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The practice of medicine: understanding diagnostic error. | PSNet

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July 22, 2020 - Commentary The practice of medicine: understanding diagnostic error. Citation Text: Cantey C. The practice of medicine: understanding diagnostic error. J Nurs Pract. 2020;16(8):582-585. doi:10.1016/j.nurpra.2020.05.014. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. | PSNet

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January 18, 2013 - Study Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. Citation Text: Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary ca…

Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. | PSNet

psnet.ahrq.gov/issue/impact-resident-participation-morbidity-and-mortality-neurosurgical-procedures-analysis-16098

June 17, 2014 - Study Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. Citation Text: Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis …

Applying fault tree analysis to the prevention of wrong-site surgery. | PSNet

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September 09, 2015 - Review Applying fault tree analysis to the prevention of wrong-site surgery. Citation Text: Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. Copy Citation F…

Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. | PSNet

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May 04, 2014 - Commentary Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. Citation Text: Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, an…

SWITCH for safety: perioperative hand-off tools. | PSNet

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October 18, 2023 - Commentary SWITCH for safety: perioperative hand-off tools. Citation Text: Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. Copy Citation Format: DOI Google Scho…

Impact of a pharmacotherapy alerting system on medication errors. | PSNet

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November 10, 2015 - Study Impact of a pharmacotherapy alerting system on medication errors. Citation Text: Natali BJ, Varkey AC, Garey KW, et al. Impact of a pharmacotherapy alerting system on medication errors. American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126. Copy Citation…

A scholarly pathway in quality improvement and patient safety. | PSNet

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December 18, 2017 - Commentary A scholarly pathway in quality improvement and patient safety. Citation Text: Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. Copy Citation Format: DOI Google Sch…

A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. | PSNet

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June 14, 2011 - Commentary A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. Citation Text: Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and si…

Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. | PSNet

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December 21, 2014 - Study Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. Citation Text: Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Fe…

Traditions of research into interruptions in healthcare: a conceptual review. | PSNet

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April 19, 2017 - Review Traditions of research into interruptions in healthcare: a conceptual review. Citation Text: McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005. Copy…

Association between day of delivery and obstetric outcomes: observational study. | PSNet

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January 07, 2015 - Study Association between day of delivery and obstetric outcomes: observational study. Citation Text: Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774. Copy Citation Format: …

Interventions to improve hand hygiene compliance in patient care. | PSNet

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September 09, 2020 - Review Interventions to improve hand hygiene compliance in patient care. Citation Text: Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4. Copy Citat…

The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents. | PSNet

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September 30, 2020 - Study The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents. Citation Text: Martinez W, Lehmann LS. The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and no…

Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. | PSNet

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October 21, 2015 - Study Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…

Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. | PSNet

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February 19, 2020 - Study Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. Citation Text: Gorman LS, Littlewood DL, Quinlivan L, et al. Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. BJPsych Open. 2023;9(…

Implementing a perioperative handoff tool to improve postprocedural patient transfers. | PSNet

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February 29, 2012 - Commentary Implementing a perioperative handoff tool to improve postprocedural patient transfers. Citation Text: Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42. …

Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. | PSNet

psnet.ahrq.gov/issue/errors-medical-interpretation-and-their-potential-clinical-consequences-comparison

November 23, 2016 - Study Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. Citation Text: Flores G, Abreu M, Barone CP, et al. Errors of medical interpretation and their potential clinical consequences: a compari…

The impact of interruptions on medication errors in hospitals: an observational study of nurses. | PSNet

psnet.ahrq.gov/issue/impact-interruptions-medication-errors-hospitals-observational-study-nurses

November 15, 2017 - Study The impact of interruptions on medication errors in hospitals: an observational study of nurses. Citation Text: Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…

More than a feeling: the role of empathetic care in promoting safety in health care. | PSNet

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June 23, 2021 - Study More than a feeling: the role of empathetic care in promoting safety in health care. Citation Text: Leana C, Meuris J, Lamberton C. More Than a Feeling: The Role of Empathetic Care in Promoting Safety in Health Care. ILR Review. 2017;71(2):394-425. doi:10.1177/0019793917720432. C…

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