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Back to basics: checklists in aviation and healthcare. | PSNet

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May 15, 2024 - Commentary Back to basics: checklists in aviation and healthcare. Citation Text: Clay-Williams R, Colligan L. Back to basics: checklists in aviation and healthcare. BMJ Qual Saf. 2015;24(7):428-31. doi:10.1136/bmjqs-2015-003957. Copy Citation Format: DOI Google Scholar PubM…

Resolving the productivity paradox of health information technology: a time for optimism. | PSNet

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November 16, 2022 - Commentary Resolving the productivity paradox of health information technology: a time for optimism. Citation Text: Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605. Copy …

Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. | PSNet

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May 27, 2011 - Commentary Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. Citation Text: Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…

The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. | PSNet

psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units

February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…

Medication reconciliation for reducing drug-discrepancy adverse events. | PSNet

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October 10, 2018 - Study Medication reconciliation for reducing drug-discrepancy adverse events. Citation Text: Boockvar K, LaCorte HC, Giambanco V, et al. Medication reconciliation for reducing drug-discrepancy adverse events. Am J Geriatr Pharmacother. 2006;4(3):236-43. Copy Citation Format: …

Analysis of surgical errors in closed malpractice claims at 4 liability insurers. | PSNet

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February 17, 2011 - Study Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Citation Text: Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. Copy Citation Format: …

Nurses and doctors sick with COVID feel pressured to get back to work. | PSNet

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October 20, 2021 - Newspaper/Magazine Article Nurses and doctors sick with COVID feel pressured to get back to work. Citation Text: Huetteman E. Nurses and doctors sick with COVID feel pressured to get back to work. Kaiser Health News. 2020;August 12. Copy Citation Format: Google Scholar BibT…

Defining attributes of patient safety through a concept analysis. | PSNet

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May 08, 2013 - Review Defining attributes of patient safety through a concept analysis. Citation Text: Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715. Copy Citation Format: …

Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet

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October 19, 2022 - Review Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. Citation Text: Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…

Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. | PSNet

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March 13, 2013 - Commentary Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. Citation Text: Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…

Benefactor or burden: exploring the professional identity of safety professionals. | PSNet

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October 11, 2017 - Study Benefactor or burden: exploring the professional identity of safety professionals. Citation Text: Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005. Copy Cit…

Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. | PSNet

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December 21, 2014 - Study Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Citation Text: Carney BT, West P, Neily J, et al. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Am J…

Diagnostic error in mental health: a review. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-mental-health-review

October 19, 2012 - Review Diagnostic error in mental health: a review. Citation Text: Bradford A, Meyer AND, Khan S, et al. Diagnostic error in mental health: a review. BMJ Qual Saf. 2024;33(10):663-672. doi:10.1136/bmjqs-2023-016996. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. | PSNet

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February 28, 2024 - Commentary Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. Citation Text: Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acc…

Teaching students to administer medications safely. | PSNet

psnet.ahrq.gov/issue/teaching-students-administer-medications-safely

December 04, 2019 - Commentary Teaching students to administer medications safely. Citation Text: Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72. Copy Citation Format: DOI Google Scholar PubMed Bi…

Context matters: toward a multilevel perspective on context in clinical reasoning and error. | PSNet

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April 12, 2023 - Commentary Context matters: toward a multilevel perspective on context in clinical reasoning and error. Citation Text: Choi JJ, Durning SJ. Context matters: toward a multilevel perspective on context in clinical reasoning and error. Diagnosis (Berl). 2023;10(2):89-95. doi:10.1515/dx-2022…

Danger in discharge summaries: abbreviations create confusion for both author and recipient. | PSNet

psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient

March 15, 2017 - Study Danger in discharge summaries: abbreviations create confusion for both author and recipient. Citation Text: Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…

Developing critical thinking skills for delivering optimal care | PSNet

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June 23, 2021 - Commentary Developing critical thinking skills for delivering optimal care Citation Text: Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern Med J. 2021;51(4):488-493. doi:10.1111/imj.15272. Copy Citation Format: DO…

Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. | PSNet

psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors

January 27, 2021 - Study Classic Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. Citation Text: Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAM…

Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation. | PSNet

psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making

May 15, 2024 - Study Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation. Citation Text: Woodham LA, Round J, Stenfors T, et al. Virtual patients designed for training against medical error: Exploring the impact of decision-making …

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