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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 …

Texting while doctoring: a patient safety hazard. | PSNet

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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…

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…

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

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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-…

Design and implementation of an ICU incident registry. | PSNet

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February 14, 2024 - Study Design and implementation of an ICU incident registry. Citation Text: van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

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…

Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. | PSNet

psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks

May 08, 2017 - Commentary Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Citation Text: Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a…

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…

Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. | PSNet

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February 01, 2011 - Study Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. Citation Text: Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site pa…

Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. | PSNet

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April 24, 2018 - Review Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. Citation Text: Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clini…

Child-specific risk factors and patient safety. | PSNet

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February 02, 2022 - Study Child-specific risk factors and patient safety. Citation Text: Child-specific risk factors and patient safety. Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. Copy Citation Save Save to your library Print Download PDF …

Interventions to increase clinical incident reporting in health care. | PSNet

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September 02, 2009 - Review Interventions to increase clinical incident reporting in health care. Citation Text: Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…

'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. | PSNet

psnet.ahrq.gov/issue/broken-hospital-windows-debating-theory-spreading-disorder-and-its-application-healthcare

October 26, 2022 - Commentary 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. Citation Text: Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare orga…

The problem with…using stories as a source of evidence and learning. | PSNet

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June 19, 2018 - Commentary The problem with…using stories as a source of evidence and learning. Citation Text: Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221. Copy Citation Format: DOI Google …

Chief resident for quality improvement and patient safety: a description. | PSNet

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July 02, 2014 - Commentary Chief resident for quality improvement and patient safety: a description. Citation Text: Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034. Copy Citat…

Thirty-day outcomes support implementation of a surgical safety checklist. | PSNet

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April 10, 2024 - Study Thirty-day outcomes support implementation of a surgical safety checklist. Citation Text: Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012…

From aviation to pediatric surgery. | PSNet

psnet.ahrq.gov/issue/aviation-pediatric-surgery

January 12, 2022 - Commentary From aviation to pediatric surgery. Citation Text: Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila). 2024;63(4):557-559. doi:10.1177/00099228231176631. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

Anatomy of a patient safety event: a pediatric patient safety taxonomy. | PSNet

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May 18, 2022 - Study Anatomy of a patient safety event: a pediatric patient safety taxonomy. Citation Text: Woods DM, Johnson JK, Holl JL, et al. Anatomy of a patient safety event: a pediatric patient safety taxonomy. Qual Saf Health Care. 2005;14(6):422-7. Copy Citation Format: Google …

Error reporting and disclosure systems: views from hospital leaders. | PSNet

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June 16, 2010 - Study Classic Error reporting and disclosure systems: views from hospital leaders. Citation Text: Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. Copy Citation For…

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet

psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice

August 12, 2020 - Commentary "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Citation Text: Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerati…

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