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Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration

November 17, 2021 - Study Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Citation Text: Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patie…

Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. | PSNet

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August 28, 2024 - Study Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. Citation Text: Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients an…

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet

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November 16, 2015 - Commentary World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Citation Text: Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…

Nursing home patient safety culture perceptions among licensed practical nurses. | PSNet

psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-licensed-practical-nurses

February 17, 2021 - Study Nursing home patient safety culture perceptions among licensed practical nurses. Citation Text: Weaver SH, de Cordova PB, Ravichandran A, et al. Nursing home patient safety culture perceptions among licensed practical nurses. J Nurs Care Qual. 2023;38(3):203-210. doi:10.1097/ncq.00…

A prescription for enhancing electronic prescribing safety. | PSNet

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August 04, 2021 - Commentary A prescription for enhancing electronic prescribing safety. Citation Text: Schiff G, Mirica MM, Dhavle AA, et al. A Prescription For Enhancing Electronic Prescribing Safety. Health Aff (Millwood). 2018;37(11):1877-1883. doi:10.1377/hlthaff.2018.0725. Copy Citation Format…

Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. | PSNet

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June 01, 2022 - Commentary Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. Citation Text: Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness an…

Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. | PSNet

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October 12, 2022 - Study Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. Citation Text: Catalanotti JS, O’Connor AB, Kisielewski M, et al. Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. J Gen Intern Med. 2021;36…

Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. | PSNet

psnet.ahrq.gov/issue/acute-care-nurses-perceptions-leadership-teamwork-turnover-intention-and-patient-safety-mixed

September 16, 2015 - Study Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. Citation Text: Zaheer S, Ginsburg LR, Wong HJ, et al. Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed metho…

Patients' perception of types of errors in palliative care—results from a qualitative interview study. | PSNet

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December 04, 2016 - Study Patients' perception of types of errors in palliative care—results from a qualitative interview study. Citation Text: Kiesewetter I, Schulz CM, Bausewein C, et al. Patients' perception of types of errors in palliative care - results from a qualitative interview study. BMC Palliat C…

Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet

psnet.ahrq.gov/issue/human-ai-teaming-critical-care-comparative-analysis-data-scientists-and-clinicians

July 10, 2013 - Study Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. Citation Text: Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians'…

Leading quality and safety on the frontline - a case study of department leaders in nursing homes. | PSNet

psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes

February 28, 2024 - Study Leading quality and safety on the frontline - a case study of department leaders in nursing homes. Citation Text: Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. J Healthc Leadersh. 2024;16:193…

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. | PSNet

psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure

January 26, 2022 - Study Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. Citation Text: Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…

The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/ask-me-explain-campaign-90-day-intervention-promote-patient-and-family-involvement-care

November 16, 2022 - Study The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. Citation Text: Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family In…

"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. | PSNet

psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions

May 12, 2021 - Study "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. Citation Text: Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions a…

Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review

October 28, 2020 - Review Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Citation Text: Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q.…

Surgeon and surgical trainee experiences after adverse patient events. | PSNet

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January 09, 2019 - Study Surgeon and surgical trainee experiences after adverse patient events. Citation Text: Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. Copy…

How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? | PSNet

psnet.ahrq.gov/issue/how-physicians-implicit-prejudice-against-obese-and-mentally-ill-moderated-specialty-and

January 19, 2022 - Study How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? Citation Text: FitzGerald C, Mumenthaler C, Berner D, et al. How is physicians’ implicit prejudice against the obese and mentally ill moderated by specialty and experienc…

The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet

psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours

October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …

A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. | PSNet

psnet.ahrq.gov/issue/checklist-address-implicit-bias-healthcare-settings-during-covid-19-pandemic-place-strategy

July 07, 2021 - Commentary A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. Citation Text: Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy…

Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet

psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis

September 01, 2018 - Study Structuring patient and family involvement in medical error event disclosure and analysis. Citation Text: Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…

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