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How to mitigate the effects of cognitive biases during patient safety incident investigations. | PSNet

psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations

June 29, 2022 - Commentary How to mitigate the effects of cognitive biases during patient safety incident investigations. Citation Text: Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 20…

Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet

psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer

September 10, 2014 - Study Improved incident reporting following the implementation of a standardized emergency department peer review process. Citation Text: Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …

Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. | PSNet

psnet.ahrq.gov/issue/use-multidisciplinary-rounds-simultaneously-improve-quality-outcomes-enhance-resident

December 18, 2014 - Study Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. Citation Text: O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident e…

Hospital discharge documentation and risk of rehospitalisation. | PSNet

psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation

March 25, 2015 - Study Hospital discharge documentation and risk of rehospitalisation. Citation Text: Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. Copy Citation Format: …

Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment. | PSNet

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December 19, 2011 - Study Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment. Citation Text: Apker J, Mallak LA, Applegate B, et al. Exploring emergency physician-hospitalist handoff interactions: development of the Handoff Communication Ass…

Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. | PSNet

psnet.ahrq.gov/issue/residents-perceptions-professionalism-training-and-practice-barriers-promoters-and-duty-hour

November 16, 2022 - Study Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. Citation Text: Ratanawongsa N, Bolen S, Howell EE, et al. Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour re…

Incidence of prescription errors in patients discharged from the emergency department. | PSNet

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March 30, 2022 - Study Incidence of prescription errors in patients discharged from the emergency department. Citation Text: Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2…

Engaging the front line: tapping into hospital-wide quality and safety initiatives. | PSNet

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March 20, 2019 - Commentary Engaging the front line: tapping into hospital-wide quality and safety initiatives. Citation Text: Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:1…

Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. | PSNet

psnet.ahrq.gov/issue/pharmacist-versus-physician-acquired-medication-history-prospective-study-emergency

June 17, 2014 - Study Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Citation Text: De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf…

Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data. | PSNet

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December 22, 2018 - Study Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data. Citation Text: Quinn GR, Ranum D, Song E, et al. Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice Claims Data. Jt Co…

The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet

psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department

November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

Medical students' experiences, perceptions, and management of second victim: an interview study. | PSNet

psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study

March 05, 2014 - Study Medical students' experiences, perceptions, and management of second victim: an interview study. Citation Text: Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1…

Year-end resident clinic handoffs: narrative review and recommendations for improvement. | PSNet

psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement

March 28, 2018 - Review Year-end resident clinic handoffs: narrative review and recommendations for improvement. Citation Text: Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.…

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. | PSNet

psnet.ahrq.gov/issue/national-estimates-adverse-events-during-nonpsychiatric-hospitalizations-persons

August 09, 2017 - Study National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Citation Text: Khaykin E, Ford DE, Pronovost P, et al. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Gen Hosp …

How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. | PSNet

psnet.ahrq.gov/issue/how-improving-practice-relationships-among-clinicians-and-nonclinicians-can-improve-quality

December 18, 2013 - Study How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Citation Text: Lanham H, McDaniel RR, Crabtree B, et al. How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Jt Comm…

"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. | PSNet

psnet.ahrq.gov/issue/out-sight-out-mind-housestaff-perceptions-quality-limiting-factors-discharge-care-teaching

November 26, 2014 - Study "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. Citation Text: Greysen R, Schiliro D, Horwitz LI, et al. "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at t…

Use of simulation-based education to reduce catheter-related bloodstream infections. | PSNet

psnet.ahrq.gov/issue/use-simulation-based-education-reduce-catheter-related-bloodstream-infections

June 27, 2018 - Study Use of simulation-based education to reduce catheter-related bloodstream infections. Citation Text: Barsuk JH, Cohen ER, Feinglass J, et al. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009;169(15):1420-3. doi:10.1001/archin…

Hospitalists as emerging leaders in patient safety: targeting a few to affect many. | PSNet

psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-targeting-few-affect-many

January 29, 2010 - Commentary Hospitalists as emerging leaders in patient safety: targeting a few to affect many. Citation Text: Flanders SA, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. J Patient Saf. 2005;1(2):78-82. doi:10.1097/pts.0b0…

Using prospective clinical surveillance to identify adverse events in hospital. | PSNet

psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital

November 11, 2015 - Study Using prospective clinical surveillance to identify adverse events in hospital. Citation Text: Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…

Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet

psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge

November 03, 2015 - Study Last orders: follow-up of tests ordered on the day of hospital discharge. Citation Text: Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. Copy C…

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