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Handoffs and teamwork: a framework for care transition communication. | PSNet

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September 28, 2022 - Commentary Handoffs and teamwork: a framework for care transition communication. Citation Text: Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001…

Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display. | PSNet

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November 22, 2017 - Study Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display. Citation Text: Yamamoto LG. Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record dis…

Staying silent about safety issues: conceptualizing and measuring safety silence motives. | PSNet

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August 28, 2019 - Study Staying silent about safety issues: conceptualizing and measuring safety silence motives. Citation Text: Manapragada A, Bruk-Lee V. Staying silent about safety issues: Conceptualizing and measuring safety silence motives. Accid Anal Prev. 2016;91:144-56. doi:10.1016/j.aap.2016.02.0…

Cognitive biases in surgery: systematic review. | PSNet

psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review

April 27, 2022 - Review Cognitive biases in surgery: systematic review. Citation Text: Armstrong BA, Dutescu IA, Tung A, et al. Cognitive biases in surgery: systematic review. Br J Surg. 2023;110(6):645-654. doi:10.1093/bjs/znad004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

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April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. | PSNet

psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care

January 12, 2011 - Review Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. Citation Text: Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. | PSNet

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September 01, 2021 - Commentary Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. Citation Text: MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…

As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet

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December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…

Evaluation of a nurse-led safety program in a critical care unit. | PSNet

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June 03, 2013 - Study Evaluation of a nurse-led safety program in a critical care unit. Citation Text: Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3. Copy Citation F…

Blink or think: can further reflection improve initial diagnostic impressions? | PSNet

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November 28, 2012 - Study Blink or think: can further reflection improve initial diagnostic impressions? Citation Text: Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. Copy…

A Department of Medicine infrastructure for patient safety and clinical quality improvement. | PSNet

psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement

July 01, 2017 - Review A Department of Medicine infrastructure for patient safety and clinical quality improvement. Citation Text: Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. …

High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. | PSNet

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December 12, 2018 - Study High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. Citation Text: Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res S…

A survey of factors affecting clinician acceptance of clinical decision support. | PSNet

psnet.ahrq.gov/issue/survey-factors-affecting-clinician-acceptance-clinical-decision-support

July 10, 2008 - Study A survey of factors affecting clinician acceptance of clinical decision support. Citation Text: Sittig DF, Krall MA, Dykstra RH, et al. A survey of factors affecting clinician acceptance of clinical decision support. BMC Med Inform Decis Mak. 2006;6(1). doi:10.1186/1472-6947-6-6.…

How teams work—or don’t—in primary care: a field study on internal medicine practices. | PSNet

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November 28, 2012 - Study How teams work—or don’t—in primary care: a field study on internal medicine practices. Citation Text: Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…

Misdiagnosis of heart failure: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature

October 06, 2021 - Review Misdiagnosis of heart failure: a systematic review of the literature. Citation Text: Wong CW, Tafuro J, Azam Z, et al. Misdiagnosis of heart failure: a systematic review of the literature. J Cardiac Failure. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014. Copy Citation …

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. | PSNet

psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3

March 01, 2008 - Commentary Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. Citation Text: Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. Copy Citation Format: Google …

Do HSMRs really measure patient safety? | PSNet

psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety

June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety? Citation Text: Do HSMRs really measure patient safety? Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…

The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. | PSNet

psnet.ahrq.gov/issue/attitudes-nursing-students-and-clinical-instructors-towards-reporting-irregular-incidents

June 01, 2019 - Study The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. Citation Text: Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. N…

Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study. | PSNet

psnet.ahrq.gov/issue/predictors-healthcare-professionals-attitudes-towards-family-involvement-safety-relevant

November 05, 2013 - Study Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study. Citation Text: Davis R, Savvopoulou M, Shergill R, et al. Predictors of healthcare professionals' attitudes towards family involveme…

Bedside shift report improves patient safety and nurse accountability. | PSNet

psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability

April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. Citation Text: Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

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