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9581. 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…

9582. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. | PSNet
      psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
      September 15, 2021 - Newspaper/Magazine Article A nursing home’s 64-day Covid siege: ‘They’re all going to die’. Citation Text: Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

9583. Relationship between psychological safety and reporting nonadherence to a safety checklist. | PSNet
      psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety-checklist
      April 06, 2022 - Study Relationship between psychological safety and reporting nonadherence to a safety checklist. Citation Text: Gilmartin HM, Langner P, Gokhale M, et al. Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. J Nurs Care Qual. 2018;33(1):53-60. doi:…

9584. The mixed blessings of smart infusion devices and health care IT. | PSNet
      psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devices-and-health-care-it
      March 13, 2024 - Study The mixed blessings of smart infusion devices and health care IT. Citation Text: Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. Copy Citation Format: …

9585. Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement. | PSNet
      psnet.ahrq.gov/issue/positioning-continuing-education-boundaries-and-intersections-between-domains-continuing
      July 03, 2016 - Review Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement. Citation Text: Kitto S, Bell M, Peller J, et al. Positioning continuing education: boundaries and intersections …

9586. 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…

9587. 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/…

9588. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. | PSNet
      psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
      March 13, 2019 - Study Classic A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Citation Text: Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …

9589. Defining attributes of patient safety through a concept analysis. | PSNet
      psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis
      May 08, 2013 - Review Defining attributes of patient safety through a concept analysis. Citation Text: Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715. Copy Citation Format: …

9590. Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet
      psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
      July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

9591. A Tale of Two Stories: Contrasting Views of Patient Safety. | PSNet
      psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
      March 27, 2005 - Book/Report Classic A Tale of Two Stories: Contrasting Views of Patient Safety. Citation Text: A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997. Copy Citation …

9592. TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. | PSNet
      psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
      November 18, 2009 - Review TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. Citation Text: Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatie…

9593. Hospital workload and adverse events. | PSNet
      psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
      August 31, 2011 - Study Classic Hospital workload and adverse events. Citation Text: Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

9594. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. | PSNet
      psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
      April 06, 2011 - Study Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Citation Text: Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessio…

9595. Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. | PSNet
      psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
      May 26, 2011 - Study Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. Citation Text: Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…

9596. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/recognising-and-responding-cutting-corners-when-providing-nursing-care-qualitative-study
      July 01, 2017 - Study Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. Citation Text: Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. do…

9597. Identifying patient safety problems during team rounds: an ethnographic study. | PSNet
      psnet.ahrq.gov/issue/identifying-patient-safety-problems-during-team-rounds-ethnographic-study
      May 11, 2022 - Study Identifying patient safety problems during team rounds: an ethnographic study. Citation Text: Lamba R, Linn K, Fletcher KE. Identifying patient safety problems during team rounds: an ethnographic study. BMJ Qual Saf. 2014;23(8):667-9. doi:10.1136/bmjqs-2013-002324. Copy Citation …

9598. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. | PSNet
      psnet.ahrq.gov/issue/toward-understanding-errors-inpatient-psychiatry-qualitative-inquiry
      December 21, 2018 - Study Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Citation Text: Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z. Copy Citation …

9599. The impact of resident duty hour and supervision changes: a review. | PSNet
      psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervision-changes-review
      September 29, 2017 - Review The impact of resident duty hour and supervision changes: a review. Citation Text: Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061. Copy Citation Format: …

9600. Inpatient housestaff discontinuity of care and patient adverse events. | PSNet
      psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
      July 02, 2008 - Study Inpatient housestaff discontinuity of care and patient adverse events. Citation Text: Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008. Copy Citation …