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When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. | PSNet

psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health

March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…

I-PASS handoff program: use of a campaign to effect transformational change. | PSNet

psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change

April 24, 2018 - Study I-PASS handoff program: use of a campaign to effect transformational change. Citation Text: Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. Co…

Artificial intelligence related safety issues associated with FDA medical device reports. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device-reports

May 29, 2024 - Study Artificial intelligence related safety issues associated with FDA medical device reports. Citation Text: Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-…

Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. | PSNet

psnet.ahrq.gov/issue/safety-management-within-scope-teaching-practical-clinical-skills-framing-errors

December 21, 2022 - Study Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. Citation Text: Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the sc…

Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. | PSNet

psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second

March 24, 2019 - Study Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. Citation Text: Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…

Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. | PSNet

psnet.ahrq.gov/issue/examining-patient-safety-events-using-behaviour-change-wheel-cross-sectional-analysis

September 20, 2012 - Study Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Citation Text: Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(…

Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. | PSNet

psnet.ahrq.gov/issue/promoting-patient-and-nurse-safety-testing-behavioural-health-intervention-learning

May 04, 2022 - Study Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. Citation Text: Hasselblad M, Morrison J, Kleinpell R, et al. Promoting patient and nurse safety: testing a be…

Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. | PSNet

psnet.ahrq.gov/issue/designing-intervention-improve-medication-safety-nursing-home-residents-based-experiential

February 14, 2024 - Commentary Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. Citation Text: Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Desi…

Adverse patient safety events during the COVID epidemic. | PSNet

psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic

May 03, 2023 - Study Adverse patient safety events during the COVID epidemic. Citation Text: Yackel EE, Knowles RS, Jones CM, et al. Adverse patient safety events during the COVID epidemic. J Patient Saf. 2023;19(5):340-345. doi:10.1097/pts.0000000000001129. Copy Citation Format: DOI Goog…

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. | PSNet

psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through

August 21, 2019 - Study Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. Citation Text: Riblet NB, Soncrant C, Mills PD, et al. Analysis of reported suicide safety events among veterans who received treatment…

A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet

psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety

January 11, 2017 - Study A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. Citation Text: Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…

Overdiagnosis in low-dose computed tomography screening for lung cancer. | PSNet

psnet.ahrq.gov/issue/overdiagnosis-low-dose-computed-tomography-screening-lung-cancer

August 04, 2021 - Study Classic Overdiagnosis in low-dose computed tomography screening for lung cancer. Citation Text: Patz EF, Pinsky P, Gatsonis C, et al. Overdiagnosis in low-dose computed tomography screening for lung cancer. JAMA Intern Med. 2014;174(2):269-74. doi:10.1001/…

Improving emergency medicine clinician awareness of prehospital-administered medications. | PSNet

psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications

October 19, 2022 - Study Improving emergency medicine clinician awareness of prehospital-administered medications. Citation Text: Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…

Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. | PSNet

psnet.ahrq.gov/issue/validation-diagnostic-reminder-system-emergency-medicine-multi-centre-study

April 14, 2011 - Study Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. Citation Text: Ramnarayan P, Cronje N, Brown R, et al. Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. Emerg Med J. 2007;24(9):619-24. Copy Citation …

Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. | PSNet

psnet.ahrq.gov/issue/creating-psychological-safety-interprofessional-simulation-health-professional-learners

June 22, 2022 - Review Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. Citation Text: Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health professional le…

Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement

January 01, 2022 - Study Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. Citation Text: Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…

Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors-systematic-review-and-meta

April 15, 2020 - Review Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. Citation Text: Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and …

Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. | PSNet

psnet.ahrq.gov/issue/breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and

May 18, 2022 - Study Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. Citation Text: Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.…

Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross

September 22, 2021 - Study Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. Citation Text: Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cr…

Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. | PSNet

psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review-their-goals-and

October 19, 2022 - Review Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. Citation Text: Auschra C, Asaad E, Sydow J, et al. Interventions into reliability-seeking health care organizations: a systematic review of their goals and m…

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