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Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. | PSNet

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October 18, 2023 - Study Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. Citation Text: Silva M das DG, Martins MAP, Viana L de G, et al. Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observatio…

The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. | PSNet

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April 03, 2013 - Study The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. Citation Text: Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the operating room t…

Identifying what is known about improving operating room to intensive care handovers: a scoping review. | PSNet

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September 23, 2020 - Review Identifying what is known about improving operating room to intensive care handovers: a scoping review. Citation Text: Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…

Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. | PSNet

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August 25, 2021 - Study Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Citation Text: Lammers RL, Willoughby-Byrwa M, Fales WD. Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Simul Healthc. …

Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. | PSNet

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March 16, 2022 - Study Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. Citation Text: Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal training on medical error disclosure skills …

It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. | PSNet

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August 05, 2020 - Study It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. Citation Text: Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthca…

Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet

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September 30, 2020 - Book/Report Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. Citation Text: Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. W…

How to make medication error reporting systems work—factors associated with their successful development and implementation. | PSNet

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December 05, 2012 - Study How to make medication error reporting systems work—factors associated with their successful development and implementation. Citation Text: Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…

Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. | PSNet

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December 07, 2022 - Study Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. Citation Text: Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. d…

Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study. | PSNet

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March 30, 2022 - Study Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study. Citation Text: Bittman J, Nijjar AP, Tam P, et al. Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospe…

A longitudinal study on the impact of simulation on positive deviance through speaking up. | PSNet

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August 24, 2022 - Study A longitudinal study on the impact of simulation on positive deviance through speaking up. Citation Text: M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up. Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006. Copy …

Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study. | PSNet

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November 15, 2023 - Study Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study. Citation Text: Terwilliger IA, Johnson JK, Manojlovich M, et al. Contextual Factors Influenci…

Workplace factors associated with burnout of family physicians. | PSNet

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July 03, 2016 - Study Workplace factors associated with burnout of family physicians. Citation Text: Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391. Copy Citation F…

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. | PSNet

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September 23, 2020 - Commentary Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. Citation Text: Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to I…

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? | PSNet

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July 02, 2008 - Study An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? Citation Text: Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing …

Learning in radiation oncology: 12-month experience with a new incident learning system. | PSNet

psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system

February 16, 2022 - Study Learning in radiation oncology: 12-month experience with a new incident learning system. Citation Text: Crouch K, Adamson L, Beldham‐Collins R, et al. Learning in radiation oncology: 12‐month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10…

Evaluation of a physician informatics tool to improve patient handoffs. | PSNet

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January 07, 2015 - Study Evaluation of a physician informatics tool to improve patient handoffs. Citation Text: Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. Copy C…

CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. | PSNet

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December 06, 2023 - Study CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. Citation Text: Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136…

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. | PSNet

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June 08, 2011 - Special or Theme Issue Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Citation Text: Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Shekelle PG, Pronovost…

Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/role-relatives-ethnic-minority-patients-patient-safety-hospital-care-qualitative-study

March 15, 2016 - Study Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. Citation Text: van Rosse F, Suurmond J, Wagner C, et al. Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. BMJ Open. 2016;6(4)…

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