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Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. | PSNet

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September 23, 2020 - Study Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. Citation Text: Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44…

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report

May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…

Improving prescription drug warnings to promote patient comprehension. | PSNet

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December 21, 2014 - Study Improving prescription drug warnings to promote patient comprehension. Citation Text: Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. Copy Citation …

Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. | PSNet

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January 12, 2011 - Review Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. Citation Text: Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…

Identification of poor performance in a national medical workforce over 11 years: an observational study. | PSNet

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August 12, 2014 - Study Identification of poor performance in a national medical workforce over 11 years: an observational study. Citation Text: Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. | PSNet

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November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. | PSNet

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January 04, 2010 - Study Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. Citation Text: McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…

Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet

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March 24, 2011 - Study Medication error reporting in nursing homes: identifying targets for patient safety improvement. Citation Text: Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

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September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

Surgical fire in the United States: 2000-2020. | PSNet

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March 03, 2021 - Study Surgical fire in the United States: 2000-2020. Citation Text: Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. | PSNet

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September 01, 2016 - Study Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. Citation Text: Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the c…

Using nurses and office staff to report prescribing errors in primary care. | PSNet

psnet.ahrq.gov/issue/using-nurses-and-office-staff-report-prescribing-errors-primary-care

May 04, 2010 - Study Using nurses and office staff to report prescribing errors in primary care. Citation Text: Kennedy AG, Littenberg B, Senders JW. Using nurses and office staff to report prescribing errors in primary care. Int J Qual Health Care. 2008;20(4):238-45. doi:10.1093/intqhc/mzn015. Cop…

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. | PSNet

psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education

March 17, 2021 - Commentary Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. Citation Text: Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…

A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. | PSNet

psnet.ahrq.gov/issue/bottom-approach-addressing-patient-care-and-differential-diagnosis-amidst-covid-19-response

May 05, 2021 - Commentary A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. Citation Text: Zolnikov T, Zolnikov TR. A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. J Prim Care Community Health. 202…

Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. | PSNet

psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident

March 17, 2021 - Study Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Citation Text: Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…

Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/performance-characteristics-methodology-quantify-adverse-events-over-time-hospitalized

December 01, 2010 - Study Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Citation Text: Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Se…

Psychiatry morbidity and mortality rounds: implementation and impact. | PSNet

psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact

March 27, 2024 - Study Psychiatry morbidity and mortality rounds: implementation and impact. Citation Text: Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383. Copy Citation Format: …

Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. | PSNet

psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer

February 03, 2011 - Study Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. Citation Text: Caruso TJ, Marquez JL, Wu DS, et al. Implementation of a standardized postanesthesia care handoff increases information transfer without i…

Medical errors and patient safety in palliative care: a review of current literature. | PSNet

psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature

December 04, 2016 - Review Medical errors and patient safety in palliative care: a review of current literature. Citation Text: Dietz I, Borasio GD, Schneider G, et al. Medical errors and patient safety in palliative care: a review of current literature. J Palliat Med. 2010;13(12):1469-74. doi:10.1089/jpm.2…

Hospice diagnosis: polypharmacy—a teachable moment. | PSNet

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April 24, 2018 - Commentary Hospice diagnosis: polypharmacy—a teachable moment. Citation Text: Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253. Copy Citation Format: DOI Google Scholar PubMed…

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