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3941. What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet
      psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
      December 17, 2010 - Review What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. Citation Text: Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencie…

3942. Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. | PSNet
      psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
      October 21, 2015 - Study Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…

3943. An observational study of changes to long-term medication after admission to an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
      January 06, 2018 - Study An observational study of changes to long-term medication after admission to an intensive care unit. Citation Text: Campbell AJ, Bloomfield R, Noble DW. An observational study of changes to long-term medication after admission to an intensive care unit. Anaesthesia. 2006;61(11):1…

3944. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. | PSNet
      psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
      April 13, 2022 - Study Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. Citation Text: Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…

3945. Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. | PSNet
      psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
      December 21, 2014 - Study Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. Citation Text: Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Fe…

3946. HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. | PSNet
      psnet.ahrq.gov/issue/hhs-seeks-input-medical-office-survey-patient-safety-culture-database-information-collection
      March 13, 2024 - Press Release/Announcement HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Citation Text: HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fe…

3947. An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. | PSNet
      psnet.ahrq.gov/issue/insurers-care-transition-program-emphasizes-medication-reconciliation-reduces-readmissions
      November 08, 2017 - Study An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. Citation Text: Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Af…

3948. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. | PSNet
      psnet.ahrq.gov/issue/consequences-misdiagnosing-race-based-trauma-response-black-men-critical-examination
      November 16, 2022 - Commentary The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Citation Text: Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Soc Work Public Heal…

3949. Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study. | PSNet
      psnet.ahrq.gov/issue/differences-medication-knowledge-and-risk-errors-between-graduating-nursing-students-and
      December 29, 2014 - Study Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study. Citation Text: Simonsen BO, Daehlin GK, Johansson I, et al. Differences in medication knowledge and risk of errors between graduating nursing…

3950. FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. | PSNet
      psnet.ahrq.gov/issue/focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
      January 03, 2017 - Commentary FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. Citation Text: Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and…

3951. The limits of psychological safety: nonlinear relationships with performance. | PSNet
      psnet.ahrq.gov/issue/limits-psychological-safety-nonlinear-relationships-performance
      April 24, 2018 - Study The limits of psychological safety: nonlinear relationships with performance. Citation Text: Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. …

3952. From patients to politicians: a cognitive engineering view of patient safety. | PSNet
      psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
      January 29, 2020 - Commentary From patients to politicians: a cognitive engineering view of patient safety. Citation Text: Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. Copy Citation Format: Google Scholar P…

3953. Do first opinions affect second opinions? | PSNet
      psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
      October 07, 2020 - Study Do first opinions affect second opinions? Citation Text: Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

3954. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. | PSNet
      psnet.ahrq.gov/issue/oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-leukemia
      August 12, 2020 - Study Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Citation Text: Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6. Copy Cita…

3955. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet
      psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
      January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

3956. Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. | PSNet
      psnet.ahrq.gov/issue/assessment-wearable-fall-prevention-system-veterans-health-administration-hospital
      October 19, 2022 - Study Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. Citation Text: Osborne TF, Veigulis ZP, Arreola DM, et al. Assessment of a wearable fall prevention system at a veterans health administration hospital. Digit Health. 2023;9:20552076231187…

3957. Inaccuracies in assignment of clinical stage for localized prostate cancer. | PSNet
      psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
      April 06, 2022 - Study Inaccuracies in assignment of clinical stage for localized prostate cancer. Citation Text: Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596. Copy Citation Fo…

3958. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet
      psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
      February 04, 2015 - Study Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. Citation Text: Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. BMC Health Serv R…

3959. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. | PSNet
      psnet.ahrq.gov/issue/patient-assessments-hypothetical-medical-error-effects-health-outcome-disclosure-and-staff
      February 24, 2011 - Study Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. Citation Text: Cleopas A, Villaveces A, Charvet A, et al. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff re…

3960. Fostering patient safety competencies using multiple-patient simulation experiences. | PSNet
      psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences
      January 12, 2022 - Study Fostering patient safety competencies using multiple-patient simulation experiences. Citation Text: Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…