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"To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet

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August 04, 2021 - Study "To err is human" but disclosure must be taught: a simulation-based assessment study. Citation Text: Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…

The second victim of unanticipated adverse events. | PSNet

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February 12, 2020 - Commentary The second victim of unanticipated adverse events. Citation Text: Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010. Copy Citation Format: DOI …

Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. | PSNet

psnet.ahrq.gov/issue/improving-medication-administration-safety-using-naive-observation-assess-practice-and-guide

October 06, 2016 - Study Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. Citation Text: Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and g…

Discrepancies between home medications listed at hospital admission and reported medical conditions. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical

November 03, 2021 - Study Discrepancies between home medications listed at hospital admission and reported medical conditions. Citation Text: Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother.…

Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. | PSNet

psnet.ahrq.gov/issue/effective-triage-can-ameliorate-deleterious-effects-delayed-transfer-trauma-patients

August 04, 2021 - Study Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. Citation Text: Richardson D, Franklin G, Santos A, et al. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma…

Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. | PSNet

psnet.ahrq.gov/issue/defining-minimum-necessary-anticoagulation-related-communication-discharge-consensus-care

March 04, 2020 - Study Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. Citation Text: Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Commu…

Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. | PSNet

psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care

May 24, 2010 - Study Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Citation Text: Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the c…

A survey of outpatient internal medicine clinician perceptions of diagnostic error. | PSNet

psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error

February 12, 2020 - Study A survey of outpatient internal medicine clinician perceptions of diagnostic error. Citation Text: Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070. Co…

Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. | PSNet

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January 29, 2014 - Study Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. Citation Text: Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2…

How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet

psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals

October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. | PSNet

psnet.ahrq.gov/issue/interventions-improve-safe-sleep-among-hospitalized-infants-eight-childrens-hospitals

April 24, 2018 - Study Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. Citation Text: Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88…

Adoption of health information technology for medication safety in US hospitals, 2006. | PSNet

psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006

August 07, 2013 - Study Adoption of health information technology for medication safety in US hospitals, 2006. Citation Text: Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi…

No harm found when nurse anesthetists work without supervision by physicians. | PSNet

psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians

August 04, 2021 - Study No harm found when nurse anesthetists work without supervision by physicians. Citation Text: Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966. Copy Citat…

Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. | PSNet

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November 13, 2019 - Review Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. Citation Text: Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…

Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. | PSNet

psnet.ahrq.gov/issue/lack-emergency-medical-services-documentation-associated-poor-patient-outcomes-validation

June 14, 2017 - Study Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. Citation Text: Laudermilch DJ, Schiff MA, Nathens AB, et al. Lack of emergency medical services documentation is associated with p…

Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. | PSNet

psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012

May 29, 2024 - Study Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. Citation Text: Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…

Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia. | PSNet

psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne

April 24, 2018 - Study Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia. Citation Text: Charles A, Ranson D, Bohensky M, et al. Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hosp…

Taking the pulse of health care systems: experiences of patients with health problems in six countries. | PSNet

psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries

December 23, 2012 - Multi-use Website Classic Taking the pulse of health care systems: experiences of patients with health problems in six countries. Citation Text: Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients With Health P…

Measuring adverse events in hospitalized patients: an administrative method for measuring harm. | PSNet

psnet.ahrq.gov/issue/measuring-adverse-events-hospitalized-patients-administrative-method-measuring-harm

December 17, 2014 - Study Measuring adverse events in hospitalized patients: an administrative method for measuring harm. Citation Text: Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31. d…

Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. | PSNet

psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united-kingdom

November 02, 2011 - Study Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. Citation Text: Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):79…

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