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  1. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. | PSNet

    psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
    February 28, 2024 - Commentary Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. Citation Text: Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acc…

  2. Communication of preclinical emergency teams in critical situations: a nationwide study. | PSNet

    psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study
    January 23, 2019 - Study Communication of preclinical emergency teams in critical situations: a nationwide study. Citation Text: Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.…

  3. What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/what-evidence-pharmacy-team-working-acute-or-emergency-medicine-department-improves-outcomes
    August 10, 2022 - Review What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. Citation Text: Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or emergency medic…

  4. A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-teamwork-training-program-triad-optimal-patient-safety-tops-experience
    February 12, 2018 - Study A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. Citation Text: Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 200…

  5. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. | PSNet

    psnet.ahrq.gov/issue/qualitative-exploration-patients-attitudes-towards-participate-inform-notice-know-pink
    July 06, 2012 - Study A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. Citation Text: Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patien…

  6. Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/oncology-patients-willingness-report-their-medication-safety-concerns-home-qualitative-study
    August 21, 2024 - Study Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. Citation Text: Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study. Support Care Cancer…

  7. Care at the point of impact: insights into the second-victim experience. | PSNet

    psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience
    January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

  8. Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. | PSNet

    psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record
    August 15, 2018 - Study Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. Citation Text: Walley AY, Farrar D, Cheng DM, et al. Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patie…

  9. Medication error prevention by pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
    August 04, 2021 - Study Classic Medication error prevention by pharmacists. Citation Text: Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  10. Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/health-literacy-informed-communication-reduce-discharge-medication-errors-hospitalized
    July 12, 2023 - Study Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. Citation Text: Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized…

  11. The relationship between safety climate and safety performance: a review. | PSNet

    psnet.ahrq.gov/issue/relationship-between-safety-climate-and-safety-performance-review
    February 03, 2021 - Review The relationship between safety climate and safety performance: a review. Citation Text: Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008. Copy Citation …

  12. The incorporation of patient safety into board certification examinations. | PSNet

    psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-examinations
    October 26, 2010 - Commentary The incorporation of patient safety into board certification examinations. Citation Text: Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification examinations. Acad Med. 2006;81(4):317-25. Copy Citation Format: Goog…

  13. Emotional impact of patient safety incidents on family physicians and their office staff. | PSNet

    psnet.ahrq.gov/issue/emotional-impact-patient-safety-incidents-family-physicians-and-their-office-staff
    December 11, 2013 - Study Emotional impact of patient safety incidents on family physicians and their office staff. Citation Text: O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family physicians and their office staff. J Am Board Fam Med. 2012;25(2)…

  14. Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
    November 16, 2022 - Study Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. Citation Text: Lai JS, Yokoyama G, Louie C, et al. Impact of Computerized Prescriber Order Entry (CPOE) on Clinical Pharmacy Practice: A Hypothesis-Generating Study. H…

  15. Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008. | PSNet

    psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
    February 27, 2019 - Study Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008. Citation Text: Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92. Copy Citatio…

  16. Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. | PSNet

    psnet.ahrq.gov/issue/operating-room-clinicians-attitudes-and-perceptions-pediatric-surgical-safety-checklist-1
    July 14, 2010 - Study Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. Citation Text: Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution. J Pa…

  17. Am I safe here? Improving patients' perceptions of safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
    June 25, 2010 - Study Am I safe here? Improving patients' perceptions of safety in hospitals. Citation Text: Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. Copy Citation Format: Google Schol…

  18. Rapid response team in a rural hospital. | PSNet

    psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
    October 19, 2022 - Study Rapid response team in a rural hospital. Citation Text: Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-102. doi:10.1097/NUR.0b013e31824590fb. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  19. Hospital system barriers to rapid response team activation: a cognitive work analysis. | PSNet

    psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
    September 09, 2015 - Study Hospital system barriers to rapid response team activation: a cognitive work analysis. Citation Text: Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.…

  20. From harm to hope and purposeful action: what could we do after Francis? | PSNet

    psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
    August 01, 2016 - Commentary From harm to hope and purposeful action: what could we do after Francis? Citation Text: Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581. Copy Ci…
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