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A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study. | PSNet

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January 23, 2017 - Study A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study. Citation Text: Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work Condition…

Clinical data sharing improves quality measurement and patient safety. | PSNet

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April 21, 2021 - Study Clinical data sharing improves quality measurement and patient safety. Citation Text: D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039. Copy Citat…

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. | PSNet

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March 24, 2021 - Commentary Emerging Classic Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. Citation Text: Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…

Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. | PSNet

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April 06, 2022 - Study Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. Citation Text: Jones AM, Clark JS, Mohammad RA. Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. Am J Health Syst Pharm. 2021;78(9):818…

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet

psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication

March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. | PSNet

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August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…

An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. | PSNet

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June 10, 2020 - Review An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. Citation Text: Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient safety within p…

Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet

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July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …

Medication safety event reporting: factors that contribute to safety events during times of organizational stress. | PSNet

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June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. | PSNet

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December 23, 2020 - Study Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. Citation Text: Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Pat…

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet

psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting

March 24, 2021 - Study Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. Citation Text: Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…

Exposure to incivility hinders clinical performance in a simulated operative crisis. | PSNet

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June 14, 2019 - Study Emerging Classic Exposure to incivility hinders clinical performance in a simulated operative crisis. Citation Text: Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…

Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. | PSNet

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October 19, 2022 - Study Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. Citation Text: Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…

Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. | PSNet

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May 12, 2021 - Commentary Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. Citation Text: Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…

Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? | PSNet

psnet.ahrq.gov/issue/are-physicians-perceptions-healthcare-quality-and-practice-satisfaction-affected-errors

July 10, 2008 - Study Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? Citation Text: Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by er…

Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. | PSNet

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November 03, 2021 - Study Classic Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. Citation Text: Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…

Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. | PSNet

psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful

September 15, 2021 - Study Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. Citation Text: Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…

What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. | PSNet

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March 29, 2023 - Study What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. Citation Text: Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality Improvement and Patient S…

Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. | PSNet

psnet.ahrq.gov/issue/real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate

July 21, 2021 - Study Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. Citation Text: Kotwal S, Fanai M, Fu W, et al. Real-world virtual patient simulation to improve diagnostic performance through deliberate pra…

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

psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide

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…

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