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  1. Identification of adverse events in ground transport emergency medical services. | PSNet

    psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
    August 26, 2020 - Study Identification of adverse events in ground transport emergency medical services. Citation Text: Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…

  2. The coronavirus and the risks to the elderly in long-term care. | PSNet

    psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
    July 15, 2020 - Commentary The coronavirus and the risks to the elderly in long-term care. Citation Text: Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543. Copy Citation Format…

  3. The effect of the fit between organizational culture and structure on medication errors in medical group practices. | PSNet

    psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
    June 30, 2009 - Study The effect of the fit between organizational culture and structure on medication errors in medical group practices. Citation Text: Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practi…

  4. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. | PSNet

    psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study
    October 05, 2011 - Study Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. Citation Text: Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7. doi:1…

  5. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. | PSNet

    psnet.ahrq.gov/issue/integrative-systematic-review-employee-silence-and-voice-healthcare-what-are-we-really
    August 03, 2022 - Review An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. Citation Text: Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring? Front …

  6. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. | PSNet

    psnet.ahrq.gov/issue/identifying-and-mapping-measures-medication-safety-during-transfer-care-digital-era-scoping
    July 24, 2024 - Review Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. Citation Text: Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literatur…

  7. High performance teamwork training and systems redesign in outpatient oncology. | PSNet

    psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology
    November 16, 2022 - Study High performance teamwork training and systems redesign in outpatient oncology. Citation Text: Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.…

  8. Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study. | PSNet

    psnet.ahrq.gov/issue/health-service-accreditation-predictor-clinical-and-organisational-performance-blinded-random
    October 19, 2022 - Study Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study. Citation Text: Braithwaite J, Greenfield D, Westbrook JI, et al. Health service accreditation as a predictor of clinical and organisational performance: a …

  9. An observational study of postoperative handoff standardization failures. | PSNet

    psnet.ahrq.gov/issue/observational-study-postoperative-handoff-standardization-failures
    March 10, 2021 - Study An observational study of postoperative handoff standardization failures. Citation Text: Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. Copy Citatio…

  10. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. | PSNet

    psnet.ahrq.gov/issue/evaluation-predevelopment-service-delivery-intervention-application-improve-clinical
    March 06, 2013 - Study Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. Citation Text: Yao GL, Novielli N, Manaseki-Holland S, et al. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. BMJ …

  11. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. | PSNet

    psnet.ahrq.gov/issue/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator
    April 03, 2017 - Slideset Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Citation Text: Utter GH, Zrelak PA, Baron R, et al. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Ann Surg. 2009;250(6):1041-5.…

  12. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. | PSNet

    psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
    October 29, 2008 - Study Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. Citation Text: Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan te…

  13. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
    September 29, 2017 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…

  14. Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. | PSNet

    psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities
    October 28, 2009 - Study Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. Citation Text: Gandara E, Moniz TT, Ungar J, et al. Deficits in discharge documentation in patients transferred to rehabilitation facilit…

  15. Half-life of a printed handoff document. | PSNet

    psnet.ahrq.gov/issue/half-life-printed-handoff-document
    April 24, 2018 - Study Half-life of a printed handoff document. Citation Text: Rosenbluth G, Jacolbia R, Milev D, et al. Half-life of a printed handoff document. BMJ Qual Saf. 2016;25(5):324-8. doi:10.1136/bmjqs-2015-004585. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  16. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. | PSNet

    psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
    May 27, 2011 - Study Classic An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Citation Text: Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…

  17. Systems thinking for managing COVID-19 in health care systems: seven key messages. | PSNet

    psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-messages
    October 21, 2015 - Commentary Systems thinking for managing COVID-19 in health care systems: seven key messages. Citation Text: Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-0…

  18. Mind the sentinel - applying patient-safety paradigms to clinician well-being. | PSNet

    psnet.ahrq.gov/issue/mind-sentinel-applying-patient-safety-paradigms-clinician-well-being
    October 19, 2022 - Commentary Mind the sentinel - applying patient-safety paradigms to clinician well-being. Citation Text: Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074. Copy Citation Forma…

  19. Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet

    psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons
    July 25, 2018 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

  20. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
    November 30, 2012 - Study Classic Missed diagnoses of acute cardiac ischemia in the emergency department. Citation Text: Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…
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