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Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. | PSNet

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September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…

Psychological safety and infection prevention practices: results from a national survey. | PSNet

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September 27, 2023 - Study Psychological safety and infection prevention practices: results from a national survey. Citation Text: Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic…

Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. | PSNet

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March 09, 2022 - Study Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. Citation Text: Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…

The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. | PSNet

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July 14, 2021 - Study Classic The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Citation Text: Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nu…

"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. | PSNet

psnet.ahrq.gov/issue/change-what-can-actually-make-tough-times-better-patient-centred-patient-safety-intervention

September 24, 2017 - Study "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. Citation Text: Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A patient-c…

Retained surgical items: a problem yet to be solved. | PSNet

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September 24, 2014 - Study Retained surgical items: a problem yet to be solved. Citation Text: Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026. Copy Citation Format: …

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet

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July 06, 2022 - Study Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Citation Text: Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. C…

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. | PSNet

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February 09, 2011 - Study Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. Citation Text: Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to a…

A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. | PSNet

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June 06, 2018 - Study A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. Citation Text: Bell SK, Gerard M, Fossa A, et al. A patient feedback reporting tool for OpenNotes: implications for patient-clinician safety and quality partnerships…

Frequency and types of patient-reported errors in electronic health record ambulatory care notes. | PSNet

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June 05, 2019 - Study Classic Frequency and types of patient-reported errors in electronic health record ambulatory care notes. Citation Text: Bell SK, Delbanco T, Elmore JG, et al. Frequency and types of patient-reported errors in electronic health record ambulatory care notes…

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. | PSNet

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December 23, 2020 - Study Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. Citation Text: Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Pat…

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. | PSNet

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March 11, 2020 - Review Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. Citation Text: Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…

Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. | PSNet

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October 21, 2020 - Study Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. Citation Text: Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiativ…

The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. | PSNet

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November 10, 2021 - Review The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. Citation Text: Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with serious mental illness and medical c…

Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. | PSNet

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August 04, 2021 - Review Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. Citation Text: Hall WJ, Chapman MV, Lee KM, et al. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a s…

Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet

psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record

July 12, 2023 - Study Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. Citation Text: Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communica…

Findings of the first consensus conference on medical emergency teams. | PSNet

psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams

August 04, 2021 - Commentary Findings of the first consensus conference on medical emergency teams. Citation Text: DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. Copy Ci…

Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. | PSNet

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November 20, 2024 - Study Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. Citation Text: Jallow F, Stehling E, Sajwani-Merchant Z, et al. Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. J Patient Sa…

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. | PSNet

psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians

March 11, 2020 - Study Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. Citation Text: Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. BMJ Qual Sa…

Incidence of adverse drug events and potential adverse drug events: implications for prevention. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention

February 10, 2011 - Study Classic Incidence of adverse drug events and potential adverse drug events: implications for prevention. Citation Text: Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …

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