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New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. | PSNet

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September 28, 2022 - Commentary New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. Citation Text: Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to ensure safety and successful transition to …

The patient's "story": an examination of patient-reported safety incidents in general practice. | PSNet

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November 03, 2021 - Study The patient's "story": an examination of patient-reported safety incidents in general practice. Citation Text: Madden C, Lydon S, Murphy AW, et al. The patient’s “story”: an examination of patient-reported safety incidents in general practice. Fam Pract. 2022;39(6):1095-1102. doi:1…

An observational study of how patients are identified before medication administrations in medical and surgical wards. | PSNet

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June 24, 2020 - Study An observational study of how patients are identified before medication administrations in medical and surgical wards. Citation Text: Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surg…

Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. | PSNet

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February 02, 2022 - Review Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. Citation Text: Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-1…

Surgeon and surgical trainee experiences after adverse patient events. | PSNet

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January 09, 2019 - Study Surgeon and surgical trainee experiences after adverse patient events. Citation Text: Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. Copy…

Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. | PSNet

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September 30, 2020 - Study Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. Citation Text: Keister LA, Stecher C, Aronson B, et al. Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emer…

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet

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October 08, 2013 - Study A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Citation Text: Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…

Laboratory safety monitoring of chronic medications in ambulatory care settings. | PSNet

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January 06, 2017 - Study Laboratory safety monitoring of chronic medications in ambulatory care settings. Citation Text: Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525…

Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis. | PSNet

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July 14, 2021 - Study Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis. Citation Text: Whaley C, Bancsi A, Ho JM-W, et al. Prescribers’ perspectives on including reason for use information on prescriptions and medic…

Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. | PSNet

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October 20, 2021 - Study Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Citation Text: Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:1…

Health care quality and safety in a correctional system: creating goals and performance measures for improvement. | PSNet

psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures

May 18, 2022 - Commentary Health care quality and safety in a correctional system: creating goals and performance measures for improvement. Citation Text: Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…

A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

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July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. | PSNet

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February 02, 2022 - Review Emerging Classic Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. Citation Text: Komashie A, Ward JR, Bashford T, et al. Systems approach to health service design, delivery and improvement: a syst…

What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. | PSNet

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December 14, 2022 - Study What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. Citation Text: Scantlebury A, Sheard L, Fedell C, et al. What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitativ…

A mixed-methods systematic review of interventions to address incivility in nursing. | PSNet

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December 02, 2020 - Review A mixed-methods systematic review of interventions to address incivility in nursing. Citation Text: Olsen JM, Aschenbrenner A, Merkel R, et al. A mixed-methods systematic review of interventions to address incivility in nursing. J Nurs Educ. 2020;59(6):319-326. doi:10.3928/0148483…

Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. | PSNet

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April 27, 2022 - Review Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. Citation Text: Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcom…

Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. | PSNet

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February 09, 2022 - Commentary Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. Citation Text: Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational le…

Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. | PSNet

psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology

August 25, 2021 - Study Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. Citation Text: Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…

A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. | PSNet

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December 04, 2016 - Review A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. Citation Text: Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. Copy Cita…

Work system barriers and facilitators of a team health information technology. | PSNet

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March 11, 2020 - Study Work system barriers and facilitators of a team health information technology. Citation Text: Hose B-Z, Carayon P, Hoonakker PLT, et al. Work system barriers and facilitators of a team health information technology. Appl Ergon. 2023;113:104105. doi:10.1016/j.apergo.2023.104105. C…

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