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Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. | PSNet

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September 28, 2010 - Review Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Citation Text: Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure…

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet

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September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Citation Text: Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. …

Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet

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January 03, 2017 - Study Classic Organizational factors associated with high performance in quality and safety in academic medical centers. Citation Text: Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…

The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study. | PSNet

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May 27, 2011 - Study The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study. Citation Text: Karpman C, Keegan MT, Jensen J, et al. The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-cent…

Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. | PSNet

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January 19, 2022 - Study Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. Citation Text: Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive c…

The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey. | PSNet

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January 22, 2014 - Study The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey. Citation Text: Ausserhofer D, Schubert M, Desmedt M, et al. The association of patient safety climate and nurse-related organizational fact…

The American College of Surgeons' closed claims study: new insights for improving care. | PSNet

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March 02, 2011 - Study The American College of Surgeons' closed claims study: new insights for improving care. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.…

Predicting avoidable hospital events in Maryland. | PSNet

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April 06, 2022 - Study Predicting avoidable hospital events in Maryland. Citation Text: Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891. Copy Citation Format: DOI Google Scholar BibTeX En…

Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. | PSNet

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December 21, 2014 - Study Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Citation Text: Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann S…

Video capture of clinical care to enhance patient safety. | PSNet

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March 28, 2012 - Study Classic Video capture of clinical care to enhance patient safety. Citation Text: Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44. Copy Citation Format: …

Healthcare climate: a framework for measuring and improving patient safety. | PSNet

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November 02, 2010 - Study Healthcare climate: a framework for measuring and improving patient safety. Citation Text: Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med. 2007;35(5):1312-7. Copy Citation Format: Goo…

Medical errors and quality of care: from control to commitment. | PSNet

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July 15, 2020 - Commentary Medical errors and quality of care: from control to commitment. Citation Text: Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. Copy Citation Format…

A survey of hospital quality improvement activities. | PSNet

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January 27, 2019 - October 21, 2010 Impact and implications of disruptive behavior in the perioperative

Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. | PSNet

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May 19, 2021 - Study Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. Citation Text: Khidir H, McWilliams JM, O’Malley AJ, et al. Analysis of consistency in emergency department physician variation in propensity for …

Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. | PSNet

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January 13, 2010 - Study Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. Citation Text: Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory …

ASPEN survey of parenteral nutrition access issues: how the system fails the patients. | PSNet

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October 02, 2013 - Study ASPEN survey of parenteral nutrition access issues: how the system fails the patients. Citation Text: Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.1…

Electronic health record alert–related workload as a predictor of burnout in primary care providers. | PSNet

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November 11, 2020 - Study Electronic health record alert–related workload as a predictor of burnout in primary care providers. Citation Text: Gregory ME, Russo E, Singh H. Electronic Health Record Alert-Related Workload as a Predictor of Burnout in Primary Care Providers. Appl Clin Inform. 2017;8(3):686-697…

Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet

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October 11, 2023 - Study Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Citation Text: Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…

A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-paradigm-patient-safety-designing-support-performance-healthcare

February 02, 2011 - Study A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. Citation Text: Karsh B-T, Holden RJ, Alper SJ, et al. A human factors engineering paradigm for patient safety: designing to support the performance of the…

US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet

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January 23, 2017 - Study US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. Citation Text: Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…

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