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Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet

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September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

Unexpected death within 72 hours of emergency department visit: were those deaths preventable? | PSNet

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July 08, 2020 - Study Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Citation Text: Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s…

Barriers and facilitators of adverse event reporting by adolescent patients and their families. | PSNet

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February 15, 2023 - Study Barriers and facilitators of adverse event reporting by adolescent patients and their families. Citation Text: Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237…

Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? | PSNet

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July 19, 2023 - Study Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Citation Text: Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.a…

Patient safety in the era of the 80-hour workweek. | PSNet

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March 09, 2019 - Study Patient safety in the era of the 80-hour workweek. Citation Text: Shelton J, Kummerow K, Phillips S, et al. Patient safety in the era of the 80-hour workweek. J Surg Educ. 2014;71(4):551-9. doi:10.1016/j.jsurg.2013.12.011. Copy Citation Format: DOI Google Scholar PubM…

Residents' response to duty-hour regulations—a follow-up national survey. | PSNet

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December 02, 2014 - Study Classic Residents' response to duty-hour regulations—a follow-up national survey. Citation Text: Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056…

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. | PSNet

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January 07, 2011 - Study Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. Citation Text: Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70. Cop…

Analyzing diagnostic errors in the acute setting: a process-driven approach. | PSNet

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December 07, 2022 - Study Analyzing diagnostic errors in the acute setting: a process-driven approach. Citation Text: Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. Copy Citatio…

Patient, physician, medical assistant, and office visit factors associated with medication list agreement. | PSNet

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June 28, 2017 - Study Patient, physician, medical assistant, and office visit factors associated with medication list agreement. Citation Text: Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement. J Patient Saf. 2…

Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach | PSNet

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June 30, 2021 - Study Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach Citation Text: Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General Practiti…

Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. | PSNet

psnet.ahrq.gov/issue/implementation-trigger-review-method-scottish-general-practices-patient-safety-outcomes-and

November 07, 2011 - Study Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. Citation Text: de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices: patient safety outco…

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. | PSNet

psnet.ahrq.gov/issue/simulation-based-training-improves-physicians-performance-patient-care-high-stakes-clinical

October 07, 2020 - Study Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. Citation Text: Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians' performance in patient care in high-stakes clini…

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. | PSNet

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March 15, 2017 - Study Classic Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. Citation Text: Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised

September 28, 2016 - Study Classic An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Citation Text: Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…

Transitioning between electronic health records: effects on ambulatory prescribing safety. | PSNet

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June 03, 2013 - Study Transitioning between electronic health records: effects on ambulatory prescribing safety. Citation Text: Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…

ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. | PSNet

psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review

September 14, 2016 - Review ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. Citation Text: Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547…

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, | PSNet

psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators

March 16, 2022 - Study Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, Citation Text: Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg.…

Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. | PSNet

psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective

September 07, 2016 - Study Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. Citation Text: van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…

Artificial intelligence-supported screen reading versus standard double reading in the Mammography Screening with Artificial Intelligence trial (MASAI): a clinical safety analysis of a randomised, controlled, non-inferiority, single-blinded, screening accuracy study. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-supported-screen-reading-versus-standard-double-reading-mammography

March 27, 2019 - Study Artificial intelligence-supported screen reading versus standard double reading in the Mammography Screening with Artificial Intelligence trial (MASAI): a clinical safety analysis of a randomised, controlled, non-inferiority, single-blinded, screening accuracy study. Citation Text: …

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. | PSNet

psnet.ahrq.gov/issue/putting-out-fires-qualitative-study-exploring-use-patient-complaints-drive-improvement-three

October 27, 2021 - Study Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. Citation Text: Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …

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