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Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. | PSNet

psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012

June 30, 2021 - Study Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. Citation Text: Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7…

Errors during resuscitation: the impact of perceived authority on delivery of care. | PSNet

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April 03, 2019 - Study Errors during resuscitation: the impact of perceived authority on delivery of care. Citation Text: Delaloye NJ, Tobler K, OʼNeill T, et al. Errors during resuscitation: the impact of perceived authority on delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.000000000000035…

The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet

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May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…

Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. | PSNet

psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication

December 30, 2014 - Study Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. Citation Text: Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a ra…

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. | PSNet

psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory

March 04, 2015 - Review Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. Citation Text: Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situat…

Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. | PSNet

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October 06, 2021 - Study Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. Citation Text: Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety i…

To expand the evidence base about harms from tests and treatments. | PSNet

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May 19, 2021 - Commentary To expand the evidence base about harms from tests and treatments. Citation Text: Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. Copy Citat…

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

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October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

Patient perceptions of mistakes in ambulatory care. | PSNet

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July 29, 2015 - Study Patient perceptions of mistakes in ambulatory care. Citation Text: Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. Copy Citation Format: DOI Google …

Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. | PSNet

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December 14, 2011 - Study Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Citation Text: Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Am J Med. 2023;136(9):927-936. do…

The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet

psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections

October 09, 2024 - Study The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Citation Text: Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Pa…

Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. | PSNet

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June 16, 2021 - Study Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. Citation Text: Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 201…

A comprehensive departmental care review model: requirements, structure, and flow. | PSNet

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July 06, 2022 - Commentary A comprehensive departmental care review model: requirements, structure, and flow. Citation Text: Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. d…

Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. | PSNet

psnet.ahrq.gov/issue/physician-transition-care-benefits-i-pass-and-electronic-handoff-system-community-pediatric

November 02, 2022 - Study Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. Citation Text: Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatri…

Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. | PSNet

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June 01, 2022 - Commentary Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. Citation Text: Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness an…

For children admitted to hospital, what interventions improve medication safety on ward rounds? | PSNet

psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds

July 29, 2020 - Review For children admitted to hospital, what interventions improve medication safety on ward rounds? Citation Text: King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;…

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

psnet.ahrq.gov/issue/new-graduate-registered-nurses-risk-mitigation-strategies-ensure-safety-and-successful

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

psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice

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

psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic

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…

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