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The effects of a 'discharge time-out' on the quality of hospital discharge summaries. | PSNet

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December 31, 2014 - Study The effects of a 'discharge time-out' on the quality of hospital discharge summaries. Citation Text: Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. BMJ Qual Saf. 2012;21(10):885-90. Copy Citation F…

Effect of a comprehensive surgical safety system on patient outcomes. | PSNet

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May 17, 2012 - Study Classic Effect of a comprehensive surgical safety system on patient outcomes. Citation Text: de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/…

Seen through the patients' eyes: surgical safety and checklists. | PSNet

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May 16, 2018 - Study Seen through the patients' eyes: surgical safety and checklists. Citation Text: Bergs J, Lambrechts F, Desmedt M, et al. Seen through the patients' eyes: surgical safety and checklists. Int J Qual Health Care. 2018;30(2):118-123. doi:10.1093/intqhc/mzx180. Copy Citation Forma…

More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? | PSNet

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December 18, 2017 - Study More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? Citation Text: Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomic…

Improving patient safety via automated laboratory-based adverse event grading. | PSNet

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October 19, 2022 - Study Improving patient safety via automated laboratory-based adverse event grading. Citation Text: Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…

A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. | PSNet

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February 26, 2020 - Commentary A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. Citation Text: Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educa…

Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service | PSNet

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September 29, 2021 - Study Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service Citation Text: Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role…

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. | PSNet

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July 30, 2014 - Study Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. Citation Text: Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J A…

Frequency and clinical importance of pages sent to the wrong physician. | PSNet

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October 31, 2011 - Study Frequency and clinical importance of pages sent to the wrong physician. Citation Text: Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117. Copy Citation…

Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? | PSNet

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February 06, 2014 - Study Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…

Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet

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June 16, 2011 - Study Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Citation Text: Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …

Patient harm events and associated cost outcomes reported to a patient safety organization. | PSNet

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July 18, 2017 - Study Patient harm events and associated cost outcomes reported to a patient safety organization. Citation Text: Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.00000000…

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. | PSNet

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November 30, 2016 - Study Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. Citation Text: Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities…

Contingency planning for electronic health record–based care continuity: a survey of recommended practices. | PSNet

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November 11, 2020 - Study Contingency planning for electronic health record–based care continuity: a survey of recommended practices. Citation Text: Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2…

Impact of a relocation to a new critical care building on pediatric safety events. | PSNet

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May 27, 2020 - Study Impact of a relocation to a new critical care building on pediatric safety events. Citation Text: Furthmiller A, Sahay R, Zhang B, et al. Impact of a relocation to a new critical care building on pediatric safety events. J Hosp Med. 2024;19(5):589-595. doi:10.1002/jhm.13324. Copy…

Relationship of staff information sharing and advice networks to patient safety outcomes. | PSNet

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June 22, 2011 - Study Relationship of staff information sharing and advice networks to patient safety outcomes. Citation Text: Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…

Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. | PSNet

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November 16, 2022 - Commentary Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. Citation Text: Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Sa…

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. | PSNet

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September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2007. Am J Health Syst Pharm…

Organizational learning in the morbidity and mortality conference. | PSNet

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June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. | PSNet

psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary

October 23, 2024 - Study Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. Citation Text: Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…

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