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Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. | PSNet

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May 13, 2020 - Study Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. Citation Text: Groves PS, Farag A, Perkhounkova Y, et al. Nurse judgements of hospitalized patients' safety concerns are affected by p…

Failure mode and effects analysis to reduce risk of heparin use. | PSNet

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July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. Citation Text: Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. Copy Citation F…

Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. | PSNet

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April 17, 2019 - Study Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. Citation Text: Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic i…

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

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January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. Citation Text: Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…

Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet

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June 15, 2011 - Study Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Citation Text: Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…

Night-time communication at Stanford University Hospital: perceptions, reality and solutions. | PSNet

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March 24, 2019 - Study Night-time communication at Stanford University Hospital: perceptions, reality and solutions. Citation Text: Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjq…

The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. | PSNet

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September 24, 2016 - Study The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. Citation Text: Nguyen C, Côté J, Lebel D, et al. The AMÉLIE project: failure mode, effects and criticality analysis: a model to evalua…

Between demarcation and discretion: the medical-administrative boundary as a locus of safety in high-volume organisational routines. | PSNet

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June 14, 2017 - Study Between demarcation and discretion: the medical-administrative boundary as a locus of safety in high-volume organisational routines. Citation Text: Grant S, Guthrie B. Between demarcation and discretion: The medical-administrative boundary as a locus of safety in high-volume organi…

An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. | PSNet

psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications

November 08, 2012 - Study An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. Citation Text: McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …

The Quality in Australian Health Care Study. | PSNet

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February 02, 2022 - Study Classic The Quality in Australian Health Care Study. Citation Text: Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x. Copy Citation Forma…

Improving medication-related clinical decision support. | PSNet

psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support

July 01, 2017 - Review Emerging Classic Improving medication-related clinical decision support. Citation Text: Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. …

Chemotherapy errors: a call for a standardized approach to measurement and reporting. | PSNet

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October 28, 2020 - Commentary Chemotherapy errors: a call for a standardized approach to measurement and reporting. Citation Text: Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2…

Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. | PSNet

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December 02, 2015 - Study Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Citation Text: Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth. 2013;110(3):463-7…

A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. | PSNet

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May 26, 2021 - Study A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. Citation Text: Hofer IS, Cheng D, Grogan T. A retrospective analysis demonstrates that a failure …

Information transfer in multidisciplinary operating room teams: a simulation-based observational study. | PSNet

psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational

November 17, 2014 - Study Information transfer in multidisciplinary operating room teams: a simulation-based observational study. Citation Text: Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Qual Saf. 2017;26(3):209-…

Communication failure in the operating room. | PSNet

psnet.ahrq.gov/issue/communication-failure-operating-room

February 25, 2009 - Study Communication failure in the operating room. Citation Text: Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. | PSNet

psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency

April 24, 2018 - Review Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Citation Text: Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. A…

Adverse events during intrahospital transport of critically ill children: a systematic review. | PSNet

psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-children-systematic-review

October 14, 2020 - Review Adverse events during intrahospital transport of critically ill children: a systematic review. Citation Text: Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. …

Medication reconciliation in ambulatory care: attempts at improvement. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-care-attempts-improvement

March 28, 2011 - Study Medication reconciliation in ambulatory care: attempts at improvement. Citation Text: Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. Copy Ci…

Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. | PSNet

psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation

January 04, 2017 - Study Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. Citation Text: Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…

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