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Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet

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April 22, 2013 - Study Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. Citation Text: Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. Copy Citatio…

Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

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July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet

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October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Citation Text: Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings

February 17, 2021 - Study Classic Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. Citation Text: Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…

Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. | PSNet

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May 11, 2022 - Study Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Citation Text: Bender JA, Kulju S, Soncrant C. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Jt Comm J Qua…

Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. | PSNet

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May 01, 2024 - Study Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. Citation Text: Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to prevent a recurrence of pati…

Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. | PSNet

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September 20, 2012 - Study Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Citation Text: Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(…

Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. | PSNet

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June 22, 2022 - Study Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. Citation Text: Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in hea…

The effect of multidisciplinary care teams on intensive care unit mortality. | PSNet

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January 17, 2018 - Study Classic The effect of multidisciplinary care teams on intensive care unit mortality. Citation Text: Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369-76. doi:1…

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. | PSNet

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April 13, 2022 - Study Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. Citation Text: Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12…

Application of electronic trigger tools to identify targets for improving diagnostic safety. | PSNet

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January 26, 2022 - Review Emerging Classic Application of electronic trigger tools to identify targets for improving diagnostic safety. Citation Text: Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving diagnostic safety…

Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. | PSNet

psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation

April 05, 2023 - Commentary Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. Citation Text: Black GB, Nicholson BD, Moreland J-A, et al. Doing …

A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. | PSNet

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March 29, 2023 - Study A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. Citation Text: Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J Healthc Manag. 2013;58(5):369-85. Copy Citation Format: …

Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet

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August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…

Safe but sound: patient safety meets evidence-based medicine. | PSNet

psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine

March 13, 2013 - Commentary Classic Safe but sound: patient safety meets evidence-based medicine. Citation Text: Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508. Copy Citation Format: DOI Google Sc…

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

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May 11, 2022 - Study Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. Citation Text: Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…

Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? | PSNet

psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter

February 18, 2011 - Study Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Citation Text: Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…

Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet

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June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…

Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. | PSNet

psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national

December 16, 2015 - Book/Report Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Citation Text: Carson-Stevens A, Hibbert P, Williams H, et al. Characterising …

Using radiofrequency technology to prevent retained sponges and improve patient outcomes. | PSNet

psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes

November 25, 2020 - Study Using radiofrequency technology to prevent retained sponges and improve patient outcomes. Citation Text: Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…

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