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Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. | PSNet

psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural

April 24, 2018 - Study Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. Citation Text: Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through sim…

System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet

psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response

July 19, 2023 - Commentary System planning for modern-day Just Culture to mitigate worker distress and second victim response. Citation Text: Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…

Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. | PSNet

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July 03, 2016 - Study Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. Citation Text: Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Repo…

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. | PSNet

psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive

November 21, 2016 - Study Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. Citation Text: Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units: relationship to siz…

The epidemiology of malpractice claims in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/epidemiology-malpractice-claims-primary-care-systematic-review

June 13, 2011 - Review The epidemiology of malpractice claims in primary care: a systematic review. Citation Text: Wallace E, Lowry J, Smith SM, et al. The epidemiology of malpractice claims in primary care: a systematic review. BMJ Open. 2013;3(7). doi:10.1136/bmjopen-2013-002929. Copy Citation …

An organization-specific and modifiable inpatient safety composite measure. | PSNet

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June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…

Medical error: using storytelling and reflection to impact error response factors in family medicine residents. | PSNet

psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine

June 05, 2019 - Study Medical error: using storytelling and reflection to impact error response factors in family medicine residents. Citation Text: Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …

Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet

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September 10, 2014 - Book/Report Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. Citation Text: Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…

Action on patient safety can reduce health inequalities. | PSNet

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February 05, 2020 - Commentary Action on patient safety can reduce health inequalities. Citation Text: Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ. 2022;376:e067090. doi:10.1136/bmj-2021-067090. Copy Citation Format: DOI Google Scholar Bi…

The nature and causes of unintended events reported at 10 internal medicine departments. | PSNet

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August 17, 2016 - Study The nature and causes of unintended events reported at 10 internal medicine departments. Citation Text: Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…

Automation of the I-PASS tool to improve transitions of care. | PSNet

psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care

August 04, 2021 - Study Automation of the I-PASS tool to improve transitions of care. Citation Text: Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174. Copy Citation Format: …

Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. | PSNet

psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience

February 15, 2023 - Commentary Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Citation Text: Pan D, Rajwani K. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Simul Healthc. 2020;16(1):46-51. doi:10.1097…

Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. | PSNet

psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project

August 14, 2017 - Commentary Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…

Preoperative site marking: are we adhering to good surgical practice? | PSNet

psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice

August 02, 2017 - Study Preoperative site marking: are we adhering to good surgical practice? Citation Text: Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. Copy Citation Format: DOI Google Scholar BibT…

Preparing clinicians for transitioning patients across care settings and into the home through simulation. | PSNet

psnet.ahrq.gov/issue/preparing-clinicians-transitioning-patients-across-care-settings-and-home-through-simulation

August 04, 2021 - Commentary Preparing clinicians for transitioning patients across care settings and into the home through simulation. Citation Text: Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care Settings and Into the Home Through Simulation. Home …

Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. | PSNet

psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral

September 27, 2023 - Commentary Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. Citation Text: Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-simulation-activity-effectively-prepares-residents-participation-patient

November 30, 2016 - Study Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. Citation Text: Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities…

Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. | PSNet

psnet.ahrq.gov/issue/missed-opportunities-initiate-endoscopic-evaluation-colorectal-cancer-diagnosis

February 15, 2011 - Study Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Citation Text: Singh H, Daci K, Petersen L, et al. Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Am J Gastroenterol. 2009;104(10):2543-2554. doi:10.103…

Adolescents identifying errors and omissions in their electronic health records: a national survey. | PSNet

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December 08, 2021 - Study Adolescents identifying errors and omissions in their electronic health records: a national survey. Citation Text: Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform.…

The association between sepsis and potential medical injury among hospitalized patients. | PSNet

psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients

July 15, 2014 - Study The association between sepsis and potential medical injury among hospitalized patients. Citation Text: Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556. …

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