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Distractions in the operating room: a survey of the healthcare team. | PSNet

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November 16, 2022 - Study Distractions in the operating room: a survey of the healthcare team. Citation Text: Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. Copy Citation …

Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent

November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation

October 20, 2021 - Journal Article Study Catching those who fall

Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. | PSNet

psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care

October 12, 2011 - October 12, 2011 A randomized trial of a multifactorial strategy to prevent serious fall

A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. | PSNet

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December 04, 2016 - plan–do–study–act (PDSA) cycles were promoted as an in-depth rapid-cycle improvement mechanism, this process can fall

Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet

psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised

March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/diagnostic-accuracy-pediatric-teledermatology-using-parent-submitted-photographs-randomized

November 16, 2022 - February 3, 2011 A randomized trial of a multifactorial strategy to prevent serious fall

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet

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June 17, 2020 - Study Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. Citation Text: Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…

Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. | PSNet

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June 25, 2018 - Study Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. Citation Text: Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10…

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. | PSNet

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February 21, 2024 - Study Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. Citation Text: Kaya GK, Ustebay S, Nixon J, et al. Exploring the impact of safety culture on incident reporting: lessons learn…

Early cost and safety benefits of an inpatient electronic health record. | PSNet

psnet.ahrq.gov/issue/early-cost-and-safety-benefits-inpatient-electronic-health-record

August 04, 2021 - January 6, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

Prescription opioid analgesics commonly unused after surgery: a systematic review. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review

March 30, 2022 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. | PSNet

psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health

December 15, 2021 - Review Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. Citation Text: Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic setting: a review of an underestimated public hea…

Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. | PSNet

psnet.ahrq.gov/issue/assessing-biases-medical-decisions-clinician-and-ai-chatbot-responses-patient-vignettes

August 14, 2024 - October 1, 2014 A randomized trial of a multifactorial strategy to prevent serious fall

The trigger tool as a method to measure harmful medication errors in children. | PSNet

psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children

August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

"They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences

November 29, 2017 - February 28, 2024 NPSD Data Spotlight: Patterns of Fall Interventions.

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. | PSNet

psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-resident-duty-hour-new-standards-history

November 21, 2021 - May 31, 2017 A randomized trial of a multifactorial strategy to prevent serious fall

Enteral nutrition: an underappreciated source of patient safety events. | PSNet

psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events

February 01, 2023 - September 23, 2020 6-PACK programme to decrease fall injuries in acute hospitals: cluster

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes

July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

Coworker abuse in healthcare: voices of mistreated workers. | PSNet

psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers

March 22, 2023 - Study Coworker abuse in healthcare: voices of mistreated workers. Citation Text: Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131. Copy Citation Format: …

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