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Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet

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June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. | PSNet

psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration

August 21, 2024 - Study Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. Citation Text: Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. | PSNet

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February 16, 2022 - Study Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. Citation Text: Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…

A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. | PSNet

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October 05, 2022 - Study A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. Citation Text: Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: …

Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. | PSNet

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December 07, 2022 - Study Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. Citation Text: Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess large language models for patient …

Association of opioid consumption profiles after hospitalization with risk of adverse health care events. | PSNet

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May 05, 2021 - Study Association of opioid consumption profiles after hospitalization with risk of adverse health care events. Citation Text: Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…

How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet

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December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. | PSNet

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October 27, 2021 - Study Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. Citation Text: Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physici…

Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. | PSNet

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October 07, 2013 - Study Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. Citation Text: Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach…

Patient safety culture: effects on errors, incident reporting, and patient safety grade. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade

August 26, 2020 - Study Patient safety culture: effects on errors, incident reporting, and patient safety grade. Citation Text: Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/…

Trends in primary care clinician perceptions of a new electronic health record. | PSNet

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March 13, 2019 - Study Trends in primary care clinician perceptions of a new electronic health record. Citation Text: El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic health record. J Gen Intern Med. 2009;24(4):464-8. doi:10.1007/s11606-009-0906-z.…

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet

psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study

May 05, 2021 - Study Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Citation Text: Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…

"We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. | PSNet

psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis

September 23, 2020 - Study "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. Citation Text: Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of cr…

Sitters as a patient safety strategy to reduce hospital falls: a systematic review. | PSNet

psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review

March 08, 2023 - Review Sitters as a patient safety strategy to reduce hospital falls: a systematic review. Citation Text: Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. Copy Citation For…

How to induce an error management climate: experimental evidence from newly formed teams. | PSNet

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August 24, 2022 - Study How to induce an error management climate: experimental evidence from newly formed teams. Citation Text: Horvath D, Keith N, Klamar A, et al. How to induce an error management climate: experimental evidence from newly formed teams. J Bus Psychol. 2023;38:763–775. doi:10.1007/s10869…

Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean

October 19, 2022 - Study Classic Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Citation Text: Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton ver…

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…

Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. | PSNet

psnet.ahrq.gov/issue/trauma-resuscitation-using-situ-simulation-team-training-trust-study-latent-safety-threat

October 27, 2021 - Study Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. Citation Text: Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: lat…

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. | PSNet

psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission

October 19, 2022 - Study Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. Citation Text: Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …

How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. | PSNet

psnet.ahrq.gov/issue/how-timely-diagnosis-lung-cancer-cohort-study-individuals-lung-cancer-presenting-ambulatory

September 14, 2022 - Study How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. Citation Text: Zigman Suchsland M, Kowalski L, Burkhardt HA, et al. How timely is diagnosis of lung cancer? Cohort study of individuals with lung…

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