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Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. | PSNet

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November 18, 2016 - Commentary Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. Citation Text: Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve …

Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? | PSNet

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November 16, 2022 - Review Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Citation Text: Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Drugs Aging. 2022;39(8…

Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. | PSNet

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June 10, 2020 - Study Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Citation Text: Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu…

Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. | PSNet

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September 04, 2019 - Commentary Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. Citation Text: Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…

Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. | PSNet

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June 10, 2020 - Study Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. Citation Text: Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf…

What is the scale of prescribing errors committed by junior doctors? A systematic review. | PSNet

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January 30, 2013 - Review What is the scale of prescribing errors committed by junior doctors? A systematic review. Citation Text: Ross S, Bond C, Rothnie H, et al. What is the scale of prescribing errors committed by junior doctors? A systematic review. Br J Clin Pharmacol. 2009;67(6):629-40. doi:10.111…

Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality? | PSNet

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June 23, 2021 - Study Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality? Citation Text: Perez V, Freedman S. Do Crowdsourced Hospital Ratings Coincide with Hospital Compare Measures of Clinical and Nonclinical Quality? Health Serv Res. 2018;53(6…

Detection of adverse drug events using an electronic trigger tool. | PSNet

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October 02, 2013 - Study Detection of adverse drug events using an electronic trigger tool. Citation Text: Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481. Copy Citation F…

Accuracy of infection reporting in US nursing home ratings. | PSNet

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August 24, 2022 - Study Accuracy of infection reporting in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195. Copy Citation Format: DOI…

The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

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March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

The business case for quality: case studies and an analysis. | PSNet

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February 23, 2019 - Study Classic The business case for quality: case studies and an analysis. Citation Text: Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. Copy Citation Format: …

Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. | PSNet

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February 07, 2024 - Study Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. Citation Text: Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teachi…

When the lights go down in the delivery room: lessons from a ransomware attack. | PSNet

psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack

September 02, 2020 - Commentary When the lights go down in the delivery room: lessons from a ransomware attack. Citation Text: Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency

August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings. | PSNet

psnet.ahrq.gov/issue/associations-between-hospital-characteristics-measure-reporting-and-centers-medicare-medicaid

February 14, 2017 - Study Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings. Citation Text: DeLancey JO, Softcheck J, Chung JW, et al. Associations Between Hospital Characteristics, Measure Reporting, and …

Seen through the patients' eyes: surgical safety and checklists. | PSNet

psnet.ahrq.gov/issue/seen-through-patients-eyes-surgical-safety-and-checklists

May 16, 2018 - Study Seen through the patients' eyes: surgical safety and checklists. Citation Text: Bergs J, Lambrechts F, Desmedt M, et al. Seen through the patients' eyes: surgical safety and checklists. Int J Qual Health Care. 2018;30(2):118-123. doi:10.1093/intqhc/mzx180. Copy Citation Forma…

A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. | PSNet

psnet.ahrq.gov/issue/guide-evaluation-quality-improvement-and-patient-safety-educational-programs-lessons-va-chief

February 26, 2020 - Commentary A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. Citation Text: Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educa…

Crew resource management improved perception of patient safety in the operating room. | PSNet

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April 27, 2010 - Study Crew resource management improved perception of patient safety in the operating room. Citation Text: Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual. 2010;25(1):60-3. doi:10.1177/1062860609351…

Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. | PSNet

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November 20, 2013 - Study Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. Citation Text: Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…

Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. | PSNet

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November 17, 2014 - Review Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Citation Text: Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…

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