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Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department

October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response

March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …

Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. | PSNet

psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills

November 11, 2009 - Review Emerging Classic Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. Citation Text: Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Profes…

The role of organizational and professional cultures in medication safety: a scoping review of the literature. | PSNet

psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature

February 12, 2020 - Review The role of organizational and professional cultures in medication safety: a scoping review of the literature. Citation Text: Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit

September 24, 2017 - Study Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. Citation Text: Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…

Making communication and resolution programmes mission critical in healthcare organisations. | PSNet

psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations

September 09, 2020 - Commentary Making communication and resolution programmes mission critical in healthcare organisations. Citation Text: Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…

Challenges and strategies for patient safety in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/challenges-and-strategies-patient-safety-primary-care-qualitative-study

October 13, 2021 - Study Challenges and strategies for patient safety in primary care: a qualitative study. Citation Text: Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.00000000000…

Information exchange among physicians caring for the same patient in the community. | PSNet

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March 28, 2011 - Study Classic Information exchange among physicians caring for the same patient in the community. Citation Text: van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):…

Ambulatory prescribing errors among community-based providers in two states. | PSNet

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July 10, 2008 - Study Ambulatory prescribing errors among community-based providers in two states. Citation Text: Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…

Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims

June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

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March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

Experience with family activation of rapid response teams. | PSNet

psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams

December 17, 2008 - Commentary Experience with family activation of rapid response teams. Citation Text: Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223. Copy Citation Format: Google Scholar PubMed BibTeX En…

The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?. | PSNet

psnet.ahrq.gov/issue/good-bad-and-ugly-what-do-we-really-do-when-we-identify-best-and-worst-organisations

August 20, 2018 - Commentary The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?. Citation Text: Abel GA, Agniel D, Elliott MN. The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations? BMJ Qual Saf. …

Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. | PSNet

psnet.ahrq.gov/issue/experiences-nurses-speaking-healthcare-settings-qualitative-metasynthesis

September 23, 2020 - Review Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. Citation Text: Lee E, De Gagne J C, Randall P S, et al. Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. J Adv Nurs. 2024;Epub Nov 4. doi:10.1111/jan.16592.…

Improving departmental psychological safety through a medical school-wide initiative | PSNet

psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative

July 19, 2023 - Study Improving departmental psychological safety through a medical school-wide initiative Citation Text: Porter-Stransky KA, Horneffer-Ginter KJ, Bauler LD, et al. Improving departmental psychological safety through a medical school-wide initiative. BMC Med Educ. 2024;24(1):800. doi:10.…

Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet

psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review

January 15, 2025 - Review Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Citation Text: Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…

Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. | PSNet

psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical

December 14, 2022 - Review Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. Citation Text: Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…

What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. | PSNet

psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive

September 23, 2020 - Commentary What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. Citation Text: Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(…

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. | PSNet

psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation

September 23, 2020 - Study A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. Citation Text: Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…

Deaths among opioid users: impact of potential inappropriate prescribing practices. | PSNet

psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices

October 19, 2011 - Study Deaths among opioid users: impact of potential inappropriate prescribing practices. Citation Text: Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. Copy Citation Form…

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