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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…

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: …

Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. | PSNet

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July 10, 2013 - Study Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. Citation Text: Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICU…

Diagnostic heuristics in dermatology—part 1 and part 2. | PSNet

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June 24, 2010 - Review Diagnostic heuristics in dermatology—part 1 and part 2. Citation Text: Lowenstein EJ, Sidlow R. Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. J Dermatol. 2018;179(6):1263-1276. doi:10.1111/bjd.16932. Copy Citation Format: DOI Google Schola…

In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

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June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

Improving incident reporting among physician trainees. | PSNet

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October 08, 2016 - Study Improving incident reporting among physician trainees. Citation Text: Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. Copy Citation Format: DOI Google Sc…

Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet

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March 29, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. Citation Text: Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intra…

Investigating workplace support and the importance of psychological safety in general surgery residency training. | PSNet

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July 16, 2015 - Study Investigating workplace support and the importance of psychological safety in general surgery residency training. Citation Text: Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. …

Patient safety incidents caused by poor quality surgical instruments. | PSNet

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April 06, 2022 - Study Patient safety incidents caused by poor quality surgical instruments. Citation Text: Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. Copy Citation Format: DOI Google Schola…

From patients to politicians: a cognitive engineering view of patient safety. | PSNet

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January 29, 2020 - Commentary From patients to politicians: a cognitive engineering view of patient safety. Citation Text: Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. Copy Citation Format: Google Scholar P…

Participation in EHR based simulation improves recognition of patient safety issues. | PSNet

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April 24, 2013 - Study Participation in EHR based simulation improves recognition of patient safety issues. Citation Text: Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-22…

Computerized physician order entry in US hospitals: results of a 2002 survey. | PSNet

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April 29, 2018 - Study Computerized physician order entry in US hospitals: results of a 2002 survey. Citation Text: Ash JS, Gorman PN, Seshadri V, et al. Computerized physician order entry in U.S. hospitals: results of a 2002 survey. J Am Med Inform Assoc. 2004;11(2):95-9. Copy Citation Format: …

Patient safety teams recognised at BMJ awards. | PSNet

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October 19, 2022 - Press Release/Announcement Patient safety teams recognised at BMJ awards. Citation Text: Gulland A. Berwick Patient Safety Team: making the NHS a safer place. BMJ. 2014;348(mar28 1). doi:10.1136/bmj.g2404. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

Diagnostic error in a national incident reporting system in the UK. | PSNet

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February 15, 2013 - Study Diagnostic error in a national incident reporting system in the UK. Citation Text: Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x. Copy Citati…

Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet

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August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

Medicare nonpayment, hospital falls, and unintended consequences. | PSNet

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October 19, 2022 - Commentary Medicare nonpayment, hospital falls, and unintended consequences. Citation Text: Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963. Copy Citation Format: …

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…

Unintended consequences of the electronic health record and cognitive load in emergency department nurses. | PSNet

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June 22, 2011 - Study Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Citation Text: Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …

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(…

Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management | PSNet

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June 14, 2019 - Journal Article Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management Citation Text: Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in…

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