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VHA's movement for change: implementing high-reliability principles and practices. | PSNet

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August 21, 2024 - Commentary VHA's movement for change: implementing high-reliability principles and practices. Citation Text: Cox GR, Starr LM. VHA's movement for change: implementing high-reliability principles and practices. J Healthc Manag. 2023;68(3):151-157. doi:10.1097/jhm-d-23-00056. Copy Citati…

Nursing crew resource management: a follow-up report from the Veterans Health Administration. | PSNet

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September 27, 2016 - Commentary Nursing crew resource management: a follow-up report from the Veterans Health Administration. Citation Text: Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…

Blink or think: can further reflection improve initial diagnostic impressions? | PSNet

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November 28, 2012 - Study Blink or think: can further reflection improve initial diagnostic impressions? Citation Text: Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. Copy…

Misunderstanding of prescription drug warning labels among patients with low literacy. | PSNet

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February 28, 2011 - Study Misunderstanding of prescription drug warning labels among patients with low literacy. Citation Text: Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. Copy Ci…

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

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January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

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November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. | PSNet

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July 12, 2023 - Commentary Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. Citation Text: Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…

Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet

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October 28, 2020 - Commentary Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. Citation Text: Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…

An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. | PSNet

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June 16, 2021 - Study An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Citation Text: Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…

A scoping review of clinical handover mnemonic devices. | PSNet

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July 24, 2019 - Review A scoping review of clinical handover mnemonic devices. Citation Text: Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. Copy Citation Format: DOI Google Scholar…

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. | PSNet

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September 20, 2011 - Study Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. Citation Text: Kirkland KB, Homa KA, Lasky RA, et al. Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an i…

Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge

October 16, 2024 - Review Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. Citation Text: Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…

Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals. | PSNet

psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient

April 21, 2015 - Study Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals. Citation Text: Martin G, Leslie M, Minion J, et al. Between surveillance and subjectification: professionals and the governance of quality and patient sa…

Safety Is Personal: Partnering With Patients and Families for the Safest Care. | PSNet

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January 06, 2015 - Book/Report Safety Is Personal: Partnering With Patients and Families for the Safest Care. Citation Text: Safety Is Personal: Partnering With Patients and Families for the Safest Care. NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National P…

Patient and family engagement as a potential approach for improving patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review

February 17, 2021 - Review Emerging Classic Patient and family engagement as a potential approach for improving patient safety: a systematic review. Citation Text: Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A systematic r…

Quality and safety: learning from the past and (re)imagining the future. | PSNet

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June 15, 2022 - Commentary Quality and safety: learning from the past and (re)imagining the future. Citation Text: Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008. Copy C…

Psychiatry morbidity and mortality rounds: implementation and impact. | PSNet

psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact

March 27, 2024 - Study Psychiatry morbidity and mortality rounds: implementation and impact. Citation Text: Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383. Copy Citation Format: …

Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. | PSNet

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August 04, 2021 - Study Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. Citation Text: Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washi…

Family-centered multidisciplinary rounds enhance the team approach in pediatrics. | PSNet

psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics

November 21, 2021 - Study Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Citation Text: Rosen P, Stenger E, Bochkoris M, et al. Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Pediatrics. 2009;123(4):e603-8. doi:10.1542/peds.2008-2238. C…

Associations between safety culture and employee engagement over time: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/associations-between-safety-culture-and-employee-engagement-over-time-retrospective-analysis

July 01, 2017 - Study Associations between safety culture and employee engagement over time: a retrospective analysis. Citation Text: Biddison ELD, Paine LA, Murakami P, et al. Associations between safety culture and employee engagement over time: a retrospective analysis. BMJ Qual Saf. 2016;25(1):31-7.…

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