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Diagnostic performance dashboards: tracking diagnostic errors using big data. | PSNet

psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data

July 28, 2023 - Commentary Diagnostic performance dashboards: tracking diagnostic errors using big data. Citation Text: Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.…

Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. | PSNet

psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis-international

September 18, 2024 - Review Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. Citation Text: Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international resea…

Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality

July 19, 2019 - Review Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. Citation Text: Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…

Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims

June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. | PSNet

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March 10, 2019 - Study Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Citation Text: Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …

A narrative review of high-quality literature on the effects of resident duty hours reforms. | PSNet

psnet.ahrq.gov/issue/narrative-review-high-quality-literature-effects-resident-duty-hours-reforms

May 12, 2021 - Review A narrative review of high-quality literature on the effects of resident duty hours reforms. Citation Text: Lin H, Lin E, Auditore S, et al. A Narrative Review of High-Quality Literature on the Effects of Resident Duty Hours Reforms. Acad Med. 2016;91(1):140-50. doi:10.1097/ACM.00…

Developing and aligning a safety event taxonomy for inpatient psychiatry. | PSNet

psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry

September 14, 2022 - Study Developing and aligning a safety event taxonomy for inpatient psychiatry. Citation Text: Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. Copy …

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. | PSNet

psnet.ahrq.gov/issue/impact-accreditation-council-graduate-medical-education-work-hour-regulations-neurosurgical

June 03, 2020 - Study Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. Citation Text: Jagannathan J, Vates E, Pouratian N, et al. Impact of the Accreditation Council for Graduate Medical Education work-hour r…

The wisdom and justice of not paying for "preventable complications." | PSNet

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January 22, 2014 - Commentary Classic The wisdom and justice of not paying for "preventable complications." Citation Text: Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…

Impact of medical education on patient safety: finding the signal through the noise. | PSNet

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December 31, 2018 - Commentary Impact of medical education on patient safety: finding the signal through the noise. Citation Text: Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. Copy Cita…

Resident duty hours and resident and patient outcomes: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/resident-duty-hours-and-resident-and-patient-outcomes-systematic-review-and-meta-analysis

July 14, 2021 - Review Resident duty hours and resident and patient outcomes: systematic review and meta-analysis. Citation Text: Sephien A, Reljic T, Jordan J, et al. Resident duty hours and resident and patient outcomes: systematic review and meta‐analysis. Med Educ. 2023;57(3):221-232. doi:10.1111/me…

Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. | PSNet

psnet.ahrq.gov/issue/ethical-considerations-development-flexibility-duty-hour-requirements-surgical-trainees-trial

June 21, 2017 - Commentary Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. Citation Text: Minami CA, Odell DD, Bilimoria KY. Ethical Considerations in the Development of the Flexibility in Duty Hour Requirements for Surgical Trainees Tr…

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care

August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. | PSNet

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July 20, 2022 - Review Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Citation Text: Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and trigger warning systems for identif…

Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery

December 02, 2020 - Study Classic Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Citation Text: Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surge…

The association between nurse staffing and omissions in nursing care: a systematic review. | PSNet

psnet.ahrq.gov/issue/association-between-nurse-staffing-and-omissions-nursing-care-systematic-review

July 19, 2019 - Review Classic The association between nurse staffing and omissions in nursing care: a systematic review. Citation Text: Griffiths P, Recio-Saucedo A, Dall'Ora C, et al. The association between nurse staffing and omissions in nursing care: A systematic review. J…

Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

January 06, 2018 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Citation Text: Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-…

Omissions of care in nursing home settings: a narrative review. | PSNet

psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review

November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…

The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation

October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. | PSNet

psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood

April 15, 2019 - Study Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. Citation Text: Sutherland JJ, Morrison RD, McNaughton CD, et al. Assessment of Patient Medication Adherence, Medical Record Ac…

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