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Telehealth safety framework: addressing a new frontier in patient safety. | PSNet

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December 21, 2022 - Commentary Telehealth safety framework: addressing a new frontier in patient safety. Citation Text: Gomes KM, Apathy N, Krevat SA, et al. Telehealth safety framework: addressing a new frontier in patient safety. J Patient Saf. 2024;20(5):358-359. doi:10.1097/pts.0000000000001243. Copy …

A piece of my mind. Hard times and hard stops. | PSNet

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December 11, 2024 - Commentary A piece of my mind. Hard times and hard stops. Citation Text: Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. | PSNet

psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim

June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…

Frontiers in measuring structural racism and its health effects. | PSNet

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April 06, 2022 - Commentary Frontiers in measuring structural racism and its health effects. Citation Text: Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978. Copy Citation Format: DOI Google…

Workarounds in the workplace: a second look. | PSNet

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December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

Errors in surgery: a case control study. | PSNet

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May 01, 2024 - Study Errors in surgery: a case control study. Citation Text: Marsh KM, Turrentine FE, Schenk WG, et al. Errors in surgery: a case control study. Ann Surg. 2022;276(5):e347-e352. doi:10.1097/sla.0000000000005664. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). | PSNet

psnet.ahrq.gov/issue/toolkit-disseminate-best-practices-inpatient-medication-reconciliation-multi-center

January 23, 2019 - Commentary A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). Citation Text: Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medicatio…

Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. | PSNet

psnet.ahrq.gov/issue/implementation-patient-safety-incident-management-system-viewed-doctors-nurses-and-allied

March 23, 2011 - Study Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. Citation Text: Travaglia J, Westbrook MT, Braithwaite J. Implementation of a patient safety incident management system as viewed by doctors, nurses and alli…

From tasks to processes: the case for changing health information technology to improve health care. | PSNet

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February 10, 2015 - Commentary From tasks to processes: the case for changing health information technology to improve health care. Citation Text: Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-…

Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. | PSNet

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April 05, 2023 - Commentary Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. Citation Text: McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application…

From guideline to order set to patient harm. | PSNet

psnet.ahrq.gov/issue/guideline-order-set-patient-harm

October 10, 2017 - Commentary From guideline to order set to patient harm. Citation Text: Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

Strategies for sustaining a quality improvement collaborative and its patient safety gains. | PSNet

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February 01, 2011 - Study Strategies for sustaining a quality improvement collaborative and its patient safety gains. Citation Text: Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:…

Examining medical office owners and clinicians perceptions on patient safety climate. | PSNet

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December 21, 2018 - Study Examining medical office owners and clinicians perceptions on patient safety climate. Citation Text: Mazurenko O, Richter J, Kazley AS, et al. Examining Medical Office Owners and Clinicians Perceptions on Patient Safety Climate. J Patient Saf. 2021;17(8):e1537-e1545. doi:10.1097/PT…

A health system–wide initiative to decrease opioid-related morbidity and mortality. | PSNet

psnet.ahrq.gov/issue/health-system-wide-initiative-decrease-opioid-related-morbidity-and-mortality

November 16, 2022 - Commentary Emerging Classic A health system–wide initiative to decrease opioid-related morbidity and mortality. Citation Text: Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qu…

Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. | PSNet

psnet.ahrq.gov/issue/conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient

January 07, 2015 - Study Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. Citation Text: Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safet…

The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet

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February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…

Surgical specimen identification errors: a new measure of quality in surgical care. | PSNet

psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care

June 16, 2011 - Study Surgical specimen identification errors: a new measure of quality in surgical care. Citation Text: Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007;141(4):450-5. Copy Citation Format:…

Hospital patients' reports of medical errors and undesirable events in their health care. | PSNet

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July 06, 2012 - Study Hospital patients' reports of medical errors and undesirable events in their health care. Citation Text: Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.11…

Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. | PSNet

psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk

August 06, 2014 - Study Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. Citation Text: Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…

Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study. | PSNet

psnet.ahrq.gov/issue/appropriateness-outpatient-antibiotic-prescribing-among-privately-insured-us-patients-icd-10

January 29, 2020 - Study Classic Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study. Citation Text: Chua K-P, Fischer MA, Linder JA. Appropriateness of outpatient antibiotic prescribing among privately in…

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