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Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

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September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. | PSNet

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October 06, 2021 - Commentary Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. Citation Text: Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…

Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

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January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

Transforming concepts in patient safety: a progress report. | PSNet

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January 20, 2015 - Review Classic Transforming concepts in patient safety: a progress report. Citation Text: Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756. Copy…

Measuring teamwork in health care settings: a review of survey instruments. | PSNet

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December 14, 2016 - Review Measuring teamwork in health care settings: a review of survey instruments. Citation Text: Valentine MA, Nembhard IM, Edmondson A. Measuring teamwork in health care settings: a review of survey instruments. Med Care. 2015;53(4):e16-e30. doi:10.1097/MLR.0b013e31827feef6. Copy Cit…

Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet

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November 16, 2022 - Commentary Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. Citation Text: Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…

Utilizing pharmacy students in transitions-of-care services. | PSNet

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October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. | PSNet

psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format

March 10, 2010 - Study Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Citation Text: Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format tha…

Assessing patient safety culture in hospital settings. | PSNet

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August 18, 2021 - Review Assessing patient safety culture in hospital settings. Citation Text: Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health. 2021;18(5):2466. doi:10.3390/ijerph18052466. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

Operational measurement of diagnostic safety: state of the science. | PSNet

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September 28, 2022 - Commentary Emerging Classic Operational measurement of diagnostic safety: state of the science. Citation Text: Singh H, Bradford A, Goeschel CA. Operational measurement of diagnostic safety: state of the science. Diagnosis (Berl). 2021;8(1):51-66. doi:10.1515/dx…

Harnessing the power of medical malpractice data to improve patient care. | PSNet

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September 25, 2019 - Commentary Harnessing the power of medical malpractice data to improve patient care. Citation Text: Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. Copy Citatio…

In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. | PSNet

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April 13, 2017 - Study In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Citation Text: Edwards MT. In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Int J Qual Health Care. 2018;30(8):602-607.…

Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. | PSNet

psnet.ahrq.gov/issue/cognitive-and-implicit-biases-nurses-judgment-and-decision-making-scoping-review

October 20, 2021 - Review Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Citation Text: Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j…

Misunderstanding of prescription drug warning labels among patients with low literacy. | PSNet

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February 28, 2011 - Study Misunderstanding of prescription drug warning labels among patients with low literacy. Citation Text: Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. Copy Ci…

With money at risk, hospitals push staff to wash hands. | PSNet

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May 18, 2022 - Newspaper/Magazine Article With money at risk, hospitals push staff to wash hands. Citation Text: Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Health…

Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance

July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

Literacy and misunderstanding prescription drug labels. | PSNet

psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels

September 17, 2010 - Study Classic Literacy and misunderstanding prescription drug labels. Citation Text: Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. Copy Citation Format: Google Scho…

Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet

psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice

February 21, 2015 - Study Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Citation Text: Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …

Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

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December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. | PSNet

psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise

March 08, 2017 - Commentary Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. Citation Text: Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…

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