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When a surgical colleague makes an error. | PSNet

psnet.ahrq.gov/issue/when-surgical-colleague-makes-error

December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

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August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

Making surgery as safe as it should be: a qualitative study. | PSNet

psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study

July 02, 2014 - Study Making surgery as safe as it should be: a qualitative study. Citation Text: Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual. 2023;38(5):238-244. doi:10.1097/jmq.0000000000000139. Copy Citation Format: DOI Google Scho…

Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. | PSNet

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April 19, 2013 - Study Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. Citation Text: McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicin…

A system-wide hospital child maltreatment patient safety program. | PSNet

psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program

September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

Using HFMEA to assess potential for patient harm from tubing misconnections. | PSNet

psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections

April 19, 2013 - Commentary Using HFMEA to assess potential for patient harm from tubing misconnections. Citation Text: Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381. Copy Citation Format: …

Interrogating and uprooting systemic racism in the emergency department. | PSNet

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March 05, 2025 - Commentary Interrogating and uprooting systemic racism in the emergency department. Citation Text: Sangal RB, Khidir H, Agarwal AK. Interrogating and uprooting systemic racism in the emergency department. JAMA Health Forum. 2024;5(8):e242347. doi:10.1001/jamahealthforum.2024.2347. Copy…

Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. | PSNet

psnet.ahrq.gov/issue/inter-and-intra-rater-reliability-classification-medication-related-events-paediatric

August 20, 2018 - Study Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Citation Text: Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf …

Do safety briefings improve patient safety in the acute hospital setting? A systematic review. | PSNet

psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review

August 14, 2024 - Review Do safety briefings improve patient safety in the acute hospital setting? A systematic review. Citation Text: Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…

Mental models: a basic concept for human factors design in infection prevention. | PSNet

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April 26, 2017 - Commentary Mental models: a basic concept for human factors design in infection prevention. Citation Text: Sax H, Clack L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect. 2015;89(4):335-9. doi:10.1016/j.jhin.2014.12.008. Copy Citation …

Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health

January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

Adverse events and near misses relating to information management in a hospital. | PSNet

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December 29, 2014 - Study Adverse events and near misses relating to information management in a hospital. Citation Text: Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551. Copy Ci…

Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet

psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died

September 30, 2020 - Book/Report Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Citation Text: Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…

Surgical management and outcomes of 165 colonoscopic perforations from a single institution. | PSNet

psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution

November 16, 2022 - Study Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Citation Text: Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…

Informatics opportunities: the intersection of patient safety and clinical informatics. | PSNet

psnet.ahrq.gov/issue/informatics-opportunities-intersection-patient-safety-and-clinical-informatics

May 27, 2011 - Commentary Informatics opportunities: the intersection of patient safety and clinical informatics. Citation Text: Kilbridge PM, Classen D. The informatics opportunities at the intersection of patient safety and clinical informatics. J Am Med Inform Assoc. 2008;15(4):397-407. doi:10.119…

Health care work environments, employee satisfaction, and patient safety: care provider perspectives. | PSNet

psnet.ahrq.gov/issue/health-care-work-environments-employee-satisfaction-and-patient-safety-care-provider

October 12, 2011 - Study Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Citation Text: Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Health Care Manage Rev. 2007;32(1):2-11. …

Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet

psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries

July 29, 2020 - Study Determinants of patient-reported medication errors: a comparison among seven countries. Citation Text: Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…

Safe work-hour standards for parents of children with medical complexity. | PSNet

psnet.ahrq.gov/issue/safe-work-hour-standards-parents-children-medical-complexity

April 24, 2018 - Commentary Safe work-hour standards for parents of children with medical complexity. Citation Text: Schall TE, Foster CC, Feudtner C. Safe Work-Hour Standards for Parents of Children With Medical Complexity. JAMA Pediatr. 2019;174(1):7-8. doi:10.1001/jamapediatrics.2019.4003. Copy Cit…

Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-initiatives-future-practice-surgery-meeting-patient-demands-enhanced

August 04, 2021 - Commentary Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. Citation Text: Russell TR. Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. Surg Tod…

The problem with…using stories as a source of evidence and learning. | PSNet

psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning

June 19, 2018 - Commentary The problem with…using stories as a source of evidence and learning. Citation Text: Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221. Copy Citation Format: DOI Google …

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