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The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. | PSNet

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March 01, 2023 - Study The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. Citation Text: MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'S…

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. | PSNet

psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide

October 17, 2017 - Study Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. Citation Text: Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis.…

Changes in medical errors after implementation of a handoff program. | PSNet

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April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

Medication discrepancies in resident sign-outs and their potential to harm. | PSNet

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March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. | PSNet

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December 30, 2014 - Study Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. Citation Text: Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation…

Culture change in infection control: applying psychological principles to improve hand hygiene. | PSNet

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November 21, 2021 - Study Culture change in infection control: applying psychological principles to improve hand hygiene. Citation Text: Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304…

Inadequate hand-off communication. | PSNet

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April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

Improving safety for hospitalized patients: much progress but many challenges remain. | PSNet

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September 24, 2017 - Commentary Improving safety for hospitalized patients: much progress but many challenges remain. Citation Text: Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887. Copy…

Standardized assessment of medication reconciliation in post-acute care. | PSNet

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December 16, 2020 - Study Standardized assessment of medication reconciliation in post-acute care. Citation Text: Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post‐acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655. Copy Citation …

An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. | PSNet

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August 04, 2021 - Review An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. Citation Text: Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe seri…

We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. | PSNet

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October 17, 2018 - Study We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. Citation Text: Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…

Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. | PSNet

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December 12, 2014 - Study Classic Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. Citation Text: Aiken LH, Sloane DM, Griffiths P, et al. Nursing skill mix in European hospitals: cross-sectional…

Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. | PSNet

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February 01, 2023 - Study Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. Citation Text: Haidari E, Main EK, Cui X, et al. Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. J Perinatol. 2021;4…

The impact of COVID-19 workflow changes on radiation oncology incident reporting. | PSNet

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June 30, 2021 - Study The impact of COVID-19 workflow changes on radiation oncology incident reporting. Citation Text: Volpini ME, Lekx‐Toniolo K, Mahon R, et al. The impact of COVID‐19 workflow changes on radiation oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.…

Introduction of surgical safety checklists in Ontario, Canada. | PSNet

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June 21, 2016 - Study Classic Introduction of surgical safety checklists in Ontario, Canada. Citation Text: Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa13082…

A qualitative study of what care workers do to provide patient safety at home through telecare. | PSNet

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September 08, 2021 - Study A qualitative study of what care workers do to provide patient safety at home through telecare. Citation Text: Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. d…

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet

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March 02, 2022 - Study Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. Citation Text: Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…

Technology-based closed-loop tracking for improving communication and follow-up of pathology results. | PSNet

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May 25, 2022 - Study Technology-based closed-loop tracking for improving communication and follow-up of pathology results. Citation Text: Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18…

Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet

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April 28, 2021 - Study Adverse events in long-term care residents transitioning from hospital back to nursing home. Citation Text: Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…

Lessons learned from a systems approach to engaging patients and families in patient safety transformation. | PSNet

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February 12, 2020 - Study Lessons learned from a systems approach to engaging patients and families in patient safety transformation. Citation Text: Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qua…

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