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Another medical malpractice crisis?: Try something different. | PSNet

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November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…

Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. | PSNet

psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united

December 05, 2012 - Commentary Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. Citation Text: Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…

Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center

February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. | PSNet

psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias

July 13, 2009 - Review The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. Citation Text: Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…

Trainee autonomy and patient safety. | PSNet

psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety

November 03, 2021 - Commentary Trainee autonomy and patient safety. Citation Text: George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Absence or presence: silent discourse in the operating room and impact on surgical team action. | PSNet

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June 23, 2021 - Study Absence or presence: silent discourse in the operating room and impact on surgical team action. Citation Text: Brommelsiek M, Said T, Gray M, et al. Absence or presence: silent discourse in the operating room and impact on surgical team action. Am J Surg. 2021;221(5):980-986. doi:1…

Understanding the clinical implications of resident involvement in uncommon operations. | PSNet

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October 26, 2022 - Study Understanding the clinical implications of resident involvement in uncommon operations. Citation Text: Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…

Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. | PSNet

psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study

August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…

Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey

January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

Factors associated with system-level activities for patient safety and infection control. | PSNet

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January 15, 2009 - Study Factors associated with system-level activities for patient safety and infection control. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Factors associated with system-level activities for patient safety and infection control. Health Policy (New York). 2009;89(1):26-36. doi…

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical

March 24, 2021 - Study A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. Citation Text: Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health C…

Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet

psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry

September 28, 2017 - Study Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. Citation Text: Motamedi M, Degeling C, M. Carter S. Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry int…

Errors in after-hours phone consultations: a simulation study. | PSNet

psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-simulation-study

March 21, 2017 - Study Errors in after-hours phone consultations: a simulation study. Citation Text: Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243. Copy Citation Format: DOI…

Interventions to improve employee health and well-being within health care organizations: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations

April 11, 2009 - Review Interventions to improve employee health and well-being within health care organizations: a systematic review. Citation Text: Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within health care organizations: A systematic review. J …

A framework for engaging physicians in quality and safety. | PSNet

psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety

July 10, 2008 - Study Classic A framework for engaging physicians in quality and safety. Citation Text: Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167. Copy Citation …

Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. | PSNet

psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex

November 20, 2024 - Study Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. Citation Text: Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient r…

Evaluating the medication process in the context of CPOE use: the significance of working around the system. | PSNet

psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system

February 23, 2009 - Study Evaluating the medication process in the context of CPOE use: the significance of working around the system. Citation Text: Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system.…

Does full disclosure of medical errors affect malpractice liability? The jury is still out. | PSNet

psnet.ahrq.gov/issue/does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out

November 16, 2011 - Review Classic Does full disclosure of medical errors affect malpractice liability? The jury is still out. Citation Text: Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Com…

Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. | PSNet

psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national

December 29, 2014 - Study Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. Citation Text: van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong surgery in …

"Every error counts": a web-based incident reporting and learning system for general practice. | PSNet

psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice

January 08, 2014 - Study "Every error counts": a web-based incident reporting and learning system for general practice. Citation Text: Hoffmann B, Beyer M, Rohe J, et al. "Every error counts": a web-based incident reporting and learning system for general practice. Qual Saf Health Care. 2008;17(4):307-12…

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