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Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet

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June 22, 2022 - Study Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? Citation Text: Metersky ML, Eldridge N, Wang Y, et al. Rates of adverse events in hospitalized patients after summer-time resident changeover in the …

Exposure to incivility hinders clinical performance in a simulated operative crisis. | PSNet

psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis

June 14, 2019 - Study Emerging Classic Exposure to incivility hinders clinical performance in a simulated operative crisis. Citation Text: Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…

Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. | PSNet

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May 12, 2021 - Commentary Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. Citation Text: Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. | PSNet

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October 07, 2020 - Study Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. Citation Text: Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.202…

Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. | PSNet

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January 10, 2018 - Study Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. Citation Text: Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3…

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. | PSNet

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March 11, 2020 - Review Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. Citation Text: Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…

Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. | PSNet

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March 17, 2021 - Study Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. Citation Text: Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in i…

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. | PSNet

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October 16, 2012 - Study Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. Citation Text: Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. | PSNet

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March 23, 2022 - Study Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. Citation Text: Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …

How to induce an error management climate: experimental evidence from newly formed teams. | PSNet

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August 24, 2022 - Study How to induce an error management climate: experimental evidence from newly formed teams. Citation Text: Horvath D, Keith N, Klamar A, et al. How to induce an error management climate: experimental evidence from newly formed teams. J Bus Psychol. 2023;38:763–775. doi:10.1007/s10869…

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. | PSNet

psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events-interrupted-time

October 07, 2020 - Study The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. Citation Text: Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time se…

Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. | PSNet

psnet.ahrq.gov/issue/assessment-patients-ability-review-electronic-health-record-information-identify-potential

July 27, 2022 - Study Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. Citation Text: Freise L, Neves AL, Flott K, et al. Assessment of patients' ability to review electronic health record information to identi…

Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. | PSNet

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March 24, 2021 - Study Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. Citation Text: Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families in the handover—the clinicians’ “game of whi…

Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period. | PSNet

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September 04, 2024 - Study Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period. Citation Text: Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit:…

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. | PSNet

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September 24, 2018 - Study Emerging Classic Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. Citation Text: Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associa…

Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. | PSNet

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May 26, 2011 - Commentary Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. Citation Text: Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of lon…

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. | PSNet

psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care

June 01, 2022 - Study Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. Citation Text: Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…

Sex bias in pain management decisions. | PSNet

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June 07, 2023 - Study Sex bias in pain management decisions. Citation Text: Guzikevits M, Gordon-Hecker T, Rekhtman D, et al. Sex bias in pain management decisions. Proc Natl Acad Sci U S A. 2024;121(33):e2401331121. doi:10.1073/pnas.2401331121. Copy Citation Format: DOI Google Scholar Bib…

Children and the opioid epidemic: age-stratified exposures and harms. | PSNet

psnet.ahrq.gov/issue/children-and-opioid-epidemic-age-stratified-exposures-and-harms

February 13, 2019 - Study Children and the opioid epidemic: age-stratified exposures and harms. Citation Text: Brown KW, Carlisle K, Raman SR, et al. Children and the opioid epidemic: age-stratified exposures and harms. Health Aff (Milwood). 2020;39(10):1737-1742. doi:10.1377/hlthaff.2020.00724. Copy Cita…

Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. | PSNet

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July 29, 2015 - Study Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. Citation Text: Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff traini…

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