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  1. A systematic review of team training in health care: ten questions. | PSNet

    psnet.ahrq.gov/issue/systematic-review-team-training-health-care-ten-questions
    September 11, 2016 - Review A systematic review of team training in health care: ten questions. Citation Text: Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. Copy Cita…

  2. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. | PSNet

    psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
    January 18, 2013 - Study Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. Citation Text: Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…

  3. Misdiagnosis of heart failure: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature
    October 06, 2021 - Review Misdiagnosis of heart failure: a systematic review of the literature. Citation Text: Wong CW, Tafuro J, Azam Z, et al. Misdiagnosis of heart failure: a systematic review of the literature. J Cardiac Failure. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014. Copy Citation …

  4. Microsystems in health care: Part 2. Creating a rich information environment. | PSNet

    psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
    July 19, 2023 - Study Classic Microsystems in health care: Part 2. Creating a rich information environment. Citation Text: Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…

  5. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet

    psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
    February 15, 2023 - Organizational Policy/Guidelines Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. Citation Text: Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…

  6. Family-centered multidisciplinary rounds enhance the team approach in pediatrics. | PSNet

    psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
    November 21, 2021 - Study Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Citation Text: Rosen P, Stenger E, Bochkoris M, et al. Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Pediatrics. 2009;123(4):e603-8. doi:10.1542/peds.2008-2238. C…

  7. Prevalence and characteristics of interruptions and distractions during surgical counts. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-characteristics-interruptions-and-distractions-during-surgical-counts
    March 09, 2016 - Study Prevalence and characteristics of interruptions and distractions during surgical counts. Citation Text: Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-56…

  8. Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. | PSNet

    psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded
    February 22, 2019 - Study Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. Citation Text: Kellogg KM, Puthumana JS, Fong A, et al. Understanding the Types and Effects of Clinical Interruptions and Distractions Recorde…

  9. Computerized surveillance for adverse drug events in a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-pediatric-hospital
    January 03, 2017 - Study Computerized surveillance for adverse drug events in a pediatric hospital. Citation Text: Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167. C…

  10. Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet

    psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
    September 23, 2020 - Study Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. Citation Text: Imfeld K, Keith M, Stoyanoff L, et al. Diet order entry by registered dietitians results in a reduction in error rates and time …

  11. Measuring hospital-acquired complications associated with low-value care. | PSNet

    psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
    August 11, 2021 - Study Emerging Classic Measuring hospital-acquired complications associated with low-value care. Citation Text: Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…

  12. Improving pediatric electronic health record usability and safety through certification: seize the day. | PSNet

    psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
    November 28, 2018 - Commentary Improving pediatric electronic health record usability and safety through certification: seize the day. Citation Text: Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 201…

  13. Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. | PSNet

    psnet.ahrq.gov/issue/identifying-facilitators-and-barriers-patient-safety-medicine-label-design-system-using
    July 23, 2018 - Study Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. Citation Text: Dieckmann P, Clemmensen MH, Sørensen TK, et al. Identifying Facilitators and Barriers for Patient Safety in a Medicine Label Design Sys…

  14. Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study. | PSNet

    psnet.ahrq.gov/issue/development-and-early-experience-intervention-facilitate-teamwork-between-general-practices
    June 29, 2011 - Study Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study. Citation Text: Harris MF, Chan BC, Daniel C, et al. Development and early experience from an intervention to facilitate teamwor…

  15. Management of test results in family medicine offices. | PSNet

    psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
    July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

  16. The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. | PSNet

    psnet.ahrq.gov/issue/impact-digital-hospitals-patient-and-clinician-experience-systematic-review-and-qualitative
    August 16, 2023 - Review The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. Citation Text: Canfell OJ, Woods L, Meshkat Y, et al. The impact of digital hospitals on patient and clinician experience: systematic review and qualitative e…

  17. The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. | PSNet

    psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
    September 23, 2020 - Newspaper/Magazine Article The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. Citation Text: The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…

  18. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

    psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
    April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…

  19. Does physician's training induce overconfidence that hampers disclosing errors? | PSNet

    psnet.ahrq.gov/issue/does-physicians-training-induce-overconfidence-hampers-disclosing-errors
    October 21, 2009 - Study Does physician's training induce overconfidence that hampers disclosing errors? Citation Text: Brezis M, Orkin-Bedolach Y, Fink D, et al. Does Physician's Training Induce Overconfidence That Hampers Disclosing Errors? J Patient Saf. 2019;15(4):296-298. doi:10.1097/PTS.0000000000000…

  20. Room of horrors simulation in healthcare education: a systematic review. | PSNet

    psnet.ahrq.gov/issue/room-horrors-simulation-healthcare-education-systematic-review
    September 09, 2020 - Review Room of horrors simulation in healthcare education: a systematic review. Citation Text: Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824. Copy Citation …
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