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  1. A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. | PSNet

    psnet.ahrq.gov/issue/randomised-controlled-trial-assessing-efficacy-electronic-discharge-communication-tool
    August 24, 2016 - Study A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. Citation Text: Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of an electronic dis…

  2. Four-year impact of an alert notification system on closed-loop communication of critical test results. | PSNet

    psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
    June 21, 2016 - Study Four-year impact of an alert notification system on closed-loop communication of critical test results. Citation Text: Lacson R, Prevedello LM, Andriole KP, et al. Four-year impact of an alert notification system on closed-loop communication of critical test results. AJR Am J Roent…

  3. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. | PSNet

    psnet.ahrq.gov/issue/use-lives-saved-measures-nurse-staffing-and-patient-safety-research-statistical
    May 21, 2009 - Study The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Citation Text: Diya L, Van den Heede K, Sermeus W, et al. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Nurs R…

  4. Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. | PSNet

    psnet.ahrq.gov/issue/analysis-prescribers-notes-electronic-prescriptions-ambulatory-practice
    July 23, 2018 - Study Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. Citation Text: Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.201…

  5. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. | PSNet

    psnet.ahrq.gov/issue/do-healthcare-professionals-work-around-safety-standards-and-should-we-be-worried-scoping
    December 21, 2016 - Review Do healthcare professionals work around safety standards, and should we be worried? A scoping review. Citation Text: Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Se…

  6. Coping strategies in health care providers as second victims: a systematic review. | PSNet

    psnet.ahrq.gov/issue/coping-strategies-health-care-providers-second-victims-systematic-review
    June 30, 2021 - Review Coping strategies in health care providers as second victims: a systematic review. Citation Text: Kappes M, Romero‐García M, Delgado‐Hito P. Coping strategies in health care providers as second victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694. …

  7. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. | PSNet

    psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
    February 03, 2016 - Study Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Citation Text: Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems …

  8. Improving shared situation awareness for high-risk therapies in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
    October 20, 2021 - Study Improving shared situation awareness for high-risk therapies in hospitalized children. Citation Text: Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.202…

  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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