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  1. A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. | PSNet

    psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians
    March 09, 2016 - Study A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. Citation Text: Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;1…

  2. Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. | PSNet

    psnet.ahrq.gov/issue/development-and-content-validation-surgical-safety-checklist-operating-theatres-use-robotic
    February 25, 2015 - Study Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. Citation Text: Ahmed K, Khan N, Khan MS, et al. Development and content validation of a surgical safety checklist for operating theatres that use robotic technolog…

  3. To expand the evidence base about harms from tests and treatments. | PSNet

    psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments
    May 19, 2021 - Commentary To expand the evidence base about harms from tests and treatments. Citation Text: Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. Copy Citat…

  4. Sources of nurse-sensitive inpatient safety improvement. | PSNet

    psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
    July 07, 2021 - Study Sources of nurse-sensitive inpatient safety improvement. Citation Text: Dynan L, Smith RB. Sources of nurse‐sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  5. CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. | PSNet

    psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
    October 18, 2017 - Book/Report CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Citation Text: CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative an…

  6. Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics
    May 18, 2022 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. Citation Text: Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bia…

  7. Patients' perceptions of using technology for self-reporting cancer medication safety events from home. | PSNet

    psnet.ahrq.gov/issue/patients-perceptions-using-technology-self-reporting-cancer-medication-safety-events-home
    June 05, 2024 - Study Patients' perceptions of using technology for self-reporting cancer medication safety events from home. Citation Text: Gahn K, Hwang M, Cho Y, et al. Patients' perceptions of using technology for self-reporting cancer medication safety events from home. Stud Health Technol Inform. …

  8. Medical Office Survey on Patient Safety Culture: 2018 User Database Report. | PSNet

    psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-database-report
    April 22, 2018 - Book/Report Medical Office Survey on Patient Safety Culture: 2018 User Database Report. Citation Text: Medical Office Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AH…

  9. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

    psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
    August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

  10. Screening electronic health record–related patient safety reports using machine learning. | PSNet

    psnet.ahrq.gov/issue/screening-electronic-health-record-related-patient-safety-reports-using-machine-learning
    May 30, 2016 - Study Screening electronic health record–related patient safety reports using machine learning. Citation Text: Marella WM, Sparnon E, Finley E. Screening Electronic Health Record–Related Patient Safety Reports Using Machine Learning. J Patient Saf. 2014;13(1):31-36. doi:10.1097/pts.00000…

  11. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-and-triage-accuracy-digital-and-online-symptom-checker-tools-systematic-review
    May 05, 2021 - Review The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. Citation Text: Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1…

  12. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. | PSNet

    psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
    August 11, 2021 - Study Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. Citation Text: Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1…

  13. Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. | PSNet

    psnet.ahrq.gov/issue/publication-inspection-frameworks-qualitative-study-exploring-impact-quality-improvement-and
    August 10, 2022 - Study Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. Citation Text: Weenink J-W, Wallenburg I, Leistikow I, et al. Publication of inspection frameworks: a qualitative study exploring the i…

  14. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? | PSNet

    psnet.ahrq.gov/issue/failure-administer-recommended-chemotherapy-acceptable-variation-or-cancer-care-quality-blind
    September 02, 2020 - Study Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? Citation Text: Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 20…

  15. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care
    May 18, 2022 - Study Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. Citation Text: Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers…

  16. Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
    April 15, 2019 - Study Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. Citation Text: Sutherland JJ, Morrison RD, McNaughton CD, et al. Assessment of Patient Medication Adherence, Medical Record Ac…

  17. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. | PSNet

    psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using
    November 27, 2012 - Study Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. Citation Text: Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-…

  18. The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet

    psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
    September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey. Citation Text: Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. Copy Citation …

  19. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
    November 21, 2012 - Study Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. Citation Text: Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in t…

  20. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
    September 25, 2019 - Study A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Citation Text: Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.0…
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