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Leadership behaviors, attitudes and characteristics to support a culture of safety. | PSNet

psnet.ahrq.gov/issue/leadership-behaviors-attitudes-and-characteristics-support-culture-safety

August 03, 2022 - Study Leadership behaviors, attitudes and characteristics to support a culture of safety. Citation Text: Montminy SL. Leadership behaviors, attitudes and characteristics to support a culture of safety. J Healthc Risk Manag. 2022;42(2):31-38. doi:10.1002/jhrm.21521. Copy Citation Fo…

Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet

psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports

March 16, 2022 - Commentary Qualitative content analysis: a framework for the substantive review of hospital incident reports. Citation Text: Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…

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

psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety

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. …

Error traps in pediatric patient blood management in the perioperative period. | PSNet

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January 12, 2022 - Commentary Error traps in pediatric patient blood management in the perioperative period. Citation Text: Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683. Copy C…

The impact of the medical emergency team on the resuscitation practice of critical care nurses. | PSNet

psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses

December 01, 2008 - Study The impact of the medical emergency team on the resuscitation practice of critical care nurses. Citation Text: Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…

Delayed medical emergency team calls and associated outcomes. | PSNet

psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes

October 13, 2018 - Study Delayed medical emergency team calls and associated outcomes. Citation Text: Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9. Copy Citation Format: …

Rapid response systems: a prospective study of response times. | PSNet

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November 16, 2022 - Study Rapid response systems: a prospective study of response times. Citation Text: Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013. Copy Citation Format: …

ASHP guidelines: minimum standard for ambulatory care pharmacy practice. | PSNet

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September 23, 2020 - Commentary ASHP guidelines: minimum standard for ambulatory care pharmacy practice. Citation Text: Buxton JA, Babbitt RM, Clegg CA, et al. ASHP guidelines: Minimum standard for ambulatory care pharmacy practice. Am J Health-Syst Pharm. 2015;72(14):1221-1236. doi:10.2146/sp150005. Copy …

Communication in health care: impact of language and accent on health care safety, quality, and patient experience. | PSNet

psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient

April 21, 2021 - Commentary Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Citation Text: Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…

Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. | PSNet

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April 19, 2013 - Study Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. Citation Text: McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicin…

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. | PSNet

psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical

November 30, 2022 - Commentary A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. Citation Text: Roberts TJ, Sellars MC, Sands JM, et al. A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. JCO Oncol…

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system

July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …

The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. | PSNet

psnet.ahrq.gov/issue/legibility-prescription-medication-labelling-canada-moving-pharmacy-centred-patient-centred

September 23, 2020 - Study The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. Citation Text: Leat SJ, Ahrens K, Krishnamoorthy A, et al. The legibility of prescription medication labelling in Canada: Moving from pharmacy-centred to patient-c…

Mandating limits on workload, duty, and speed in radiology. | PSNet

psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology

August 11, 2021 - Review Mandating limits on workload, duty, and speed in radiology. Citation Text: Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. Copy Citation Format: DOI Google Scholar B…

Paramedic self-reported medication errors. | PSNet

psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors

January 14, 2011 - Study Paramedic self-reported medication errors. Citation Text: Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2006;10(4):457-462. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Building a safety net. | PSNet

psnet.ahrq.gov/issue/building-safety-net

December 21, 2009 - Newspaper/Magazine Article Building a safety net. Citation Text: Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…

Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. | PSNet

psnet.ahrq.gov/issue/training-induces-cognitive-bias-case-simulation-based-emergency-airway-curriculum

May 18, 2022 - Study Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Citation Text: Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.…

When a surgical colleague makes an error. | PSNet

psnet.ahrq.gov/issue/when-surgical-colleague-makes-error

December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. | PSNet

psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes

July 31, 2008 - Study Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Citation Text: Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…

Optimizing situation awareness to reduce emergency transfers in hospitalized children. | PSNet

psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children

January 19, 2022 - Study Optimizing situation awareness to reduce emergency transfers in hospitalized children. Citation Text: Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…

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