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"The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. | PSNet

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October 11, 2023 - Study "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. Citation Text: Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…

Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

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October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. | PSNet

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June 24, 2020 - Review Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. Citation Text: Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions desig…

Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. | PSNet

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May 01, 2015 - Study Classic Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. Citation Text: Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of les…

Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. | PSNet

psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients

September 30, 2020 - Study Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. Citation Text: Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…

Parent perceptions of children's hospital safety climate. | PSNet

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December 22, 2018 - Study Parent perceptions of children's hospital safety climate. Citation Text: Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727. Copy Citation Format: DOI Google Sc…

Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. | PSNet

psnet.ahrq.gov/issue/patient-and-health-care-professional-perspectives-stigma-integrated-behavioral-health

January 12, 2022 - Study Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. Citation Text: Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and…

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet

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July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…

The impact of computerized provider order entry systems on medical-imaging services: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review

June 14, 2017 - Study The impact of computerized provider order entry systems on medical-imaging services: a systematic review. Citation Text: Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…

AHRQ patient safety project reduces bloodstream infections by 40 percent. | PSNet

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January 22, 2020 - Newspaper/Magazine Article AHRQ patient safety project reduces bloodstream infections by 40 percent. Citation Text: AHRQ patient safety project reduces bloodstream infections by 40 percent. Schmidt B. Patient Saf Qual Hcare. September 12, 2012. Copy Citation Save …

Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. | PSNet

psnet.ahrq.gov/issue/nursing-skill-mix-european-hospitals-cross-sectional-study-association-mortality-patient

December 12, 2014 - Study Classic Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. Citation Text: Aiken LH, Sloane DM, Griffiths P, et al. Nursing skill mix in European hospitals: cross-sectional…

Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. | PSNet

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June 07, 2023 - Study Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. Citation Text: Longo BA, Schmaltz SP, Williams SC, et al. Clinician well-being assessment and interventions in Joint Commission-accredited hospitals an…

Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-care-developing-countries-southeast-asia-systematic-literature

July 29, 2020 - Review Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. Citation Text: Harrison R, Cohen AWS, Walton M. Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. Int J Qual He…

Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. | PSNet

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June 07, 2023 - Study Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. Citation Text: Bourne RS, Shulman R, Jennings JK. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medici…

A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? | PSNet

psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-prescribing-systems

December 21, 2022 - Review A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? Citation Text: Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use electronic prescribing…

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. | PSNet

psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse

March 17, 2021 - Study Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. Citation Text: Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…

Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. | PSNet

psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual

July 27, 2022 - Study Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. Citation Text: Barbara L, Roberta DB, Vanda R, et al. Patient safety monitoring in acute care in a decentralized national health ca…

Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet

psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre

March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. | PSNet

psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies

April 09, 2013 - Study Classic The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. Citation Text: Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…

How safe is primary care? A systematic review. | PSNet

psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review

December 18, 2013 - Review Classic How safe is primary care? A systematic review. Citation Text: Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. Copy Citation Format…

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