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Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. | PSNet

psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations

September 02, 2020 - Study Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Citation Text: Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Int J Healthc Manage. 2020;13(sup1)…

Talking with patients about other clinicians' errors. | PSNet

psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors

October 27, 2021 - Study Classic Talking with patients about other clinicians' errors. Citation Text: Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119. Copy Citation …

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…

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…

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

psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states

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…

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 effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome. | PSNet

psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and

April 12, 2019 - Study The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome. Citation Text: Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean sectio…

The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department

July 07, 2021 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. | PSNet

psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017

March 27, 2024 - Study Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. Citation Text: Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-15…

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. | PSNet

psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality

August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…

What and when to debrief: a scoping review examining interprofessional clinical debriefing. | PSNet

psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing

September 09, 2015 - Review What and when to debrief: a scoping review examining interprofessional clinical debriefing. Citation Text: Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1…

A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. | PSNet

psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-emergency-team-review

March 05, 2010 - Study A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Citation Text: Calzavacca P, Licari E, Tee A, et al. A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Intensive Care …

Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. | PSNet

psnet.ahrq.gov/issue/beyond-burnout-physician-wellness-hierarchy-designed-prioritize-interventions-systems-level

July 19, 2023 - Review Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. Citation Text: Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 20…

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit

November 16, 2022 - Study Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. Citation Text: Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol…

AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report

June 08, 2016 - Government Resource AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville,…

Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet

psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va

October 14, 2009 - Study Hospital safety climate and safety outcomes: is there a relationship in the VA? Citation Text: Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. …

Relationship between nurse burnout, patient and organizational outcomes: systematic review. | PSNet

psnet.ahrq.gov/issue/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review

December 01, 2021 - Review Relationship between nurse burnout, patient and organizational outcomes: systematic review. Citation Text: Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.101…

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. | PSNet

psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance

May 31, 2011 - Review Classic Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Citation Text: Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…

Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety

November 20, 2015 - Study Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. Citation Text: Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…

Effectiveness and efficiency of root cause analysis in medicine. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine

July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …

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