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Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists. | PSNet

psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences

November 03, 2021 - Study Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists. Citation Text: Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool to examine second victim experiences o…

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. | PSNet

psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education

June 02, 2021 - Study Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. Citation Text: Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. | PSNet

psnet.ahrq.gov/issue/maintaining-and-sustaining-cusp-stop-bsi-model-hawaii

March 21, 2012 - Study Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. Citation Text: Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4. …

Influencing a culture of quality and safety through huddles. | PSNet

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April 05, 2023 - Study Influencing a culture of quality and safety through huddles. Citation Text: McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. Copy Citation Format:…

"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. | PSNet

psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal

February 15, 2023 - Study "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. Citation Text: Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of …

Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. | PSNet

psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line

February 18, 2011 - Study Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. Citation Text: Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line provi…

Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet

psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically

February 01, 2023 - Study Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. Citation Text: Vanneman MW, Balakrishna A, Lang AL, et al. Impro…

Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet

psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors

August 11, 2021 - Study Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. Citation Text: Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug ad…

Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. | PSNet

psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related

July 29, 2020 - Study Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. Citation Text: Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decisio…

Interprofessional and intraprofessional communication about older people's medications across transitions of care. | PSNet

psnet.ahrq.gov/issue/interprofessional-and-intraprofessional-communication-about-older-peoples-medications-across

June 26, 2019 - Study Interprofessional and intraprofessional communication about older people's medications across transitions of care. Citation Text: Manias E, Bucknall T, Woodward-Kron R, et al. Interprofessional and intraprofessional communication about older people's medications across transitions …

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. | PSNet

psnet.ahrq.gov/issue/room-hazards-comparison-differences-safety-hazard-recognition-among-various-hospital-based

April 01, 2020 - Study Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. Citation Text: Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard …

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/critical-care-clinicians-experiences-patient-safety-during-covid-19-pandemic

February 22, 2023 - Study Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. Citation Text: Rosen A, Carter D, Applebaum JR, et al. Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. J Patient Saf. 2022;18(8):e1219-e1225. doi:10.1097/pts.…

Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ethical-leadership-supports-safety-voice-increasing-risk-perception-and-reducing-ethical

September 14, 2022 - Study Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. Citation Text: Cakir MS, Wardman JK, Trautrims A. Ethical leadership supports safety voice by increasing risk perception and reducing ethical …

Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. | PSNet

psnet.ahrq.gov/issue/errors-and-electronic-prescribing-controlled-laboratory-study-examine-task-complexity-and

September 24, 2016 - Study Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. Citation Text: Magrabi F, Li SYW, Day R, et al. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects…

Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve

March 01, 2011 - Study Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. Citation Text: Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. | PSNet

psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events

March 05, 2008 - Review Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. Citation Text: Butler AM, Brown DS, Durkin MJ, et al. Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug even…

Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. | PSNet

psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital

March 24, 2021 - Commentary Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. Citation Text: Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…

Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit

October 05, 2022 - Study Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. Citation Text: Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. | PSNet

psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians

March 11, 2020 - Study Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. Citation Text: Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. BMJ Qual Sa…

Early death after discharge from emergency departments: analysis of national US insurance claims data. | PSNet

psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data

June 25, 2018 - Study Classic Early death after discharge from emergency departments: analysis of national US insurance claims data. Citation Text: Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance cl…

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