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Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. | PSNet

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June 15, 2016 - Study Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. Citation Text: Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…

The influence of electronic health record design on usability and medication safety: systematic review. | PSNet

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July 19, 2023 - Review The influence of electronic health record design on usability and medication safety: systematic review. Citation Text: Cahill M, Cleary BJ, Cullinan S. The influence of electronic health record design on usability and medication safety: systematic review. BMC Health Serv Res. 2025…

Implementing patient safety interventions in your hospital: what to try and what to avoid. | PSNet

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June 03, 2010 - Review Implementing patient safety interventions in your hospital: what to try and what to avoid. Citation Text: Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…

Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. | PSNet

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March 11, 2020 - Study Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. Citation Text: Wrigstad J, Bergström J, Gusta…

Multidisciplinary approaches to reducing error and risk in a patient care setting. | PSNet

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January 05, 2017 - Study Classic Multidisciplinary approaches to reducing error and risk in a patient care setting. Citation Text: Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002…

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. | PSNet

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November 18, 2020 - Review A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Citation Text: St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 20…

Implicit bias in healthcare: clinical practice, research and decision making. | PSNet

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May 25, 2022 - Review Classic Implicit bias in healthcare: clinical practice, research and decision making. Citation Text: Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. d…

Making the business case for patient safety. | PSNet

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March 04, 2011 - Commentary Making the business case for patient safety. Citation Text: Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. | PSNet

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September 15, 2021 - Review Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Citation Text: Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi…

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. | PSNet

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March 27, 2024 - Study Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. Citation Text: Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-15…

Diagnostic Errors in the Emergency Department: A Systematic Review. | PSNet

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October 27, 2021 - Book/Report Diagnostic Errors in the Emergency Department: A Systematic Review. Citation Text: Diagnostic Errors in the Emergency Department: A Systematic Review. Newman-Toker DE, Peterson SM, Badihian S, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2022.&nb…

Root cause analysis of adverse events in an outpatient anticoagulation management consortium. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management-consortium

March 28, 2012 - Study Root cause analysis of adverse events in an outpatient anticoagulation management consortium. Citation Text: Graves CM, Haymart B, Kline-Rogers E, et al. Root Cause Analysis of Adverse Events in an Outpatient Anticoagulation Management Consortium. Jt Comm J Qual Patient Saf. 2017;4…

A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

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November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. | PSNet

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June 15, 2022 - Review Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Citation Text: Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Jt Comm J Qual P…

Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. | PSNet

psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using

November 27, 2012 - Study Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. Citation Text: Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-…

To care is human—collectively confronting the clinician-burnout crisis. | PSNet

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June 10, 2020 - Commentary Classic To care is human—collectively confronting the clinician-burnout crisis. Citation Text: Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejm…

Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims | PSNet

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February 10, 2021 - Study Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims Citation Text: Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of …

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. | PSNet

psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review

December 21, 2014 - Review Emerging Classic Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. Citation Text: Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…

Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. | PSNet

psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection

November 16, 2016 - Review Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. Citation Text: Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of the reliability and validity of …

Engaging patients as vigilant partners in safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review

February 06, 2019 - Review Classic Engaging patients as vigilant partners in safety: a systematic review. Citation Text: Schwappach DLB. Engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010;67(2):119-148. doi:10.1177/1077558709342254. Co…

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