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Pathologists' perspectives on disclosing harmful pathology error. | PSNet

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January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. | PSNet

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August 25, 2021 - Study Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. Citation Text: Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…

Organizational learning in the morbidity and mortality conference. | PSNet

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June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

An organization-specific and modifiable inpatient safety composite measure. | PSNet

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June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…

Unplanned return to theater: a quality of care and risk management index? | PSNet

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August 20, 2018 - Study Unplanned return to theater: a quality of care and risk management index? Citation Text: Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. …

Efficacy of an incident-reporting system in cellular pathology: a practical experience. | PSNet

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August 21, 2024 - Study Efficacy of an incident-reporting system in cellular pathology: a practical experience. Citation Text: Rakha EA, Clark D, Chohan BS, et al. Efficacy of an incident-reporting system in cellular pathology: a practical experience. J Clin Pathol. 2012;65(7):643-8. doi:10.1136/jclinpa…

Characteristics of pediatric chemotherapy medication errors in a national error reporting database. | PSNet

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September 21, 2008 - Study Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Citation Text: Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186-95.…

The critical incident technique. | PSNet

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January 07, 2015 - Study Classic The critical incident technique. Citation Text: FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare | PSNet

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July 19, 2023 - Study A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare Citation Text: Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contr…

Is it possible to identify risks for injurious falls in hospitalized patients? | PSNet

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December 12, 2012 - Study Is it possible to identify risks for injurious falls in hospitalized patients? Citation Text: Mion LC, Chandler M, Waters TM, et al. Is it possible to identify risks for injurious falls in hospitalized patients? Jt Comm J Qual Patient Saf. 2012;38(9):408-13. Copy Citation For…

Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. | PSNet

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August 18, 2021 - Study Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. Citation Text: Brunt BA, Gifford L. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timel…

Communication elements supporting patient safety in psychiatric inpatient care. | PSNet

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July 01, 2013 - Study Communication elements supporting patient safety in psychiatric inpatient care. Citation Text: Kanerva A, Kivinen T, Lammintakanen J. Communication elements supporting patient safety in psychiatric inpatient care. J Psychiatr Ment Health Nurs. 2015;22(5):298-305. doi:10.1111/jpm.12…

Closing the loop with ambulatory staff on safety reports. | PSNet

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April 22, 2016 - Study Closing the loop with ambulatory staff on safety reports. Citation Text: Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. Copy Citation Format: DOI…

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? | PSNet

psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning

September 09, 2015 - Study Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? Citation Text: Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual He…

A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet

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October 19, 2022 - Commentary A lethal hidden curriculum—death of a medical student from opioid use disorder. Citation Text: Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. Copy C…

Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. | PSNet

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July 29, 2020 - Study Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Citation Text: Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…

How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet

psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals

October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial. | PSNet

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June 03, 2020 - Study The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial. Citation Text: Uchal M, Tjugum J, Martinsen E, et al. The impact of sleep deprivation on product quality and procedure effectivene…

How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. | PSNet

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October 19, 2022 - Study How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Citation Text: Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient…

Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. | PSNet

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October 07, 2020 - Review Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. Citation Text: Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: …

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