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Implementing high-reliability organization principles into practice: a rapid evidence review. | PSNet

psnet.ahrq.gov/issue/implementing-high-reliability-organization-principles-practice-rapid-evidence-review

October 21, 2020 - Review Implementing high-reliability organization principles into practice: a rapid evidence review. Citation Text: Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. do…

What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. | PSNet

psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported

June 29, 2011 - Study Classic What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. Citation Text: Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-rep…

System-related interventions to reduce diagnostic errors: a narrative review. | PSNet

psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review

May 29, 2015 - Review Classic System-related interventions to reduce diagnostic errors: a narrative review. Citation Text: Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. do…

Defining and studying errors in surgical care: a systematic review. | PSNet

psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review

July 20, 2022 - Review Defining and studying errors in surgical care: a systematic review. Citation Text: Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. Copy Citation F…

Choosing your words carefully: how physicians would disclose harmful medical errors to patients. | PSNet

psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients

February 16, 2011 - Study Classic Choosing your words carefully: how physicians would disclose harmful medical errors to patients. Citation Text: Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to pa…

Disciplinary action by medical boards and prior behavior in medical schools. | PSNet

psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools

October 19, 2022 - Study Classic Disciplinary action by medical boards and prior behavior in medical schools. Citation Text: Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82…

The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department

July 07, 2021 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…

Accuracy in patient understanding of common medical phrases. | PSNet

psnet.ahrq.gov/issue/accuracy-patient-understanding-common-medical-phrases

November 30, 2022 - Study Accuracy in patient understanding of common medical phrases. Citation Text: Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in patient understanding of common medical phrases. JAMA Netw Open. 2022;5(11):e2242972. doi:10.1001/jamanetworkopen.2022.42972. Copy Citation Form…

Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. | PSNet

psnet.ahrq.gov/issue/impact-laws-aimed-healthcare-associated-infection-reduction-qualitative-study

December 23, 2020 - Study Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. Citation Text: Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.…

A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. | PSNet

psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians

March 09, 2016 - Study A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. Citation Text: Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;1…

Risk of unintentional overdose with non-prescription acetaminophen products. | PSNet

psnet.ahrq.gov/issue/risk-unintentional-overdose-non-prescription-acetaminophen-products

January 22, 2014 - Study Risk of unintentional overdose with non-prescription acetaminophen products. Citation Text: Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3. Copy …

Using social and behavioural science to support COVID-19 pandemic response. | PSNet

psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response

March 02, 2022 - Commentary Classic Using social and behavioural science to support COVID-19 pandemic response. Citation Text: Bavel JJV, Baicker K, Boggio PS, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-471. do…

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. | PSNet

psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient

October 01, 2014 - Study The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. Citation Text: Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness …

Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). | PSNet

psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety-initiatives-bedside

December 21, 2017 - Study Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). Citation Text: Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiati…

Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? | PSNet

psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and

May 25, 2022 - Study Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? Citation Text: Waldron J, Denisiuk M, Sharma R, et al. Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? Injury. 2022;53(6…

Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet

psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health

September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

Relationship between medication errors and adverse drug events. | PSNet

psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events

May 27, 2011 - Study Classic Relationship between medication errors and adverse drug events. Citation Text: Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. Copy Citation Format:…

Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response

March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …

Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. | PSNet

psnet.ahrq.gov/issue/evaluating-iatrogenic-prescribing-development-oncology-focused-trigger-tool

December 23, 2020 - Study Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Citation Text: Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.00…

Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. | PSNet

psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus

March 24, 2012 - Study Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. Citation Text: Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for r…

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