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Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. | PSNet

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October 07, 2020 - Commentary Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. Citation Text: Whelehan DF, Algeo N, Brown DA. Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. BMJ Leader. 2021;5:108-112. doi:10.1136/leader-2020-00…

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet

psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england

November 16, 2022 - Study The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. Citation Text: Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…

Patient handovers within the hospital: translating knowledge from motor racing to healthcare. | PSNet

psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare

April 01, 2015 - Study Classic Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Citation Text: Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. | PSNet

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July 07, 2021 - Review Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. Citation Text: White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve m…

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. | PSNet

psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire

April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…

COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. | PSNet

psnet.ahrq.gov/issue/covid-19-crisis-safe-reopening-simulation-centres-and-new-normal-food-thought

September 30, 2020 - Commentary COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Citation Text: Ingrassia PL, Capogna G, Diaz-Navarro C, et al. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Adv Simul (Lond). 2020;5:13. d…

Association between measured teamwork and medical errors: an observational study of prehospital care in the USA | PSNet

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May 18, 2022 - Study Association between measured teamwork and medical errors: an observational study of prehospital care in the USA Citation Text: Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA.…

Do safety culture scores in nursing homes depend on job role and ownership? Results from a national survey. | PSNet

psnet.ahrq.gov/issue/do-safety-culture-scores-nursing-homes-depend-job-role-and-ownership-results-national-survey

April 05, 2017 - Study Do safety culture scores in nursing homes depend on job role and ownership? Results from a national survey. Citation Text: Banaszak-Holl J, Reichert H, Greene T, et al. Do Safety Culture Scores in Nursing Homes Depend on Job Role and Ownership? Results from a National Survey. J Am …

Patient safety measurement tools used in nursing homes: a systematic literature review. | PSNet

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January 11, 2023 - Review Patient safety measurement tools used in nursing homes: a systematic literature review. Citation Text: Kim K-A, Lee J, Kim D, et al. Patient safety measurement tools used in nursing homes: a systematic literature review. BMC Health Serv Res. 2022;22(1):1376. doi:10.1186/s12913-022…

National trends in the safety performance of electronic health record systems from 2009 to 2018. | PSNet

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July 29, 2020 - Study National trends in the safety performance of electronic health record systems from 2009 to 2018. Citation Text: Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1…

Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. | PSNet

psnet.ahrq.gov/issue/real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate

July 21, 2021 - Study Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. Citation Text: Kotwal S, Fanai M, Fu W, et al. Real-world virtual patient simulation to improve diagnostic performance through deliberate pra…

Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. | PSNet

psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts

May 11, 2022 - Study Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. Citation Text: Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial progress note…

Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020. | PSNet

psnet.ahrq.gov/issue/anybody-learning-deaths-sequential-content-and-reflexive-thematic-analysis-national-statutory

March 01, 2023 - Study Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020. Citation Text: Brummell Z, Braun D, Hussein Z, et al. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thema…

Implications of electronic health record downtime: an analysis of patient safety event reports. | PSNet

psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports

February 14, 2024 - Study Classic Implications of electronic health record downtime: an analysis of patient safety event reports. Citation Text: Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Me…

Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays

February 17, 2021 - Review Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Citation Text: Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scopin…

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet

psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events

October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Citation Text: Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…

The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. | PSNet

psnet.ahrq.gov/issue/psychological-experience-obstetric-patients-and-health-care-workers-after-implementation

March 30, 2022 - Study The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. Citation Text: Bender WR, Srinivas S, Coutifaris P, et al. The psychological experience of obstetric patients and health care workers after implementatio…

Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". | PSNet

psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community

March 15, 2016 - Study Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". Citation Text: Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementati…

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet

psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer

December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. | PSNet

psnet.ahrq.gov/issue/organizational-cultural-and-psychological-determinants-smart-infusion-pump-work-arounds-study

May 18, 2022 - Study Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. Citation Text: Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A …

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