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Practically speaking: rethinking hand hygiene improvement programs in health care settings. | PSNet

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September 03, 2011 - Study Practically speaking: rethinking hand hygiene improvement programs in health care settings. Citation Text: Son C, Chuck T, Childers T, et al. Practically speaking: Rethinking hand hygiene improvement programs in health care settings. Am J Infect Control. 2011;39(9). doi:10.1016/j…

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. | PSNet

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April 22, 2011 - Study Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. Citation Text: Uppal N, Yasseen B, Seto W, et al. Drug formulations that require less than 0.1 mL of stock solution to prepare doses for infants and children. CMAJ. 2011;183(4…

PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. | PSNet

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November 16, 2022 - Study PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. Citation Text: Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…

Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. | PSNet

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April 24, 2018 - Study Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Citation Text: Grundgeiger T, Sanderson PM, Orihuela B, et al. Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Ergo…

Correlation between hospital rating agencies' data: an analysis and recommendation. | PSNet

psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation

April 05, 2023 - Study Correlation between hospital rating agencies' data: an analysis and recommendation. Citation Text: Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…

Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. | PSNet

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March 30, 2022 - Study Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Citation Text: Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…

Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. | PSNet

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April 13, 2017 - Study Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. Citation Text: Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/…

Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. | PSNet

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August 02, 2015 - Commentary Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. Citation Text: Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patien…

Using root cause analysis to reduce falls with injury in community settings. | PSNet

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April 25, 2016 - Study Using root cause analysis to reduce falls with injury in community settings. Citation Text: Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374. Copy Citation Format: Goo…

Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. | PSNet

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June 25, 2018 - Commentary Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. Citation Text: Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health …

Time to accelerate integration of human factors and ergonomics in patient safety. | PSNet

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October 03, 2013 - Commentary Time to accelerate integration of human factors and ergonomics in patient safety. Citation Text: Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. …

Flow disruptions in trauma care handoffs. | PSNet

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August 02, 2015 - Study Flow disruptions in trauma care handoffs. Citation Text: Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

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July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

Do first opinions affect second opinions? | PSNet

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October 07, 2020 - Study Do first opinions affect second opinions? Citation Text: Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

Participation in EHR based simulation improves recognition of patient safety issues. | PSNet

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April 24, 2013 - Study Participation in EHR based simulation improves recognition of patient safety issues. Citation Text: Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-22…

ASPEN Safe Practices for Enteral Nutrition Therapy. | PSNet

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June 12, 2018 - Organizational Policy/Guidelines ASPEN Safe Practices for Enteral Nutrition Therapy. Citation Text: Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. Copy Citation…

Traditions of research into interruptions in healthcare: a conceptual review. | PSNet

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April 19, 2017 - Review Traditions of research into interruptions in healthcare: a conceptual review. Citation Text: McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005. Copy…

Morbidity and mortality: delays in my patient’s cancer care. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care

July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…

A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. | PSNet

psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational

December 20, 2017 - Study A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. Citation Text: Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient …

Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/clinical-reasoning-wild-premature-closure-during-covid-19-pandemic

September 02, 2020 - Commentary Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Citation Text: Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061…

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