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Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. | PSNet

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August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…

Factors that drive team participation in surgical safety checks: a prospective study. | PSNet

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August 15, 2018 - Study Factors that drive team participation in surgical safety checks: a prospective study. Citation Text: Gillespie BM, Withers TK, Lavin J, et al. Factors that drive team participation in surgical safety checks: a prospective study. Patient Saf Surg. 2016;10:3. doi:10.1186/s13037-015-0…

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications. | PSNet

psnet.ahrq.gov/issue/using-patient-safety-indicators-detect-potential-safety-events-among-us-veterans-psychotic

November 16, 2022 - Study Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications. Citation Text: Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among US veterans w…

What happens to the medication regimens of older adults during and after an acute hospitalization? | PSNet

psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization

May 19, 2021 - Study What happens to the medication regimens of older adults during and after an acute hospitalization? Citation Text: Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…

Measuring the overall development of patient safety in a new hospital using trigger tools. | PSNet

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April 12, 2019 - Study Measuring the overall development of patient safety in a new hospital using trigger tools. Citation Text: Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10…

Combined SNA and LDA methods to understand adverse medical events | PSNet

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November 15, 2023 - Journal Article Combined SNA and LDA methods to understand adverse medical events Citation Text: Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. Copy Citation Form…

The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. | PSNet

psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state

September 12, 2016 - Study The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. Citation Text: Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…

Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. | PSNet

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February 01, 2011 - Study Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Citation Text: Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 20…

A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. | PSNet

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March 29, 2012 - Study A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Citation Text: Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Sci Rep. 2024;14…

Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

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March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

Challenges and strategies for patient safety in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/challenges-and-strategies-patient-safety-primary-care-qualitative-study

October 13, 2021 - Study Challenges and strategies for patient safety in primary care: a qualitative study. Citation Text: Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.00000000000…

Effectiveness and efficiency of root cause analysis in medicine. | PSNet

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July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. | PSNet

psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate

August 12, 2020 - Study Classic Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. Citation Text: Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concern…

The abrupt expansion of ambulatory telemedicine: implications for patient safety. | PSNet

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July 13, 2022 - Commentary The abrupt expansion of ambulatory telemedicine: implications for patient safety. Citation Text: Khoong EC, Sharma AE, Gupta K, et al. The abrupt expansion of ambulatory telemedicine: implications for patient safety. J Gen Intern Med. 2022;37(5):1270-1274. doi:10.1007/s11606-0…

Failure to rescue female patients undergoing high-risk surgery. | PSNet

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October 25, 2017 - Study Failure to rescue female patients undergoing high-risk surgery. Citation Text: Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574. Copy Citation Format: …

A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

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November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

Five-year audit of adherence to an anaesthesia pre-induction checklist. | PSNet

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May 19, 2021 - Study Five-year audit of adherence to an anaesthesia pre-induction checklist. Citation Text: Fuchs A, Frick S, Huber M, et al. Five‐year audit of adherence to an anaesthesia pre‐induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. Copy Citation Format: …

Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-satisfaction-and-quality-care-systematic-review-and-meta

November 18, 2016 - Review Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. Citation Text: Li LZ, Yang P, Singer SJ, et al. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open. 2…

Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims

June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. | PSNet

psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs

September 15, 2011 - Study The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Citation Text: Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…

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