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Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. | PSNet

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February 23, 2022 - Study Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. Citation Text: Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…

Culture change in infection control: applying psychological principles to improve hand hygiene. | PSNet

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November 21, 2021 - Study Culture change in infection control: applying psychological principles to improve hand hygiene. Citation Text: Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304…

Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. | PSNet

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June 27, 2012 - Study Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. Citation Text: Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9)…

A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. | PSNet

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September 07, 2016 - Study A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Citation Text: Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am…

Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. | PSNet

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October 31, 2023 - Study Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. Citation Text: Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: des…

Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. | PSNet

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March 17, 2010 - Study Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. Citation Text: Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patie…

Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. | PSNet

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June 28, 2023 - Study Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. Citation Text: Alanazi FK, Lapkin S, Molloy L, et al. Healthcare-associated infections in adult intensive care u…

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. | PSNet

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July 21, 2021 - Study Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Citation Text: Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…

A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. | PSNet

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January 08, 2020 - Study A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. Citation Text: Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge…

Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. | PSNet

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July 02, 2014 - Study Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. Citation Text: Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict…

Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet

psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific

April 08, 2018 - Study Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. Citation Text: Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. | PSNet

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June 01, 2022 - Study Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. Citation Text: Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…

Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. | PSNet

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February 05, 2020 - Study Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. Citation Text: Archer S, Thibaut BI, Dewa LH, et al. Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. J Psychiatr Ment Health Nurs.…

The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. | PSNet

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October 19, 2022 - Study The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. Citation Text: Ward CE, Taylor M, Keeney C, et al. The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency med…

The impact of COVID-19 workflow changes on radiation oncology incident reporting. | PSNet

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June 30, 2021 - Study The impact of COVID-19 workflow changes on radiation oncology incident reporting. Citation Text: Volpini ME, Lekx‐Toniolo K, Mahon R, et al. The impact of COVID‐19 workflow changes on radiation oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.…

Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. | PSNet

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September 13, 2017 - Study Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Citation Text: Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Br J Anaesth. 2019…

Boosting medical diagnostics by pooling independent judgments. | PSNet

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June 21, 2016 - Study Boosting medical diagnostics by pooling independent judgments. Citation Text: Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113. Copy Citation …

The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. | PSNet

psnet.ahrq.gov/issue/psychological-experience-obstetric-patients-and-health-care-workers-after-implementation

March 30, 2022 - Study The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. Citation Text: Bender WR, Srinivas S, Coutifaris P, et al. The psychological experience of obstetric patients and health care workers after implementatio…

Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment. | PSNet

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December 21, 2022 - Study Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment. Citation Text: Wallerstedt SM, Svensson SA, Lönnbro J, et al. Performance of 3 sets of criteria for potentially inappropriate prescribing in older peop…

Medication errors in the home: a multisite study of children with cancer. | PSNet

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October 19, 2022 - Study Medication errors in the home: a multisite study of children with cancer. Citation Text: Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434. Copy Citation…

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