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Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm

February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution following patient harm. Citation Text: Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. | PSNet

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August 17, 2017 - Study Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. Citation Text: Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2)…

Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

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August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

Student mistakes and teacher reactions in bedside teaching. | PSNet

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January 18, 2012 - Study Student mistakes and teacher reactions in bedside teaching. Citation Text: Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y. Copy Citat…

Rapid response systems in adult academic medical centers. | PSNet

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February 16, 2011 - Study Rapid response systems in adult academic medical centers. Citation Text: Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. Copy Citation Format: Google Scholar PubMed BibTeX E…

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…

Active-shooter response at a health care facility. | PSNet

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January 18, 2012 - Commentary Active-shooter response at a health care facility. Citation Text: Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582. Copy Citation Format: DOI Google Scholar PubM…

Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. | PSNet

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May 13, 2009 - Study Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. Citation Text: Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54…

Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. | PSNet

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October 19, 2022 - Review Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Citation Text: Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …

Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. | PSNet

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April 24, 2018 - Commentary Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. Citation Text: Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …

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…

How long does it take to train a surgeon? | PSNet

psnet.ahrq.gov/issue/how-long-does-it-take-train-surgeon

October 16, 2024 - Commentary How long does it take to train a surgeon? Citation Text: Jackson GP, Tarpley JL. How long does it take to train a surgeon? BMJ. 2009;339:b4260. doi:10.1136/bmj.b4260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. | PSNet

psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking

March 28, 2012 - Commentary Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Citation Text: Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…

The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. | PSNet

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July 19, 2023 - Study The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. Citation Text: Sama SR, Quinn MM, Gore RJ, et al. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. J Appl Gerontol. 2024;43(11):1595-1604. doi:10.1…

Can patients be part of the solution? Views on their role in preventing medical errors. | PSNet

psnet.ahrq.gov/issue/can-patients-be-part-solution-views-their-role-preventing-medical-errors

July 22, 2010 - Study Can patients be part of the solution? Views on their role in preventing medical errors. Citation Text: Hibbard JH, Peters E, Slovic P, et al. Can patients be part of the solution? Views on their role in preventing medical errors. Med Care Res Rev. 2005;62(5):601-16. Copy Citati…

Hospital patient safety grades may misrepresent hospital performance. | PSNet

psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance

September 21, 2022 - Study Hospital patient safety grades may misrepresent hospital performance. Citation Text: Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139. Copy Citation Format: DOI…

Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. | PSNet

psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have

April 08, 2020 - Study Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. Citation Text: Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…

Improving communication and resolution following adverse events using a patient-created simulation exercise. | PSNet

psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created

September 01, 2018 - Study Improving communication and resolution following adverse events using a patient-created simulation exercise. Citation Text: Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…

Speaking up about the dangers of the hidden curriculum. | PSNet

psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum

September 30, 2020 - Commentary Speaking up about the dangers of the hidden curriculum. Citation Text: Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073. Copy Citation Format: DOI Google…

Online medication error graphic reports: a pilot in North Carolina nursing homes. | PSNet

psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes

March 24, 2011 - Study Online medication error graphic reports: a pilot in North Carolina nursing homes. Citation Text: Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4…

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