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Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet

psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions

November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. | PSNet

psnet.ahrq.gov/issue/worries-and-concerns-experienced-nurse-specialists-during-inter-hospital-transports

September 19, 2016 - Study Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. Citation Text: Gustafsson M, Wennerholm S, Fridlund B. Worries and concerns experienced by nurse specialists during inter-hospital transpo…

Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

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March 09, 2022 - Study Developing a programme for medication reconciliation at the time of admission into hospital. Citation Text: Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi…

Team-training in healthcare: a narrative synthesis of the literature. | PSNet

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July 02, 2014 - Review Team-training in healthcare: a narrative synthesis of the literature. Citation Text: Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848. Copy Citation Format: …

Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. | PSNet

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April 06, 2015 - Study Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Citation Text: Johnston MJ, King D, Arora S, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1):45-51. doi:…

Interruptions and distractions in healthcare: review and reappraisal. | PSNet

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January 19, 2011 - Review Classic Interruptions and distractions in healthcare: review and reappraisal. Citation Text: Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2…

Economic evaluations of maintaining patient safety systems in teaching hospitals. | PSNet

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January 15, 2009 - Study Economic evaluations of maintaining patient safety systems in teaching hospitals. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Economic evaluations of maintaining patient safety systems in teaching hospitals. Health Policy (New York). 2008;88(2-3):381-91. doi:10.1016/j.he…

Physician engagement in malpractice risk reduction: a UPHS case study. | PSNet

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June 02, 2019 - Commentary Physician engagement in malpractice risk reduction: a UPHS case study. Citation Text: Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…

Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care | PSNet

psnet.ahrq.gov/issue/building-bridge-quality-urgent-call-integrate-quality-improvement-and-patient-safety

January 14, 2014 - Commentary Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care Citation Text: Wong BM, Baum KD, Headrick LA, et al. Building the bridge to quality: an urgent call to integrate quality improvement and patient safe…

Positive deviance: a different approach to achieving patient safety. | PSNet

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May 15, 2024 - Commentary Positive deviance: a different approach to achieving patient safety. Citation Text: Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115. Copy Citation …

Effectiveness of interventions to improve patient handover in surgery: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review

June 25, 2018 - Review Effectiveness of interventions to improve patient handover in surgery: a systematic review. Citation Text: Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016…

Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. | PSNet

psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge

October 19, 2022 - Study Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. Citation Text: Hoffman AM, Walls JL, Prusch A, et al. Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication rec…

Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. | PSNet

psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner

December 04, 2015 - Study Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. Citation Text: Leigh J, Flynn J. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. J Healthc Risk Manag. 2013;33(2):2…

Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. | PSNet

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August 03, 2017 - Study Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. Citation Text: Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3…

Operational failures detected by frontline acute care nurses. | PSNet

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July 19, 2023 - Study Operational failures detected by frontline acute care nurses. Citation Text: Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791. Copy Citation Format: DO…

Attention among health care professionals : a scoping review. | PSNet

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September 08, 2010 - Review Attention among health care professionals : a scoping review. Citation Text: Kissler MJ, Porter S, Knees M, et al. Attention among health care professionals : a scoping review. Ann Intern Med. 2024;177(7):941-952. doi:10.7326/m23-3229. Copy Citation Format: DOI Googl…

How U.S. teams advanced communication and resolution program adoption at local, state and national levels. | PSNet

psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national

April 24, 2018 - Study How U.S. teams advanced communication and resolution program adoption at local, state and national levels. Citation Text: LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…

Therapeutic duplication on the general surgical wards. | PSNet

psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards

December 22, 2021 - Study Therapeutic duplication on the general surgical wards. Citation Text: Huynh I, Rajendran T. Therapeutic duplication on the general surgical wards. BMJ Open Qual. 2021;10(3):e001363. doi:10.1136/bmjoq-2021-001363. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

National patterns of codeine prescriptions for children in the emergency department. | PSNet

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November 16, 2022 - Study National patterns of codeine prescriptions for children in the emergency department. Citation Text: Kaiser S, Asteria-Peñaloza R, Vittinghoff E, et al. National patterns of codeine prescriptions for children in the emergency department. Pediatrics. 2014;133(5):e1139-47. doi:10.1542…

Solving alarm fatigue with smartphone technology. | PSNet

psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology

October 04, 2023 - Commentary Solving alarm fatigue with smartphone technology. Citation Text: Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. Copy Citation Format: DOI Google Scholar PubMed BibTe…

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