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Anesthesiology patient handoff education interventions: a systematic review. | PSNet

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April 28, 2021 - Review Anesthesiology patient handoff education interventions: a systematic review. Citation Text: Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…

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

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October 12, 2011 - Study Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. Citation Text: Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experi…

Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. | PSNet

psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses

June 13, 2011 - Study Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. Citation Text: Mendel R, Traut-Mattausch E, Jonas E, et al. Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. Psychol Med. 2011;41(12):2651-2659. doi:10.1017/S0033291711000808. C…

Improving resident handoffs for children transitioning from the intensive care unit. | PSNet

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January 12, 2022 - Study Improving resident handoffs for children transitioning from the intensive care unit. Citation Text: Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…

Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes? | PSNet

psnet.ahrq.gov/issue/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially

December 15, 2011 - Study Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes? Citation Text: Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive Guidelines Reduce the…

Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. | PSNet

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October 21, 2020 - Study Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. Citation Text: Okafor NG, Doshi PB, Miller SK, et al. Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency de…

Should health care providers be forced to apologise after things go wrong? | PSNet

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March 14, 2016 - Commentary Should health care providers be forced to apologise after things go wrong? Citation Text: McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y. Copy Citation …

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet

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April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…

Evaluation of wound photography for remote postoperative assessment of surgical site infections. | PSNet

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July 03, 2014 - Study Evaluation of wound photography for remote postoperative assessment of surgical site infections. Citation Text: Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. do…

Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. | PSNet

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February 03, 2016 - Study Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Citation Text: Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems …

Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent

April 24, 2019 - Study Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Citation Text: Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with conc…

Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action

March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

Measuring patient safety climate: a review of surveys. | PSNet

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June 14, 2011 - Review Classic Measuring patient safety climate: a review of surveys. Citation Text: Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. Copy Citation Format: Goog…

The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. | PSNet

psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication

September 24, 2016 - Study The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. Citation Text: Nguyen C, Côté J, Lebel D, et al. The AMÉLIE project: failure mode, effects and criticality analysis: a model to evalua…

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. | PSNet

psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined

August 10, 2022 - Study Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Citation Text: Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined wit…

A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. | PSNet

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April 11, 2011 - Study A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. Citation Text: Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5. Copy Citation…

Rooting an error review process in just culture: lessons learned. | PSNet

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April 20, 2022 - Commentary Rooting an error review process in just culture: lessons learned. Citation Text: Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5. Copy Citati…

Real time patient safety audits: improving safety every day. | PSNet

psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day

April 14, 2021 - Study Real time patient safety audits: improving safety every day. Citation Text: Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542. Copy Citation Format: DOI Google Scholar BibT…

A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. | PSNet

psnet.ahrq.gov/issue/new-patient-safety-smartphone-application-prevention-forgotten-ureteral-stents-results

July 01, 2015 - Study A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. Citation Text: Molina WR, Pessoa R, da Silva RD, et al. A new patient safety smartphone application for prevention of "forgotten" ureteral…

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. | PSNet

psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety

November 26, 2014 - Study Classic Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Citation Text: O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…

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