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  1. Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. | PSNet

    psnet.ahrq.gov/issue/experiences-health-professionals-who-conducted-root-cause-analyses-after-undergoing-safety
    June 14, 2011 - Study Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. Citation Text: Braithwaite J, Westbrook MT, Mallock NA, et al. Experiences of health professionals who conducted root cause analyses after undergoing a safety im…

  2. Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. | PSNet

    psnet.ahrq.gov/issue/faculty-member-review-and-feedback-using-sign-out-checklist-improving-intern-written-sign-out
    February 15, 2017 - Study Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. Citation Text: Bump GM, Bost JE, Buranosky R, et al. Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. Acad Med. 2012;87(8):1125-31. do…

  3. Residency training in handoffs: a survey of program directors in psychiatry. | PSNet

    psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
    January 01, 2019 - Study Residency training in handoffs: a survey of program directors in psychiatry. Citation Text: Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. Copy Citat…

  4. The effect of automated alerts on provider ordering behavior in an outpatient setting.   | PSNet

    psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
    November 23, 2016 - Study The effect of automated alerts on provider ordering behavior in an outpatient setting.   Citation Text: Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…

  5. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. | PSNet

    psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
    August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …

  6. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet

    psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
    April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…

  7. Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. | PSNet

    psnet.ahrq.gov/issue/perceived-patient-safety-culture-nursing-homes-associated-nursing-home-compare-performance
    November 04, 2020 - Study Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. Citation Text: Li Y, Cen X, Cai X, et al. Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing Home Compare" Performance Indicators. Med Care. 2019…

  8. Addressing the elephant in the room: a shame resilience seminar for medical students. | PSNet

    psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
    June 07, 2023 - Commentary Addressing the elephant in the room: a shame resilience seminar for medical students. Citation Text: Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…

  9. A preliminary taxonomy of medical errors in family practice. | PSNet

    psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
    April 08, 2011 - Study Classic A preliminary taxonomy of medical errors in family practice. Citation Text: Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. Copy Citation Format: …

  10. Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? | PSNet

    psnet.ahrq.gov/issue/post-traumatic-stress-disorder-amongst-surgical-trainees-unrecognised-risk
    August 04, 2021 - Study Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? Citation Text: Thompson C, Naumann DN, Fellows JL, et al. Post-traumatic stress disorder amongst surgical trainees: An unrecognised risk? Surgeon. 2017;15(3):123-130. doi:10.1016/j.surge.2015.09.002. …

  11. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/reporting-medical-errors-improve-patient-safety-survey-physicians-teaching-hospitals
    February 24, 2011 - Study Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Citation Text: Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-…

  12. The natural lifespan of a safety policy: violations and system migration in anaesthesia. | PSNet

    psnet.ahrq.gov/issue/natural-lifespan-safety-policy-violations-and-system-migration-anaesthesia
    June 22, 2009 - Study The natural lifespan of a safety policy: violations and system migration in anaesthesia. Citation Text: Maurice G de S, Auroy Y, Vincent CA, et al. The natural lifespan of a safety policy: violations and system migration in anaesthesia. Qual Saf Health Care. 2010;19(4):327-31. doi:…

  13. 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…

  14. How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. | PSNet

    psnet.ahrq.gov/issue/how-when-and-why-bad-apples-spoil-barrel-negative-group-members-and-dysfunctional-groups
    August 08, 2018 - Commentary Classic How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. Citation Text: Felps W, Mitchell TR, Byington E. How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. …

  15. Miscoding, misclassification and misdiagnosis of diabetes in primary care. | PSNet

    psnet.ahrq.gov/issue/miscoding-misclassification-and-misdiagnosis-diabetes-primary-care
    September 23, 2020 - Study Miscoding, misclassification and misdiagnosis of diabetes in primary care. Citation Text: de Lusignan S, Sadek N, Mulnier H, et al. Miscoding, misclassification and misdiagnosis of diabetes in primary care. Diabet Med. 2012;29(2):181-9. doi:10.1111/j.1464-5491.2011.03419.x. Cop…

  16. 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…

  17. Time of day and the decision to prescribe antibiotics. | PSNet

    psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics
    September 29, 2017 - Study Time of day and the decision to prescribe antibiotics. Citation Text: Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225. Copy Citation Format: DO…

  18. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. | PSNet

    psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce-surgical-site
    November 21, 2017 - Study Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. Citation Text: Wick EC, Hobson DB, Bennett JL, et al. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. J Am Coll Surg. …

  19. SWITCH for safety: perioperative hand-off tools. | PSNet

    psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
    October 18, 2023 - Commentary SWITCH for safety: perioperative hand-off tools. Citation Text: Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. Copy Citation Format: DOI Google Scho…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49684/psn-pdf
    May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical Error May 1, 2013 Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error Case Objectives Appreciate that chemotherapy a…
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