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  1. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. | PSNet

    psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu
    February 06, 2019 - Study Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Citation Text: Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Sa…

  2. Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. | PSNet

    psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians
    September 23, 2020 - Study Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. Citation Text: Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of p…

  3. Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. | PSNet

    psnet.ahrq.gov/issue/effect-central-call-center-employee-perceptions-safety-culture-within-community-pharmacies
    June 15, 2022 - Study Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. Citation Text: Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture within community pharmacies…

  4. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. | PSNet

    psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
    January 03, 2017 - Study Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. Citation Text: Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…

  5. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
    May 27, 2011 - Study Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Citation Text: Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…

  6. Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. | PSNet

    psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
    June 25, 2018 - Study Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. Citation Text: Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10…

  7. Drug-related problems in medical wards with a computerized physician order entry system. | PSNet

    psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
    December 01, 2010 - Study Drug-related problems in medical wards with a computerized physician order entry system. Citation Text: Bedouch P, Allenet B, Grass A, et al. Drug-related problems in medical wards with a computerized physician order entry system. J Clin Pharm Ther. 2009;34(2):187-95. doi:10.1111…

  8. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet

    psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
    June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42924/psn-pdf
    April 24, 2014 - training programs include formal curricula in error disclosure, most residents and medical students learn

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43589/psn-pdf
    November 17, 2014 - fear-punitive-response-hospital-errors-lingers https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46196/psn-pdf
    October 13, 2018 - There is a growing recognition that surgeons must learn these nontechnical skills during training in

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41257/psn-pdf
    April 22, 2012 - framework would substantially improve our ability to not only identify contributing factors but also learn

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47208/psn-pdf
    July 19, 2018 - Hospitals share their data through SPS and have an opportunity to learn from one another.

  14. A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

    psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network
    July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43253/psn-pdf
    May 01, 2015 - interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33645/psn-pdf
    February 01, 2007 - Learn how diagnoses emerge from subconscious processing and the inherent biases that can lead to errors … Learn de-biasing approaches that might prevent these errors? … Learn the principles of reflective practice. … Anything that allows you to learn from your own mistakes or those of others will increase the chances

  17. Stanford cuts liability premiums with cash offers after errors. | PSNet

    psnet.ahrq.gov/issue/stanford-cuts-liability-premiums-cash-offers-after-errors
    August 24, 2011 - November 10, 2010 Patient safety: what can medicine learn from aviation?

  18. "I'm sorry": Why is that so hard for doctors to say? | PSNet

    psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
    November 10, 2010 - August 6, 2008 Patient safety: what can medicine learn from aviation?

  19. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-5
    February 22, 2006 - February 12, 2019 Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn

  20. Top 10 ways to improve patient safety now. | PSNet

    psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now
    November 10, 2010 - August 6, 2008 Patient safety: what can medicine learn from aviation?
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