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Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

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August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings. | PSNet

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February 14, 2015 - Study 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings. Citation Text: Ginsburg LR, Tregunno D, Norton PG, et al. 'Not another safety culture survey': using the Canadian patien…

Clinical alerts to decrease high-risk medication use in older adults. | PSNet

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September 02, 2015 - Commentary Clinical alerts to decrease high-risk medication use in older adults. Citation Text: Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. Copy Citation Format: …

Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. | PSNet

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September 25, 2024 - Study Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. Citation Text: Jaakkola M, Lemmetty S, Collin K, et al. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. …

Effect of a comprehensive surgical safety system on patient outcomes. | PSNet

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May 17, 2012 - Study Classic Effect of a comprehensive surgical safety system on patient outcomes. Citation Text: de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/…

Do professionalism lapses in medical school predict problems in residency and clinical practice? | PSNet

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February 15, 2017 - Study Do professionalism lapses in medical school predict problems in residency and clinical practice? Citation Text: Krupat E, Dienstag JL, Padrino SL, et al. Do professionalism lapses in medical school predict problems in residency and clinical practice? Acad Med. 2020;95(6):888-895. d…

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. | PSNet

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September 24, 2018 - Study Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. Citation Text: McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiologic…

The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

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November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

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December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

Leading successful rapid response teams: a multisite implementation evaluation. | PSNet

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August 04, 2010 - Image/Poster Leading successful rapid response teams: a multisite implementation evaluation. Citation Text: Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…

Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. | PSNet

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August 26, 2020 - Study Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. Citation Text: Tariq A, Georgiou A, Raban MZ, et al. Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. BMJ Qual Saf. 2016;25(9):704-15. doi:10.1136/…

The hidden costs of reconciling surgical sponge counts. | PSNet

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May 08, 2013 - Study The hidden costs of reconciling surgical sponge counts. Citation Text: Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002. Copy Citation Format: DOI Goo…

Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet

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February 23, 2022 - Commentary Advancing health equity in patient safety: a reckoning, challenge and opportunity. Citation Text: Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. Copy Citation Fo…

Serious experience events: applying patient safety concepts to improve patient experience. | PSNet

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August 04, 2021 - Commentary Serious experience events: applying patient safety concepts to improve patient experience. Citation Text: Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:23743735…

Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

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October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …

Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. | PSNet

psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process

June 25, 2018 - Study Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. Citation Text: Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10…

Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of night float. | PSNet

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November 16, 2022 - Study Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of night float. Citation Text: Peterson C, Moore M, Sarwani N, et al. Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of…

Good people who try their best can have problems: recognition of human factors and how to minimise error. | PSNet

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October 29, 2017 - Review Good people who try their best can have problems: recognition of human factors and how to minimise error. Citation Text: Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition of human factors and how to minimise error. Br J Oral Ma…

Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. | PSNet

psnet.ahrq.gov/issue/surgical-team-member-assessment-safety-surgery-practice-38-south-carolina-hospitals

May 11, 2016 - Study Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Citation Text: Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-3…

Safety Climate Survey: reliability of results from a multicenter ICU survey. | PSNet

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June 13, 2012 - Study Safety Climate Survey: reliability of results from a multicenter ICU survey. Citation Text: Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316. Copy Citation Format…

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