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Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet

psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care

July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …

Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. | PSNet

psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers

September 04, 2016 - Study Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. Citation Text: Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…

Structural racism--a 60-year-old black woman with breast cancer. | PSNet

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December 17, 2020 - Commentary Emerging Classic Structural racism--a 60-year-old black woman with breast cancer. Citation Text: Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes

October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses

December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. | PSNet

psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver

September 14, 2022 - Study Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. Citation Text: Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental and personal factors on the nurse's abi…

Cost-benefit analysis of a medical emergency team in a children's hospital. | PSNet

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November 06, 2015 - Study Cost-benefit analysis of a medical emergency team in a children's hospital. Citation Text: Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140. Copy Citation …

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 …

Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. | PSNet

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May 19, 2018 - Review Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Citation Text: Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …

'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. | PSNet

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April 28, 2021 - Study 'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. Citation Text: Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled expe…

Patient safety culture: effects on errors, incident reporting, and patient safety grade. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade

August 26, 2020 - Study Patient safety culture: effects on errors, incident reporting, and patient safety grade. Citation Text: Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/…

Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. | PSNet

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November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…

Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. | PSNet

psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human-factors-engineering

October 07, 2013 - Study Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. Citation Text: Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach…

Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. | PSNet

psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic

September 06, 2023 - Review Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. Citation Text: Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in hospital s…

How to be a very safe maternity unit: an ethnographic study. | PSNet

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October 21, 2020 - Study Emerging Classic How to be a very safe maternity unit: an ethnographic study. Citation Text: Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01…

CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. | PSNet

psnet.ahrq.gov/issue/cdc-central-line-bloodstream-infection-prevention-efforts-produced-net-benefits-least-640

October 31, 2014 - Study CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. Citation Text: Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 M…

Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. | PSNet

psnet.ahrq.gov/issue/leadership-through-crisis-fighting-fatigue-pandemic-healthcare-during-covid-19

October 07, 2020 - Commentary Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. Citation Text: Whelehan DF, Algeo N, Brown DA. Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. BMJ Leader. 2021;5:108-112. doi:10.1136/leader-2020-00…

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet

psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england

November 16, 2022 - Study The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. Citation Text: Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…

Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. | PSNet

psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19

October 21, 2020 - Commentary Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. Citation Text: Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …

Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study. | PSNet

psnet.ahrq.gov/issue/changes-cancer-detection-and-false-positive-recall-mammography-using-artificial-intelligence

August 23, 2023 - Study Classic Changes in cancer detection and false-positive recall in mammography using artificial intelligence: a retrospective, multireader study. Citation Text: Kim H-E, Kim HH, Han B-K, et al. Changes in cancer detection and false-positive recall in mammogr…

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