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Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. | PSNet

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July 08, 2020 - Study Classic Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. Citation Text: Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…

Patients' experience of patient safety information and participation in care during a hospital stay. | PSNet

psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay

April 05, 2023 - Study Patients' experience of patient safety information and participation in care during a hospital stay. Citation Text: Tubic B, Finizia C, Zainal Kamil A, et al. Patients' experience of patient safety information and participation in care during a hospital stay. Nurs Open. 2023;10(3):…

Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. | PSNet

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September 23, 2020 - Study Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. Citation Text: Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414.…

A perinatal care quality and safety initiative: are there financial rewards for improved quality? | PSNet

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April 27, 2019 - Study A perinatal care quality and safety initiative: are there financial rewards for improved quality? Citation Text: Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient …

How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? | PSNet

psnet.ahrq.gov/issue/how-does-workplace-violence-reporting-culture-affect-workplace-violence-nurse-burnout-and

February 08, 2023 - Study How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? Citation Text: Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace violence, nurse burnout, and patient safety? J Nurs Care Q…

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. | PSNet

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June 09, 2011 - Study Classic Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. Citation Text: Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet

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September 28, 2016 - Study Classic An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Citation Text: Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…

Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. | PSNet

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December 18, 2019 - Study Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. Citation Text: Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a h…

When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. | PSNet

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February 19, 2020 - Study When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. Citation Text: Cullati S, Semmer NK, Tschan F, et al. When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. Int J Public Hea…

Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. | PSNet

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July 10, 2019 - Study Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. Citation Text: Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qu…

Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. | PSNet

psnet.ahrq.gov/issue/family-input-quality-and-safety-fiqs-using-mobile-technology-hospital-reporting-families-and

November 24, 2021 - Study Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. Citation Text: Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in‐hospital reporting from famili…

Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet

psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and

June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

Electronic health record–related events in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims

April 03, 2018 - Study Classic Electronic health record–related events in medical malpractice claims. Citation Text: Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…

National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet

psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa

September 12, 2016 - Study National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. Citation Text: Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…

The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. | PSNet

psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms

February 28, 2024 - Study The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. Citation Text: Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…

Surgery is in itself a risk factor for the patient. | PSNet

psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient

November 18, 2020 - Study Surgery is in itself a risk factor for the patient. Citation Text: Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761. Copy …

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet

psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and

December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …

Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? | PSNet

psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and

June 16, 2021 - Study Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? Citation Text: Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualita…

How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. | PSNet

psnet.ahrq.gov/issue/how-often-do-prescribers-include-indications-drug-orders-analysis-4-million-outpatient

May 01, 2019 - Study How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Citation Text: Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Am J H…

Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet

psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital

October 25, 2023 - Study Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Citation Text: Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…

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