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Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

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February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution following patient harm. Citation Text: Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

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September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

Making patient safety the centerpiece of medical liability reform. | PSNet

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December 01, 2019 - Commentary Making patient safety the centerpiece of medical liability reform. Citation Text: Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100. Copy Citation Format: …

Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. | PSNet

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June 14, 2023 - Study Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. Citation Text: Hopkins J, Hedlin H, Weinacker A, et al. Patterns of Disrespectful Physician Behavior at an Academic Medical Center: Implications for T…

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. | PSNet

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September 27, 2017 - Commentary Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. Citation Text: Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…

Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. | PSNet

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March 12, 2025 - Study Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. Citation Text: Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical profes…

Safety events in children's hospitals during the COVID-19 pandemic. | PSNet

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January 15, 2020 - Study Safety events in children's hospitals during the COVID-19 pandemic. Citation Text: Safety events in children's hospitals during the COVID-19 pandemic. Masonbrink AR, Harris M, Hall M, et al. Hosp Pediatr. 2021;11(6):e95-e100. Copy Citation Save Save t…

The threat within: mitigating the risk of medical error. | PSNet

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July 15, 2020 - Book/Report The threat within: mitigating the risk of medical error. Citation Text: Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3. Copy Citation Format: DOI Google Scholar BibTeX…

Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet

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November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…

Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. | PSNet

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May 26, 2011 - Study Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. Citation Text: Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…

Hospital medication errors: a cross sectional study. | PSNet

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September 30, 2020 - Study Hospital medication errors: a cross sectional study. Citation Text: ISAACS AN, Ch'ng K, DELHIWALE N, et al. Hospital medication errors: a cross-sectional study. Int J Qual Health Care. 2021;33(1):mzaa136. doi:10.1093/intqhc/mzaa136. Copy Citation Format: DOI Google Sc…

Critical events in the lives of interns. | PSNet

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November 16, 2022 - Study Critical events in the lives of interns. Citation Text: Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet

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May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients and staff. Citation Text: Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. Copy…

Shifting supervision: implications for safe administration of medication by nursing students. | PSNet

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January 27, 2021 - Study Shifting supervision: implications for safe administration of medication by nursing students. Citation Text: Reid-Searl K, Moxham L, Walker S, et al. Shifting supervision: implications for safe administration of medication by nursing students. J Clin Nurs. 2008;17(20):2750-7. doi…

Use of "Doctor" badges for physician role identification during clinical training. | PSNet

psnet.ahrq.gov/issue/use-doctor-badges-physician-role-identification-during-clinical-training

December 18, 2017 - Study Use of "Doctor" badges for physician role identification during clinical training. Citation Text: Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. …

Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. | PSNet

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February 14, 2018 - Study Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. Citation Text: Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…

Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. | PSNet

psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best

October 19, 2022 - Review Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Citation Text: Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …

Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. | PSNet

psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college

April 24, 2018 - Commentary Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. Citation Text: Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …

Bridging gaps in handoffs: a continuity of care based approach. | PSNet

psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-based-approach

January 07, 2015 - Study Bridging gaps in handoffs: a continuity of care based approach. Citation Text: Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011. Copy Citation Format: …

The ethics of empowering patients as partners in healthcare-associated infection prevention. | PSNet

psnet.ahrq.gov/issue/ethics-empowering-patients-partners-healthcare-associated-infection-prevention

January 04, 2019 - Commentary The ethics of empowering patients as partners in healthcare-associated infection prevention. Citation Text: Sharp D, Palmore T, Grady C. The ethics of empowering patients as partners in healthcare-associated infection prevention. Infect Control Hosp Epidemiol. 2014;35(3):307-9…

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