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  1. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. | PSNet

    psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
    March 14, 2012 - Review Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. Citation Text: de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn…

  2. Improving communication with primary care physicians at the time of hospital discharge. | PSNet

    psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
    November 16, 2022 - Study Improving communication with primary care physicians at the time of hospital discharge. Citation Text: Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…

  3. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after-harmful-patient-safety
    February 23, 2022 - Review Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. Citation Text: Richmond JG, Burgess N. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety inciden…

  4. Can we rely on patients' reports of adverse events? | PSNet

    psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
    December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

  5. Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. | PSNet

    psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
    September 22, 2021 - Study Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. Citation Text: Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…

  6. SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet

    psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
    November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. Citation Text: De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…

  7. Patient safety and satisfaction with fully remote management of radiation oncology care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care
    October 19, 2022 - Study Patient safety and satisfaction with fully remote management of radiation oncology care. Citation Text: Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…

  8. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet

    psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
    October 11, 2023 - Study Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Citation Text: Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…

  9. The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklist-and-patient-outcomes-after-surgery-prospective-observational-cohort
    May 28, 2015 - Study Classic The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. Citation Text: Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes…

  10. Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. | PSNet

    psnet.ahrq.gov/issue/team-based-intervention-reduce-impact-nonactionable-alarms-adult-intensive-care-unit
    November 16, 2022 - Study Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. Citation Text: Yeh J, Wilson R, Young L, et al. Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit. J Nurs Care Qual. 2019;35(2):1…

  11. Evaluating implementation of a rapid response team: considering alternative outcome measures. | PSNet

    psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
    October 19, 2022 - Study Evaluating implementation of a rapid response team: considering alternative outcome measures. Citation Text: Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…

  12. End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. | PSNet

    psnet.ahrq.gov/issue/end-end-lung-cancer-screening-three-dimensional-deep-learning-low-dose-chest-computed
    January 29, 2020 - Study Classic End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. Citation Text: Ardila D, Kiraly AP, Bharadwaj S, et al. End-to-end lung cancer screening with three-dimensional deep learning on low-dose c…

  13. Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. | PSNet

    psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison-malpractice
    March 12, 2014 - Study Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. Citation Text: Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare…

  14. Patient perceptions of hospital experiences: implications for innovations in patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-hospital-experiences-implications-innovations-patient-safety
    May 04, 2022 - Study Patient perceptions of hospital experiences: implications for innovations in patient safety. Citation Text: Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:…

  15. Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. | PSNet

    psnet.ahrq.gov/issue/evaluating-ambulatory-practice-safety-promises-project-administrators-and-practice-staff
    August 14, 2017 - Study Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. Citation Text: Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care. 2015;53(2):141…

  16. The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
    October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…

  17. Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective. | PSNet

    psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective
    May 23, 2018 - Study Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective. Citation Text: Hsia IK-H, Dexter F, Logvinov I, et al. Survey of the National Drug Shortage Effect on Anesthesia and Patient Safety: A Patient Perspective. Anesth Analg. 2015;121(2)…

  18. Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. | PSNet

    psnet.ahrq.gov/issue/controversies-surrounding-use-order-sets-clinical-decision-support-computerized-provider
    May 27, 2011 - Commentary Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. Citation Text: Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order ent…

  19. A survey of outpatient internal medicine clinician perceptions of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
    February 12, 2020 - Study A survey of outpatient internal medicine clinician perceptions of diagnostic error. Citation Text: Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070. Co…

  20. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. | PSNet

    psnet.ahrq.gov/issue/global-patient-outcomes-after-elective-surgery-prospective-cohort-study-27-low-middle-and
    January 23, 2019 - Study Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Citation Text: group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2…
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