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Evaluation of a measurement system to assess ICU team performance. | PSNet

psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance

November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

Reviewing methodologically disparate data: a practical guide for the patient safety research field. | PSNet

psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field

April 24, 2018 - Commentary Reviewing methodologically disparate data: a practical guide for the patient safety research field. Citation Text: Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…

Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. | PSNet

psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event

October 21, 2016 - Press Release/Announcement Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. Cita…

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. | PSNet

psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty

July 19, 2023 - Study A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Citation Text: Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…

Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet

psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum

August 03, 2017 - Commentary Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Citation Text: Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…

Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. | PSNet

psnet.ahrq.gov/issue/sustaining-teamwork-behaviors-through-reinforcement-teamstepps-principles

September 02, 2015 - Study Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. Citation Text: Lee S-H, Khanuja HS, Blanding RJ, et al. Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles. J Patient Saf. 2021;17(7):e582-e586. doi:10.1097/pts.0000000000000414.…

Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. | PSNet

psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi

July 05, 2017 - Commentary Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. Citation Text: Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Int…

Health care worker fatigue. | PSNet

psnet.ahrq.gov/issue/health-care-worker-fatigue

July 08, 2020 - Commentary Health care worker fatigue. Citation Text: Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. | PSNet

psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating

March 03, 2011 - Study The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Citation Text: Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…

Nursing home administrators' opinions of the resident safety culture in nursing homes. | PSNet

psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes

April 06, 2011 - Study Nursing home administrators' opinions of the resident safety culture in nursing homes. Citation Text: Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76. Copy Ci…

Physician burnout and medical errors: exploring the relationship, cost, and solutions received. | PSNet

psnet.ahrq.gov/issue/physician-burnout-and-medical-errors-exploring-relationship-cost-and-solutions-received

April 12, 2023 - Review Physician burnout and medical errors: exploring the relationship, cost, and solutions received. Citation Text: Li CJ, Shah YB, Harness ED, et al. Physician burnout and medical errors: exploring the relationship, cost, and solutions received. Am J Med Qual. 2023;38(4):196-202. doi:…

The Preventable Harm Index: an effective motivator to facilitate the drive to zero. | PSNet

psnet.ahrq.gov/issue/preventable-harm-index-effective-motivator-facilitate-drive-zero

January 15, 2014 - Commentary The Preventable Harm Index: an effective motivator to facilitate the drive to zero. Citation Text: Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.201…

Clinical handover incident reporting in one UK general hospital. | PSNet

psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital

May 03, 2023 - Study Clinical handover incident reporting in one UK general hospital. Citation Text: Pezzolesi C, Schifano F, Pickles J, et al. Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. Copy Citation For…

Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care

October 13, 2021 - Study Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Citation Text: Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…

In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. | PSNet

psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection-admission

June 27, 2011 - Review In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Citation Text: Abe T, Tokuda Y, Shiraishi A, et al. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Crit Care. 2019;23(1):2…

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. | PSNet

psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study

May 19, 2018 - Study Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. Citation Text: Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…

Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers

May 01, 2024 - Review Emerging Classic Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. Citation Text: Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthc…

People, systems and safety: resilience and excellence in healthcare practice. | PSNet

psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice

March 04, 2020 - Review Emerging Classic People, systems and safety: resilience and excellence in healthcare practice. Citation Text: Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…

Using HFMEA to assess potential for patient harm from tubing misconnections. | PSNet

psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections

April 19, 2013 - Commentary Using HFMEA to assess potential for patient harm from tubing misconnections. Citation Text: Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381. Copy Citation Format: …

Operational failures detected by frontline acute care nurses. | PSNet

psnet.ahrq.gov/issue/operational-failures-detected-frontline-acute-care-nurses

July 19, 2023 - Study Operational failures detected by frontline acute care nurses. Citation Text: Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791. Copy Citation Format: DO…

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