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Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

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June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. | PSNet

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June 17, 2014 - Study Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Citation Text: De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf…

Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. | PSNet

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September 18, 2024 - Commentary Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. Citation Text: Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. | PSNet

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July 19, 2017 - Book/Report First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Citation Text: First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…

Reliability of the assessment of preventable adverse drug events in daily clinical practice. | PSNet

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March 04, 2011 - Study Reliability of the assessment of preventable adverse drug events in daily clinical practice. Citation Text: van Doormaal J, Mol PGM, van den Bemt PMLA, et al. Reliability of the assessment of preventable adverse drug events in daily clinical practice. Pharmacoepidemiol Drug Saf. …

In situ simulation: a method of experiential learning to promote safety and team behavior. | PSNet

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September 03, 2011 - Commentary In situ simulation: a method of experiential learning to promote safety and team behavior. Citation Text: Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-1…

Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet

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August 14, 2019 - Study Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Citation Text: Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…

Patient safety and workplace bullying: an integrative review. | PSNet

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March 11, 2020 - Review Patient safety and workplace bullying: an integrative review. Citation Text: Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual. 2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209. Copy Citation Format: DOI Google S…

Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. | PSNet

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May 18, 2022 - Study Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. Citation Text: Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre dis…

Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. | PSNet

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August 12, 2020 - Study Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. Citation Text: Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things…

Unexpected hypoglycemia in a critically ill patient. | PSNet

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July 25, 2018 - Study Classic Unexpected hypoglycemia in a critically ill patient. Citation Text: Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. | PSNet

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September 27, 2016 - Study Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Citation Text: Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in f…

The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment. | PSNet

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May 25, 2022 - Commentary The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment. Citation Text: Best JA, Kim S. The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment. J Contin Educ Nurs. 2019;50(8):355-361. doi:10.3928/002201…

Compliance with central line maintenance bundle and infection rates. | PSNet

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August 16, 2023 - Study Compliance with central line maintenance bundle and infection rates. Citation Text: Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates. Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688. Copy Citation Form…

Filling the gap: simulation-based crisis resource management training for emergency medicine residents. | PSNet

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March 19, 2018 - Commentary Filling the gap: simulation-based crisis resource management training for emergency medicine residents. Citation Text: Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg…

Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet

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March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

Intimidation: practitioners speak up about this unresolved problem. | PSNet

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September 26, 2017 - Study Intimidation: practitioners speak up about this unresolved problem. Citation Text: Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4. Copy Citation Forma…

Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. | PSNet

psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions

September 04, 2019 - Study Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Citation Text: Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. Copy Citation Format: …

Advancement toward High Reliability in Healthcare Awards. | PSNet

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June 08, 2011 - January 21, 2009 Teamwork is associated with reduced hospital staff burnout at military

Fatal drug mix-up exposes hospital flaws. | PSNet

psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws

March 02, 2016 - July 10, 2018 Teamwork is associated with reduced hospital staff burnout at military

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