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Exclusion of residents from surgery-intensive care team communication: a qualitative study. | PSNet

psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study

December 04, 2015 - Study Exclusion of residents from surgery-intensive care team communication: a qualitative study. Citation Text: Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…

The consequences of whistle-blowing: an integrative review. | PSNet

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November 16, 2022 - Review The consequences of whistle-blowing: an integrative review. Citation Text: Lim CR, Zhang MWB, Hussain SF, et al. The Consequences of Whistle-blowing: An Integrative Review. J Patient Saf. 2021;17(6):e497-e502. doi:10.1097/PTS.0000000000000396. Copy Citation Format: D…

Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

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February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution following patient harm. Citation Text: Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. | PSNet

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September 27, 2017 - Commentary Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. Citation Text: Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…

Student mistakes and teacher reactions in bedside teaching. | PSNet

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January 18, 2012 - Study Student mistakes and teacher reactions in bedside teaching. Citation Text: Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y. Copy Citat…

Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. | PSNet

psnet.ahrq.gov/issue/effect-crew-resource-management-diabetes-care-and-patient-outcomes-inner-city-primary-care

November 24, 2010 - Study Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. Citation Text: Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. …

Impact of preoperative briefings on operating room delays. | PSNet

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July 28, 2010 - Study Impact of preoperative briefings on operating room delays. Citation Text: Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. Copy Citation …

Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. | PSNet

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April 24, 2018 - Commentary Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. Citation Text: Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …

Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues

July 16, 2015 - Review Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. Citation Text: Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…

A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. | PSNet

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February 24, 2016 - Commentary A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. Citation Text: Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…

Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. | PSNet

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June 19, 2024 - Commentary Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. Citation Text: Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…

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.…

Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. | PSNet

psnet.ahrq.gov/issue/workforce-perceptions-hospital-safety-culture-development-and-validation-patient-safety

November 18, 2009 - Study Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. Citation Text: Singer SJ, Meterko M, Baker LC, et al. Workforce perceptions of hospital safety culture: development and validation of the…

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. | PSNet

psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety

October 14, 2009 - Study Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Citation Text: Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…

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

psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created

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…

Patient safety: examining the adequacy of the 5 rights of medication administration. | PSNet

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March 02, 2016 - Commentary Patient safety: examining the adequacy of the 5 rights of medication administration. Citation Text: Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f. Copy…

Error disclosure: a new domain for safety culture assessment. | PSNet

psnet.ahrq.gov/issue/error-disclosure-new-domain-safety-culture-assessment

September 01, 2018 - Study Error disclosure: a new domain for safety culture assessment. Citation Text: Etchegaray J, Gallagher TH, Bell SK, et al. Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf. 2012;21(7):594-9. doi:10.1136/bmjqs-2011-000530. Copy Citation Format: …

Learning from failure: the need for independent safety investigation in healthcare. | PSNet

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September 24, 2018 - Commentary Learning from failure: the need for independent safety investigation in healthcare. Citation Text: Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. Copy…

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. | PSNet

psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans

October 14, 2009 - Study Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. Citation Text: Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…

Tenfold therapeutic dosing errors in young children reported to US poison control centers. | PSNet

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July 10, 2024 - Study Tenfold therapeutic dosing errors in young children reported to US poison control centers. Citation Text: Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…

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