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  1. Evidence summary and recommendations for improved communication during care transitions. | PSNet

    psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
    October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…

  2. Participation in a system-thinking simulation experience changes adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
    July 30, 2014 - Study Participation in a system-thinking simulation experience changes adverse event reporting. Citation Text: Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…

  3. Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. | PSNet

    psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating
    December 07, 2011 - Study Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. Citation Text: Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety practices and f…

  4. Key considerations in ensuring a safe regional telehealth care model: a systematic review. | PSNet

    psnet.ahrq.gov/issue/key-considerations-ensuring-safe-regional-telehealth-care-model-systematic-review
    August 25, 2021 - Review Key considerations in ensuring a safe regional telehealth care model: a systematic review. Citation Text: Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.05…

  5. Designing highly reliable adverse-event detection systems to predict subsequent claims. | PSNet

    psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
    September 01, 2018 - Study Designing highly reliable adverse-event detection systems to predict subsequent claims. Citation Text: Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm…

  6. Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. | PSNet

    psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
    July 05, 2017 - Commentary Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. Citation Text: Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…

  7. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. | PSNet

    psnet.ahrq.gov/issue/why-worry-worry-risk-perceptions-and-willingness-act-reduce-medical-errors
    September 10, 2009 - Study Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Citation Text: Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.…

  8. Beyond the prescription: medication monitoring and adverse drug events in older adults. | PSNet

    psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
    August 04, 2021 - Commentary Beyond the prescription: medication monitoring and adverse drug events in older adults. Citation Text: Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. d…

  9. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. | PSNet

    psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
    October 15, 2014 - Study An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. Citation Text: Katz MG, Rockne WY, Braga R, et al. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. A…

  10. The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. | PSNet

    psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
    April 03, 2009 - Book/Report Classic The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Citation Text: The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…

  11. Association of hospitalist years of experience with mortality in the hospitalized Medicare population. | PSNet

    psnet.ahrq.gov/issue/association-hospitalist-years-experience-mortality-hospitalized-medicare-population
    May 11, 2022 - Study Association of hospitalist years of experience with mortality in the hospitalized Medicare population. Citation Text: Goodwin JS, Salameh H, Zhou J, et al. Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2017;1…

  12. The effect of health information technology on quality in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/effect-health-information-technology-quality-us-hospitals
    September 27, 2010 - Study The effect of health information technology on quality in U.S. hospitals. Citation Text: McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S. hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155. …

  13. Validating patient safety in the endoscopy unit using The Joint Commission standards. | PSNet

    psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
    March 02, 2011 - Commentary Validating patient safety in the endoscopy unit using The Joint Commission standards. Citation Text: Ragsdale JA. Validating patient safety in the endoscopy unit using the joint commission standards. Gastroenterol Nurs. 2011;34(3):218-23. doi:10.1097/SGA.0b013e3181d6e4b1. …

  14. Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
    September 13, 2023 - Study Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. Citation Text: Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their cont…

  15. JAMA professionalism: disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
    December 19, 2018 - Commentary JAMA professionalism: disclosure of medical error. Citation Text: Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  16. Diagnostic error in pediatric cancer. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
    November 16, 2022 - Study Diagnostic error in pediatric cancer. Citation Text: Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  17. Incidence of speech recognition errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
    February 14, 2017 - Study Incidence of speech recognition errors in the emergency department. Citation Text: Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005. Copy Citation Format: …

  18. Using simulation to improve systems-based practices. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
    January 22, 2016 - Review Using simulation to improve systems-based practices. Citation Text: Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. Copy Citation Format: …

  19. Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. | PSNet

    psnet.ahrq.gov/issue/evidence-based-medicine-cornerstone-clinical-care-not-quality-improvement
    September 01, 2021 - Commentary Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. Citation Text: Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.131…

  20. Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
    June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…
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