Readmissions, Observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016;374(16):1543-51. do…

Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. | PSNet

psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using

August 18, 2017 - Study Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. Citation Text: Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…

Patient safety and satisfaction with fully remote management of radiation oncology care. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care

October 19, 2022 - Study Patient safety and satisfaction with fully remote management of radiation oncology care. Citation Text: Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…

A patient safety approach to setting pass/fail standards for basic procedural skills checklists. | PSNet

psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists

July 28, 2010 - Commentary A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Citation Text: Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice

July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. | PSNet

psnet.ahrq.gov/issue/perceptions-quality-and-safety-and-experience-adverse-events-27-european-union-healthcare

March 21, 2012 - Study Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. Citation Text: Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-…

Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. | PSNet

psnet.ahrq.gov/issue/review-medication-errors-are-new-or-likely-occur-more-frequently-electronic-medication

August 18, 2021 - Study Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. Citation Text: Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medicatio…

Detecting and assessing suicide ideation during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/improvement-brief-detecting-and-assessing-suicide-ideation-during-covid-19-pandemic

October 13, 2021 - Study Detecting and assessing suicide ideation during the COVID-19 pandemic. Citation Text: Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2…

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans

September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Citation Text: Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. …

A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. | PSNet

psnet.ahrq.gov/issue/qualitative-evaluation-healthcare-professionals-perceptions-adverse-events-focusing

April 16, 2008 - Study A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. Citation Text: Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse eve…

Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/efficacy-educational-video-game-versus-traditional-educational-apps-improving-physician

August 04, 2021 - Study Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. Citation Text: Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational apps …

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