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  1. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. | PSNet

    psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study
    August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…

  2. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. | PSNet

    psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
    December 16, 2020 - Study The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. Citation Text: Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…

  3. Surgeons and systems working together to drive safety and quality. | PSNet

    psnet.ahrq.gov/issue/surgeons-and-systems-working-together-drive-safety-and-quality
    February 02, 2022 - Commentary Surgeons and systems working together to drive safety and quality. Citation Text: Hawkins RB, Nallamothu BK. Surgeons and systems working together to drive safety and quality. BMJ Qual Saf. 2023;32(4):181-184. doi:10.1136/bmjqs-2022-015045. Copy Citation Format: …

  4. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet

    psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
    March 07, 2012 - Study Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Citation Text: Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…

  5. Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. | PSNet

    psnet.ahrq.gov/issue/client-caregiver-and-provider-perspectives-safety-palliative-home-care-mixed-method-design
    March 02, 2016 - Study Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Citation Text: Lang A, Toon L, Cohen SR, et al. Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Safety Health. 2015;1(1):3. …

  6. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. | PSNet

    psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
    February 03, 2016 - Study Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Citation Text: Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems …

  7. The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. | PSNet

    psnet.ahrq.gov/issue/impact-2011-accreditation-council-graduate-medical-education-duty-hour-reform-quality-and
    April 05, 2013 - Study The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. Citation Text: Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on…

  8. Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer. | PSNet

    psnet.ahrq.gov/issue/analysis-patient-physician-concordance-understanding-chemotherapy-treatment-plans-among
    January 11, 2023 - Study Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer. Citation Text: Almalki H, Absi A, Alghamdi A, et al. Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patie…

  9. The relationships among work stress, strain and self-reported errors in UK community pharmacy. | PSNet

    psnet.ahrq.gov/issue/relationships-among-work-stress-strain-and-self-reported-errors-uk-community-pharmacy
    October 19, 2022 - Study The relationships among work stress, strain and self-reported errors in UK community pharmacy. Citation Text: Johnson SJ, O'Connor EM, Jacobs S, et al. The relationships among work stress, strain and self-reported errors in UK community pharmacy. Res Social Adm Pharm. 2014;10(6):88…

  10. Using name overlap analysis to understand medication name search safety. | PSNet

    psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
    August 31, 2022 - Study Using name overlap analysis to understand medication name search safety. Citation Text: Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. Copy Citation …

  11. The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. | PSNet

    psnet.ahrq.gov/issue/effect-implementing-bar-code-medication-administration-emergency-department-medication
    December 01, 2021 - Study The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. Citation Text: Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …

  12. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study
    March 24, 2021 - Study Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. Citation Text: Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjope…

  13. Promising roles for pharmacists in addressing the U.S. opioid crisis. | PSNet

    psnet.ahrq.gov/issue/promising-roles-pharmacists-addressing-us-opioid-crisis
    May 19, 2021 - Commentary Promising roles for pharmacists in addressing the U.S. opioid crisis. Citation Text: Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009. Copy…

  14. Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. | PSNet

    psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety-reduced-complications
    October 19, 2022 - Study Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. Citation Text: Bonis PA, Pickens GT, Rind DM, et al. Association of a clini…

  15. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic-review
    July 07, 2021 - Review Classic Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. Citation Text: Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic re…

  16. Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? | PSNet

    psnet.ahrq.gov/issue/resident-supervision-and-patient-safety-do-different-levels-resident-supervision-affect-rate
    November 16, 2022 - Study Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? Citation Text: Van Leer PE, Lavine EK, Rabrich JS, et al. Resident Supervision and Patient Safety: Do Different Levels of Resident Supervision Affe…

  17. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. | PSNet

    psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
    May 18, 2022 - Commentary Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Citation Text: Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp…

  18. Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy
    November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

  19. Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. | PSNet

    psnet.ahrq.gov/issue/can-mindfulness-health-care-professionals-improve-patient-care-integrative-review-and
    September 21, 2022 - Review Emerging Classic Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. Citation Text: Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrativ…

  20. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. | PSNet

    psnet.ahrq.gov/issue/anaesthesia-and-patient-safety-socio-technical-operating-theatre-narrative-review-spanning
    April 10, 2024 - Review Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Citation Text: Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Ana…
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