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“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. | PSNet

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December 02, 2020 - Study “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. Citation Text: Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-23…

Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet

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November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…

The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet

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February 01, 2010 - also led our institution's Joint Commission–required Failure Modes Effects Analysis, and residents and nurses … have come together to create new ways to resolve conflicts and enhance collaboration in a resident-nurse … Nurses hand off patients to succeeding shifts, and physicians hand them off in training.

Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet

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March 31, 2021 - inappropriate deference and poor team function if the intern or other members of the clinical team (e.g., nurses

Physical Diagnosis: A Lost Art? | PSNet

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January 17, 2018 - March 21, 2012 A study of error reporting by nurses: the significant impact of nursing

Retained surgical items: a problem yet to be solved. | PSNet

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September 24, 2014 - Study Retained surgical items: a problem yet to be solved. Citation Text: Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026. Copy Citation Format: …

Targeted versus universal decolonization to prevent ICU infection. | PSNet

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November 16, 2022 - Study Classic Targeted versus universal decolonization to prevent ICU infection. Citation Text: Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…

Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis. | PSNet

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December 02, 2020 - Review Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis. Citation Text: Mcmullan RD, Urwin R, Gates PJ, et al. Are operating room distractions, interruptions and disruptions associated wi…

Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. | PSNet

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April 22, 2020 - Study Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. Citation Text: Rodrigo Rincón I, Irigoyen Aristorena I, Tirapu León B, et al. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. BMC Health Ser…

Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. | PSNet

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August 11, 2021 - Study Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. Citation Text: Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patient…

Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). | PSNet

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October 02, 2019 - Study Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Citation Text: Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-…

Identifying electronic health record usability and safety challenges in pediatric settings. | PSNet

psnet.ahrq.gov/issue/identifying-electronic-health-record-usability-and-safety-challenges-pediatric-settings

December 21, 2018 - Study Emerging Classic Identifying electronic health record usability and safety challenges in pediatric settings. Citation Text: Ratwani RM, Savage E, Will A, et al. Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings. Hea…

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet

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March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. | PSNet

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February 02, 2022 - Review The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. Citation Text: Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and …

Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. | PSNet

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December 21, 2022 - Review Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. Citation Text: Schiavo G, Forgerini M, Lucchetta RC, et al. Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. J Am Pharm Assoc …

EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? | PSNet

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January 12, 2022 - Study EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? Citation Text: Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12…

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports. | PSNet

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May 11, 2022 - Study Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports. Citation Text: Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…

National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages. | PSNet

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April 06, 2022 - Commentary National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages. Citation Text: Piatek OI, Ning JC-min, Touchette DR. National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive mo…

Adverse events related to accidental unintentional ingestions from cough and cold medications in children. | PSNet

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May 06, 2020 - Study Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Citation Text: Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …

Early diagnosis of cancer: systems approach to support clinicians in primary care. | PSNet

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December 14, 2022 - Commentary Early diagnosis of cancer: systems approach to support clinicians in primary care. Citation Text: Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225…

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