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Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training

January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

A step toward high reliability: implementation of a daily safety brief in a children's hospital. | PSNet

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August 23, 2023 - Study A step toward high reliability: implementation of a daily safety brief in a children's hospital. Citation Text: Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…

Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet

psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety

August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

Clinical relevance of and risk factors associated with medication administration time errors. | PSNet

psnet.ahrq.gov/issue/clinical-relevance-and-risk-factors-associated-medication-administration-time-errors

May 08, 2017 - Study Clinical relevance of and risk factors associated with medication administration time errors. Citation Text: Teunissen R, Bos J, Pot H, et al. Clinical relevance of and risk factors associated with medication administration time errors. Am J Health Syst Pharm. 2013;70(12):1052-6. …

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. | PSNet

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May 09, 2014 - Study Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. Citation Text: Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…

Hospital patient safety grades may misrepresent hospital performance. | PSNet

psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance

September 21, 2022 - Study Hospital patient safety grades may misrepresent hospital performance. Citation Text: Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139. Copy Citation Format: DOI…

Improving communication and resolution following adverse events using a patient-created simulation exercise. | PSNet

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September 01, 2018 - Study Improving communication and resolution following adverse events using a patient-created simulation exercise. Citation Text: Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…

An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. | PSNet

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September 01, 2018 - Study An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. Citation Text: Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):5…

Institutional disclosure: promise and problems. | PSNet

psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems

August 12, 2015 - Study Institutional disclosure: promise and problems. Citation Text: Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

Speaking up about the dangers of the hidden curriculum. | PSNet

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September 30, 2020 - Commentary Speaking up about the dangers of the hidden curriculum. Citation Text: Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073. Copy Citation Format: DOI Google…

Structural empowerment and patient safety culture among registered nurses working in adult critical care units. | PSNet

psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult

January 23, 2008 - Study Structural empowerment and patient safety culture among registered nurses working in adult critical care units. Citation Text: Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units.…

Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. | PSNet

psnet.ahrq.gov/issue/parental-involvement-preoperative-surgical-safety-checklist-welcomed-both-parents-and-staff

April 12, 2011 - Study Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Citation Text: Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490…

Using a computerized sign-out system to improve physician–nurse communication. | PSNet

psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication

September 28, 2016 - Study Using a computerized sign-out system to improve physician–nurse communication. Citation Text: Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. Copy Citation Format: …

Patient and physician experience with interhospital transfer: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-physician-experience-interhospital-transfer-qualitative-study

April 12, 2023 - Study Patient and physician experience with interhospital transfer: a qualitative study. Citation Text: Mueller SK, Shannon E, Dalal A, et al. Patient and Physician Experience with Interhospital Transfer: A Qualitative Study. J Patient Saf. 2021;17(8):e752-e757. doi:10.1097/PTS.000000000…

The spectrum of harm associated with modern medicine. | PSNet

psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine

July 26, 2023 - Commentary The spectrum of harm associated with modern medicine. Citation Text: Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. | PSNet

psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey

September 13, 2023 - Study General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Citation Text: Mikkelsen TH, Sokolowski I, Olesen F. General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Scand J Prim …

Rapid response teams and failure to rescue: one community's experience. | PSNet

psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience

March 14, 2022 - Study Rapid response teams and failure to rescue: one community's experience. Citation Text: Hammer JA, Jones TL, Brown SA. Rapid response teams and failure to rescue: one community's experience. J Nurs Care Qual. 2012;27(4):352-8. doi:10.1097/NCQ.0b013e31825a8e2f. Copy Citation Fo…

Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. | PSNet

psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-recommendations-interventions-cross

September 09, 2020 - Study Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. Citation Text: Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospit…

Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. | PSNet

psnet.ahrq.gov/issue/detection-classification-and-correction-defective-chemotherapy-orders-through-nursing-and

May 27, 2011 - Study Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. Citation Text: Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…

After Mid Staffordshire: from acknowledgement, through learning, to improvement. | PSNet

psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement

August 28, 2024 - Special or Theme Issue After Mid Staffordshire: from acknowledgement, through learning, to improvement. Citation Text: Martin G, Dixon-Woods M. After Mid Staffordshire: from acknowledgement, through learning, to improvement. BMJ Qual Saf. 2014;23(9):706-8. doi:10.1136/bmjqs-2014-003359. …

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