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So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. | PSNet

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April 28, 2021 - Study So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Citation Text: Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …

The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. | PSNet

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January 31, 2024 - Study The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. Citation Text: Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medic…

An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. | PSNet

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November 21, 2021 - Study An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. Citation Text: Kozasa EH, Lacerda SS, Polissici MA, et al. An Intervention to Increase Situation…

Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet

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July 12, 2023 - Study Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. Citation Text: Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communica…

Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet

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November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse events. Citation Text: King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…

Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. | PSNet

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July 13, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…

Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. | PSNet

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November 03, 2015 - Study Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. Citation Text: Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…

Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. | PSNet

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November 29, 2023 - Study Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. Citation Text: Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of med…

Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. | PSNet

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September 20, 2023 - Study Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. Citation Text: van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational conten…

Return on investment for a computerized physician order entry system. | PSNet

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January 19, 2014 - Study Classic Return on investment for a computerized physician order entry system. Citation Text: Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006;13(3):261-6. Copy Citation…

Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. | PSNet

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August 04, 2021 - Study Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. Citation Text: Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 202…

Medication safety event reporting: factors that contribute to safety events during times of organizational stress. | PSNet

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June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…

Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. | PSNet

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August 30, 2017 - Study Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. Citation Text: Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…

Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet

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July 24, 2024 - Study Patient safety incidents are common in primary care: a national prospective active incident reporting survey. Citation Text: Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national prospective active incident reporting survey. PLoS On…

A resilience view on health system resilience: a scoping review of empirical studies and reviews. | PSNet

psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews

March 11, 2013 - Review A resilience view on health system resilience: a scoping review of empirical studies and reviews. Citation Text: Copeland S, Hinrichs-Krapels S, Fecondo F, et al. A resilience view on health system resilience: a scoping review of empirical studies and reviews. BMC Health Serv Res.…

Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? | PSNet

psnet.ahrq.gov/issue/can-targeted-educational-approach-improve-situational-awareness-paramedicine-during-911

October 05, 2022 - Study Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Citation Text: Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? Int Emerg Nu…

Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. | PSNet

psnet.ahrq.gov/issue/consumer-involvement-design-and-development-medication-safety-interventions-or-services

August 30, 2023 - Review Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. Citation Text: DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication safety interventions or services i…

Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet

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November 21, 2017 - Study Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. Citation Text: Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…

Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. | PSNet

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October 01, 2014 - Commentary Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. Citation Text: Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…

Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. | PSNet

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August 28, 2024 - Study Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Citation Text: Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…

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