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Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. | PSNet

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March 09, 2009 - Commentary Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Citation Text: Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Pat…

Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

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January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. | PSNet

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August 20, 2018 - Organizational Policy/Guidelines Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Citation Text: Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Obstet Gynecol. 2016;128(3):e54-60. doi:10.1097/AOG.0000000000001642. Copy C…

Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. | PSNet

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May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …

Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals. | PSNet

psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient

April 21, 2015 - Study Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals. Citation Text: Martin G, Leslie M, Minion J, et al. Between surveillance and subjectification: professionals and the governance of quality and patient sa…

Standard practices for computerized clinical decision support in community hospitals: a national survey. | PSNet

psnet.ahrq.gov/issue/standard-practices-computerized-clinical-decision-support-community-hospitals-national-survey

April 29, 2018 - Study Standard practices for computerized clinical decision support in community hospitals: a national survey. Citation Text: Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform A…

Rescue me: saving the vulnerable non-ICU patient population. | PSNet

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June 01, 2011 - Study Rescue me: saving the vulnerable non-ICU patient population. Citation Text: Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205. Copy Citation Format: Google Scholar PubMed Bib…

A review of the literature examining linkages between organizational factors, medical errors, and patient safety. | PSNet

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June 24, 2010 - Review A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Citation Text: Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …

Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. | PSNet

psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements

September 29, 2017 - Study Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Citation Text: Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …

The impact of meaningful use and electronic health records on hospital patient safety. | PSNet

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June 29, 2022 - Study The impact of meaningful use and electronic health records on hospital patient safety. Citation Text: Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi…

From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. | PSNet

psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy

April 21, 2021 - Study From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. Citation Text: Cuba L, Dürr P, Dörje F, et al. From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. Clin Ph…

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. | PSNet

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March 11, 2020 - Review Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. Citation Text: Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…

Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. | PSNet

psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related

September 09, 2020 - Study Classic Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. Citation Text: Patrick SW, Fry CE, Jones TF, et al. Implementation of prescription drug monitoring programs associated with reductions…

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic

July 29, 2020 - Study Classic Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. Citation Text: Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …

An initiative to reduce insulin-related adverse drug events in a children's hospital. | PSNet

psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital

March 24, 2021 - Study An initiative to reduce insulin-related adverse drug events in a children's hospital. Citation Text: Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds…

Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. | PSNet

psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals

January 12, 2022 - Study Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. Citation Text: Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals i…

Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. | PSNet

psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global

December 09, 2020 - Study Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. Citation Text: Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…

Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. | PSNet

psnet.ahrq.gov/issue/patient-safety-executive-hospital-management-wards-qualitative-study-identifying-factors

March 08, 2023 - Study Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. Citation Text: Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a qualitative study identifying factors influen…

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals

October 20, 2021 - Study Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. Citation Text: Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…

Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet

psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

February 12, 2020 - Commentary Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Citation Text: Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(…

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