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Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

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June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. | PSNet

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July 19, 2023 - Study Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. Citation Text: Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…

Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet

psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective

February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. Citation Text: Zwart DLM, Heddema WS, Vermeulen MI, et al. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospecti…

Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. | PSNet

psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology

June 28, 2023 - Commentary Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. Citation Text: Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and P…

Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. | PSNet

psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist

January 30, 2008 - Study Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. Citation Text: Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…

Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. | PSNet

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November 16, 2022 - Study Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. Citation Text: Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA H…

Improving patient safety in handover from intensive care unit to general ward: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review

June 12, 2008 - Review Improving patient safety in handover from intensive care unit to general ward: a systematic review. Citation Text: Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1…

Anesthesia-related closed claims in free-standing ambulatory surgery centers. | PSNet

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March 29, 2023 - Study Anesthesia-related closed claims in free-standing ambulatory surgery centers. Citation Text: Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. C…

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. | PSNet

psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research

February 24, 2021 - Commentary Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. Citation Text: Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Inter…

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. | PSNet

psnet.ahrq.gov/issue/adopting-real-time-surveillance-dashboards-component-enterprisewide-medication-safety

June 27, 2018 - Study Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Citation Text: Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Q…

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. | PSNet

psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients

April 21, 2021 - Study Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. Citation Text: Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …

Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims | PSNet

psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences

February 10, 2021 - Study Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims Citation Text: Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of …

Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients

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…

The effect of health care professional disruptive behavior on patient care: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-health-care-professional-disruptive-behavior-patient-care-systematic-review

February 16, 2022 - Review The effect of health care professional disruptive behavior on patient care: a systematic review. Citation Text: Hicks S, Stavropoulou C. The effect of health care professional disruptive behavior on patient care: a systematic review. J Patient Saf. 2022;18(2):138-143. doi:10.1097/…

Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems

March 14, 2022 - Review Emerging Classic Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Text: Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…

Refocusing the lens: patient safety in ambulatory chronic disease care. | PSNet

psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care

December 19, 2018 - Commentary Classic Refocusing the lens: patient safety in ambulatory chronic disease care. Citation Text: Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377…

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…

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2016

September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2016. Am J Health Syst Pharm. 2…

We are not there yet: a qualitative system probing study of a hospital rapid response system. | PSNet

psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system

March 15, 2023 - Study We are not there yet: a qualitative system probing study of a hospital rapid response system. Citation Text: Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…

The impact of video games on training surgeons in the 21st century. | PSNet

psnet.ahrq.gov/issue/impact-video-games-training-surgeons-21st-century

October 19, 2022 - Study The impact of video games on training surgeons in the 21st century. Citation Text: Rosser JC, Lynch PJ, Cuddihy L, et al. The impact of video games on training surgeons in the 21st century. Arch Surg. 2007;142(2):181-6; discusssion 186. Copy Citation Format: Googl…

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