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Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. | PSNet

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June 10, 2020 - Study Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. Citation Text: Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf…

Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. | PSNet

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January 31, 2024 - Book/Report Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. Citation Text: Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the …

Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet

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July 13, 2022 - Book/Report Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. Citation Text: Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Rou…

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…

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

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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…

Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. | PSNet

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May 19, 2021 - Study Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. Citation Text: Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet

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March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…

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

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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…

Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. | PSNet

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March 02, 2011 - Review Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. Citation Text: Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…

Crew resource management improved perception of patient safety in the operating room. | PSNet

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April 27, 2010 - Study Crew resource management improved perception of patient safety in the operating room. Citation Text: Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual. 2010;25(1):60-3. doi:10.1177/1062860609351…

Patient safety climate in US hospitals: variation by management level. | PSNet

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November 18, 2009 - Study Classic Patient safety climate in US hospitals: variation by management level. Citation Text: Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e…

Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. | PSNet

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April 10, 2024 - Review Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Citation Text: Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Ana…

Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. | PSNet

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June 04, 2014 - Study Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. Citation Text: Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…

The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet

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January 18, 2023 - Study The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. Citation Text: Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID‐19 infection with Patient Safety Indicator‐12 events in a multisite healthcare …

"They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences

November 29, 2017 - Study "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. Citation Text: Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…

Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. | PSNet

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March 01, 2023 - Study Emerging Classic Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. Citation Text: Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Pre…

CT for suspected appendicitis in children: an analysis of diagnostic errors. | PSNet

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August 20, 2018 - Study CT for suspected appendicitis in children: an analysis of diagnostic errors. Citation Text: Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. Copy Citation Format: …

The use of technology for urgent clinician to clinician communications: a systematic review of the literature. | PSNet

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September 09, 2015 - Review The use of technology for urgent clinician to clinician communications: a systematic review of the literature. Citation Text: Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. I…

Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. | PSNet

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December 01, 2011 - Study Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. Citation Text: Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-up: Results from a national survey in Denmark. Ca…

A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. | PSNet

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February 26, 2020 - Commentary A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. Citation Text: Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educa…

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