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psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
May 15, 2024 - Study
Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study.
Citation Text:
Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…
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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - Study
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Study
Care transition of trauma patients: processes with articulation work before and after handoff.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…
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psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients
December 16, 2020 - Study
Use of an expedited review tool to screen for prior diagnostic error in emergency department patients.
Citation Text:
Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Appl Clin Inform. 2015;06(0…
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psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-methods-study
June 08, 2022 - Study
Risk perception on the labour ward: a mixed methods study.
Citation Text:
McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428.
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psnet.ahrq.gov/issue/reliability-verbal-handoff-assessment-and-handoff-quality-and-after-implementation-resident
November 16, 2022 - Study
Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.
Citation Text:
Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resi…
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psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and
February 10, 2015 - Study
Classic
Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.
Citation Text:
DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences relat…
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psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
September 23, 2020 - Study
Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings.
Citation Text:
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…
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psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
February 03, 2011 - Study
Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention.
Citation Text:
Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…
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psnet.ahrq.gov/issue/aging-stigma-and-health-us-adults-over-65-what-do-we-know
December 23, 2020 - Review
Aging stigma and the health of US adults over 65: what do we know?
Citation Text:
Allen J, Sikora N. Aging stigma and the health of US adults over 65: what do we know? Clin Interv Aging. 2023;18:2093-2116. doi:10.2147/cia.s396833.
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psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety
August 20, 2018 - Study
Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds.
Citation Text:
Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…
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psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
March 17, 2021 - Review
Summary and frequency of barriers to adoption of CPOE in the US.
Citation Text:
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2.
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psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
April 24, 2018 - Study
Classic
Liability claims and costs before and after implementation of a medical error disclosure program.
Citation Text:
Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure …
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psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation
May 20, 2019 - Study
Ensuring safe practice by late career physicians: institutional policies and implementation experiences.
Citation Text:
White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med…
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psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
July 07, 2021 - Review
Classic
The potential for improved teamwork to reduce medical errors in the emergency department.
Citation Text:
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…
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psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
June 08, 2022 - Study
Debrief it all: a tool for inclusion of Safety-II.
Citation Text:
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
June 09, 2015 - Review
Teaching medical error disclosure to physicians-in-training: a scoping review.
Citation Text:
Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f.
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psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
October 16, 2012 - Review
Classic
Cognitive interventions to reduce diagnostic error: a narrative review.
Citation Text:
Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
July 21, 2011 - Review
Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.
Citation Text:
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
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psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
April 27, 2022 - Review
The value of learning from near misses to improve patient safety: a scoping review.
Citation Text:
Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…