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Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. | PSNet

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May 19, 2021 - Study Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. Citation Text: Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients …

Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. | PSNet

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August 02, 2015 - Commentary Emerging Classic Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. Citation Text: Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…

Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. | PSNet

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September 04, 2016 - Study Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. Citation Text: Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities: Improving…

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. | PSNet

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July 02, 2014 - Study Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. Citation Text: Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…

'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. | PSNet

psnet.ahrq.gov/issue/immunising-physicians-against-availability-bias-diagnostic-reasoning-randomised-controlled

April 28, 2021 - Study 'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. Citation Text: Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled expe…

Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. | PSNet

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July 26, 2023 - Study Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. Citation Text: Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black p…

Understanding patient-centred readmission factors: a multi-site, mixed-methods study. | PSNet

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May 08, 2017 - Study Understanding patient-centred readmission factors: a multi-site, mixed-methods study. Citation Text: Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2…

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. | PSNet

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October 19, 2022 - Study Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. Citation Text: Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …

Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. | PSNet

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April 12, 2019 - Study Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. Citation Text: Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: …

Discussion of medical errors in morbidity and mortality conferences. | PSNet

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August 04, 2015 - Study Classic Discussion of medical errors in morbidity and mortality conferences. Citation Text: Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. Copy Citation …

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. | PSNet

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November 16, 2022 - Study 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. Citation Text: Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study. Br J Gen Pract. 2022;…

On higher ground: ethical reasoning and its relationship with error disclosure. | PSNet

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July 08, 2020 - Study On higher ground: ethical reasoning and its relationship with error disclosure. Citation Text: Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. Copy Citation…

Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. | PSNet

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November 26, 2014 - Study Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. Citation Text: Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedura…

"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review. | PSNet

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April 12, 2023 - Review Classic "July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review. Citation Text: Young JQ, Ranji SR, Wachter R, et al. "July effect": impact of the academic year-end changeover on patient outcomes: a systematic …

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. | PSNet

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June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…

Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet

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April 14, 2011 - Study Unit-based incident reporting and root cause analysis: variation at three hospital unit types. Citation Text: Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/…

Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. | PSNet

psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects

May 23, 2013 - Study Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Citation Text: Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and atti…

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…

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine

October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet

psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow

September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…

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