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"That was a close call": endorsing a broad definition of near misses in health care. | PSNet

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August 31, 2016 - Commentary "That was a close call": endorsing a broad definition of near misses in health care. Citation Text: Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. Cop…

Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. | PSNet

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March 02, 2011 - Study Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Citation Text: Wheeler DW, Degnan BA, Sehmi JS, et al. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med. 2008;34(8…

Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. | PSNet

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November 01, 2017 - Commentary Emerging Classic Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. Citation Text: Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for P…

Latent risk assessment tool for health care leaders. | PSNet

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September 05, 2018 - Commentary Latent risk assessment tool for health care leaders. Citation Text: Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. Copy Citation Format: DOI Google S…

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. | PSNet

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July 13, 2010 - Commentary Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Citation Text: Patterson ES, Zhang J, Abbott P, et al. Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Jt Comm J Qual Patient…

Safety culture and care: a program to prevent surgical errors. | PSNet

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March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. | PSNet

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May 11, 2019 - Commentary Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. Citation Text: Gray D, Johnson KD, Watts B. Lost In Translation? Addressing Barriers in the Application of Industrial Process Improvement Methodologies t…

The rise of the medical scribe industry: implications for the advancement of electronic health records. | PSNet

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January 12, 2022 - Commentary The rise of the medical scribe industry: implications for the advancement of electronic health records. Citation Text: Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1…

Bedside shift-to-shift handoffs: a systematic review of the literature. | PSNet

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January 23, 2017 - Review Bedside shift-to-shift handoffs: a systematic review of the literature. Citation Text: Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142. Copy Citation…

Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. | PSNet

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May 18, 2022 - Commentary Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. Citation Text: Krenitsky NM, Perez-Urbano I, Goffman D. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic…

Toward a theoretical approach to medical error reporting system research and design. | PSNet

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November 30, 2011 - Study Toward a theoretical approach to medical error reporting system research and design. Citation Text: Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon. 2006;37(3):283-95. Copy Citation Form…

The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review. | PSNet

psnet.ahrq.gov/issue/outcomes-recent-patient-safety-education-interventions-trainee-physicians-and-medical

January 15, 2014 - Review The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review. Citation Text: Kirkman MA, Sevdalis N, Arora S, et al. The outcomes of recent patient safety education interventions for trainee physicians and medical s…

Patient safety systems in the primary health care of diabetes—a story of missed opportunities? | PSNet

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March 28, 2011 - Review Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Citation Text: Taub N, Baker R, Khunti K, et al. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Diabet Med. 2010;27(11):1322-6. Copy C…

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet

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December 27, 2014 - Commentary Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. Citation Text: Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …

The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. | PSNet

psnet.ahrq.gov/issue/influence-context-effectiveness-hospital-quality-improvement-strategies-review-systematic

May 26, 2014 - Review The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. Citation Text: Kringos DS, Suñol R, Wagner C, et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of syst…

Time out! Rethinking surgical safety: more than just a checklist. | PSNet

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April 27, 2022 - Commentary Time out! Rethinking surgical safety: more than just a checklist. Citation Text: Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600. Copy Citation Format: DOI Google Schola…

Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. | PSNet

psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach-patient-safety

July 23, 2008 - Study Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. Citation Text: Brand C, Ibrahim JE, Bain C, et al. Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. Intern Med J. 2007;37(5):295-…

Texting while doctoring: a patient safety hazard. | PSNet

psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard

October 04, 2023 - Commentary Texting while doctoring: a patient safety hazard. Citation Text: Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012. Copy Citation Format: DOI Google Scholar P…

Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet

psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework

April 03, 2024 - Commentary Using medicolegal data to support safe medical care: a contributing factor coding framework. Citation Text: McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…

ASHP guidelines on perioperative pharmacy services. | PSNet

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December 21, 2014 - Review ASHP guidelines on perioperative pharmacy services. Citation Text: Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. Copy Citation Format: DOI Google Sc…

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