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  1. Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

    psnet.ahrq.gov/issue/long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
    May 01, 2019 - Study Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health …

  2. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

    psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
    October 17, 2018 - Study Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. Citation Text: Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…

  3. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. | PSNet

    psnet.ahrq.gov/issue/handoffs-safety-culture-and-practices-evidence-hospital-survey-patient-safety-culture
    June 21, 2015 - Study Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. Citation Text: Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Serv Res. 2016;16…

  4. Development and implementation of a suicide prevention checklist to create a safe environment. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-suicide-prevention-checklist-create-safe-environment
    August 04, 2021 - Study Development and implementation of a suicide prevention checklist to create a safe environment. Citation Text: Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160…

  5. Content analysis of nurses' reflections on medication errors in a regional hospital. | PSNet

    psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
    December 23, 2020 - Study Content analysis of nurses' reflections on medication errors in a regional hospital. Citation Text: Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…

  6. Predicting avoidable hospital events in Maryland. | PSNet

    psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
    April 06, 2022 - Study Predicting avoidable hospital events in Maryland. Citation Text: Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891. Copy Citation Format: DOI Google Scholar BibTeX En…

  7. Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet

    psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
    September 18, 2009 - Study Medicare payment for selected adverse events: building the business case for investing in patient safety. Citation Text: Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millw…

  8. The effect of race and sex on physicians' recommendations for cardiac catheterization. | PSNet

    psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
    July 15, 2020 - Study The effect of race and sex on physicians' recommendations for cardiac catheterization. Citation Text: Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 2002;340(8):618-626. doi:10.1056/nejm…

  9. A study of innovative patient safety education. | PSNet

    psnet.ahrq.gov/issue/study-innovative-patient-safety-education
    April 28, 2021 - Study A study of innovative patient safety education. Citation Text: Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach. 2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x. Copy Citation Format: DOI Google Scholar PubMed BibT…

  10. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

    psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
    August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

  11. Postoperative sepsis in the United States. | PSNet

    psnet.ahrq.gov/issue/postoperative-sepsis-united-states
    January 12, 2022 - Study Postoperative sepsis in the United States. Citation Text: Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  12. What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. | PSNet

    psnet.ahrq.gov/issue/what-are-implications-patient-safety-and-experience-major-healthcare-it-breakdown-qualitative
    December 14, 2022 - Study What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. Citation Text: Scantlebury A, Sheard L, Fedell C, et al. What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitativ…

  13. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
    July 29, 2020 - Study Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. Citation Text: Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…

  14. Medication errors in community pharmacies: evaluation of a standardized safety program. | PSNet

    psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
    June 29, 2022 - Study Medication errors in community pharmacies: evaluation of a standardized safety program. Citation Text: Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…

  15. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
    December 18, 2013 - Study Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Citation Text: Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…

  16. Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. | PSNet

    psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine
    August 15, 2012 - Study Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. Citation Text: Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals. Am J …

  17. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. | PSNet

    psnet.ahrq.gov/issue/did-hospital-readmissions-reduction-program-reduce-readmissions-assessment-prior-evidence-and
    August 25, 2021 - Study Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Citation Text: Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval …

  18. Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. | PSNet

    psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
    February 16, 2011 - Study Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. Citation Text: Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two pop…

  19. Identification of common themes from never events data published by NHS England. | PSNet

    psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
    April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

  20. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. | PSNet

    psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
    December 16, 2020 - Study The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. Citation Text: Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…
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