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Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. | PSNet

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October 23, 2024 - Study Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. Citation Text: Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…

Does crew resource management training work? An update, an extension, and some critical needs. | PSNet

psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs

January 02, 2017 - Review Does crew resource management training work? An update, an extension, and some critical needs. Citation Text: Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:…

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. | PSNet

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July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…

Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. | PSNet

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August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…

Views of children, parents, and health-care providers on pediatric disclosure of medical errors. | PSNet

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April 08, 2020 - Study Views of children, parents, and health-care providers on pediatric disclosure of medical errors. Citation Text: Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…

Fostering a just culture in healthcare organizations: experiences in practice. | PSNet

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August 10, 2022 - Study Fostering a just culture in healthcare organizations: experiences in practice. Citation Text: van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-0…

Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. | PSNet

psnet.ahrq.gov/issue/does-racism-impact-healthcare-quality-perspectives-black-and-hispaniclatino-patients

October 19, 2022 - Study Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. Citation Text: Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.…

Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. | PSNet

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March 24, 2021 - Commentary Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. Citation Text: Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…

Rooting an error review process in just culture: lessons learned. | PSNet

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April 20, 2022 - Commentary Rooting an error review process in just culture: lessons learned. Citation Text: Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5. Copy Citati…

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…

The impact of errors on healthcare professionals in the critical care setting. | PSNet

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October 27, 2021 - Study The impact of errors on healthcare professionals in the critical care setting. Citation Text: Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. Copy…

The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. | PSNet

psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study

July 13, 2010 - Study The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Citation Text: Jones D, Bagshaw SM, Barrett J, et al. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Crit Car…

Managing competing organizational priorities in clinical handover across organizational boundaries. | PSNet

psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational

February 07, 2024 - Study Managing competing organizational priorities in clinical handover across organizational boundaries. Citation Text: Sujan MA, Chessum P, Rudd M, et al. Managing competing organizational priorities in clinical handover across organizational boundaries. J Health Serv Res Policy. 2015;…

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 impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. | PSNet

psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical

December 17, 2010 - Study The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. Citation Text: Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medi…

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

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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…

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

psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings

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…

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

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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 …

Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. | PSNet

psnet.ahrq.gov/issue/tackling-communication-barriers-between-long-term-care-facility-and-emergency-department

August 02, 2017 - Commentary Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. Citation Text: Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department tran…

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