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Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). | PSNet

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September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. | PSNet

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October 27, 2021 - Study Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. Citation Text: Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…

Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. | PSNet

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July 20, 2022 - Study Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. Citation Text: Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. do…

Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. | PSNet

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September 29, 2021 - Review Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. Citation Text: Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…

Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet

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June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…

Applying the high reliability health care maturity model to assess hospital performance: a VA case study. | PSNet

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December 19, 2014 - Study Applying the high reliability health care maturity model to assess hospital performance: a VA case study. Citation Text: Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual …

Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. | PSNet

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July 07, 2021 - Study Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Citation Text: Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…

Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. | PSNet

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April 24, 2019 - Study Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. Citation Text: Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…

The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. | PSNet

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July 02, 2014 - Study The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. Citation Text: Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost, and Household Incom…

Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. | PSNet

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October 30, 2024 - Study Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. Citation Text: Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identi…

Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. | PSNet

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April 12, 2023 - Study Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. Citation Text: Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…

Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review

August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. | PSNet

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September 15, 2021 - Study Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Citation Text: Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Patient …

"It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. | PSNet

psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study

March 24, 2019 - Study "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. …

Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. | PSNet

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December 20, 2020 - Study Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. Citation Text: Jabbour S, Fouhey D, Shepard S, et al. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study…

Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit

June 29, 2011 - Commentary Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Citation Text: Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. | PSNet

psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable

September 02, 2020 - Study Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. Citation Text: Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is associated with a r…

Assessment of perioperative outcomes among surgeons who operated the night before. | PSNet

psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night

March 06, 2019 - Study Assessment of perioperative outcomes among surgeons who operated the night before. Citation Text: Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2…

The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. | PSNet

psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit

October 27, 2021 - Study The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. Citation Text: Kwon CS, Duzyj C. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a …

Surgical skill and complication rates after bariatric surgery. | PSNet

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August 02, 2015 - Study Classic Surgical skill and complication rates after bariatric surgery. Citation Text: Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…

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