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A scoping review of distributed cognition in acute care clinical decision-making. | PSNet

psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making

April 08, 2020 - Review A scoping review of distributed cognition in acute care clinical decision-making. Citation Text: Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision-making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. Copy…

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

psnet.ahrq.gov/issue/community-acquired-and-hospital-acquired-medication-harm-among-older-inpatients-and-impact

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…

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…

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. | PSNet

psnet.ahrq.gov/issue/champ-model-building-center-support-health-care-worker-well-being-after-experiencing-adverse

January 18, 2023 - Commentary CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. Citation Text: McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care worker well-being after experiencing an adve…

Patient safety in complementary medicine through the application of clinical risk management in the public health system. | PSNet

psnet.ahrq.gov/issue/patient-safety-complementary-medicine-through-application-clinical-risk-management-public

February 15, 2023 - Study Patient safety in complementary medicine through the application of clinical risk management in the public health system. Citation Text: Rossi EG, Bellandi T, Picchi M, et al. Patient Safety in Complementary Medicine through the Application of Clinical Risk Management in the Public…

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. | PSNet

psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital

November 10, 2015 - Commentary Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. Citation Text: Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication administration standard to address hospit…

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. | PSNet

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June 24, 2020 - Study Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. Citation Text: Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safe…

It’s time to consider national culture when designing team training initiatives in healthcare. | PSNet

psnet.ahrq.gov/issue/its-time-consider-national-culture-when-designing-team-training-initiatives-healthcare

January 26, 2022 - Commentary It’s time to consider national culture when designing team training initiatives in healthcare. Citation Text: Rice JC, Daouk-Öyry L, Hitti E. It’s time to consider national culture when designing team training initiatives in healthcare. BMJ Qual Saf. 2021;30(5):412-417. doi:10…

Communication through the electronic health record: frequency and implications of free text orders. | PSNet

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May 12, 2021 - Study Communication through the electronic health record: frequency and implications of free text orders. Citation Text: Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record: frequency and implications of free text orders. JAMIA Open. 2020;3(2…

A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet

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October 26, 2022 - Study A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. Citation Text: Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…

Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

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February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. | PSNet

psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow

March 01, 2023 - Book/Report Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. Citation Text: Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Fol…

Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated-their-reporting

December 14, 2022 - Study Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Nurses’ perception of medication administration errors and factors associated with …

The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care

November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. | PSNet

psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel

May 05, 2010 - Study Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. Citation Text: Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a no…

Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. | PSNet

psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida

January 24, 2024 - Book/Report Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Citation Text: Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Washington, DC: Department of Veterans Affairs, Office of Inspect…

The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. | PSNet

psnet.ahrq.gov/issue/psychological-experiences-nurses-after-inpatient-suicide-meta-synthesis-qualitative-research

February 23, 2022 - Review The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. Citation Text: Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta‐synthesis of qualitative research studies. J Adv …

'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. | PSNet

psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety

October 06, 2021 - Study 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. Citation Text: Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in…

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers | PSNet

psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19

May 08, 2019 - Commentary Classic Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers Citation Text: Rangachari P, L. Woods J. Preserving organizational re…

A text mining approach to categorize patient safety event reports by medication error type. | PSNet

psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type

December 07, 2022 - Study A text mining approach to categorize patient safety event reports by medication error type. Citation Text: Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41…

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